Application for Two Way Immersion Program 2021-2022
Application submission does not guarantee placement into the Two-Way Immersion Program.

Submitting your application by March 15th, will secure your child into the TWI Lottery, if needed.
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Student's Name
Student's Birthdate
MM
/
DD
/
YYYY
Student Gender
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Name of Parent / Guardian 1
Home address
Primary Phone Number 1
Secondary Phone Number
Email Address
Name of Parent / Guardian 2
Home Address
Primary Phone Number
Secondary Phone Number
Email Address
What is your child's first language?
What other languages are spoken at home?
Do you have a child currently enrolled in the Two Way Immersion Program or One Way Immersion Program at Washington, Mechanics Grove, or Carl Sandburg Middle School?
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Preschool Experience (Name of School)
Number of years attended (Preschool)
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Is there any other information about you would like to share with us about your child or the program?
Submit
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