Union Park Spanish Dual Language Immersion Application 2026-2027

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**Note: Information collected from this form will not be used to determine eligibility for the immersion program. Eligibility is based solely on enrollment status and the date the application was received.

Email *

STUDENT FIRST NAME: *

STUDENT LAST NAME: *

CHILD'S BIRTHDATE (note- child must be five by 8/31/21 to enroll in Kindergarten or be cleared for early entry by DVUSD) *

YYYY

FULL ADDRESS (STREET ADDRESS, CITY, STATE, ZIP CODE) *

PHONE NUMBER: *

PARENT/GUARDIAN NAME(S): *

Which grade will your child be in for the 2026-2027 school year? (Kindergarten enrollment begins November 3, 2025) *

Kindergarten

1st Grade

2nd Grade** (Student must have prior experience in Spanish immersion or placement test)

3rd Grade** (Student must have prior experience in Spanish immersion or placement test)

4th Grade** (Student must have prior experience in Spanish immersion or placement test)

5th Grade** (Student must have prior experience in Spanish immersion or placement test)

6th Grade** (Student must have prior experience in Spanish immersion or placement test)

7th Grade** (Student must have prior experience in Spanish immersion or placement test)

Does this student have a sibling in the Spanish Dual Immersion Program? *

Yes

If you answered "yes" above, provide the sibling's name:

Why would you like for your child to be enrolled in the Spanish Program? *

I have read the DVUSD Dual Language Immersion Commitment Form. By typing my name below, I commit to supporting my child and the DLI program.

DLI COMMITMENT FORM

Name *

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