Parkview Dual Language Immersion
Parents interested in enrolling their child in the Dual Language program at Parkview Elementary School for the 2017-2018 school year should complete this form. Parents interested in enrolling their child in the Dual Language Program in grade 2, will be required to take an assessment to determine eligibility.
First Name
Your answer
Last Name
Your answer
What grade level will this child be enrolled in for the 2017-2018 school year?
Student's Birthday
MM/DD/YYYY Example: 03/12/2001
Your answer
Ethnicity
Check all that apply.
Required
Street Number
Example: 1404
Your answer
Street Name
Example: Wood Street
Your answer
What is your apartment number?
Example: 1/A
Your answer
Zip Code
Example: 46383
Your answer
Parent Names
Please list full name.
Your answer
Phone Number
Example: (219) 252-2233
Your answer
email address
Your answer
Is English the primary language spoken at home?
Check yes or no
List all languages spoken at home.
Your answer
Siblings Names
Please include first/last name and age.
Your answer
Has your child participated in the Dual Language Program at Parkview?
My child participated in the Dual Language Program during the grade levels checked below. Check all that apply.
Submit
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