Seal of Biliteracy Application 2018-2019 District #204
Please complete this application and submit any necessary AAPPL and/or STAMP 4S test fees to your WL/EL teacher or the World Language Department Chair no later than January 10, 2019 for AAPPL Test #1 or February 7, 2019 for AAPPL Test #2.
AAPPL Testing Date
AAPPL Test #1 01/19/19 8AM - 1PM (Deadline 01/10/19)
AAPPL Test #2 02/16/19 8AM - 1 PM (Deadline 02/07/19)
Which portion(s) of the AAPPL exam do you plan to take?
First Time Test Taker (S20)
Listening and/or Reading ($5) - Same cost for one or both
STAMP 4S Testing Date (English, Hebrew or Polish ONLY)
STAMP 4S Test #1 01/19/19 8AM - 1 PM (Deadline 1/10/19) ($25 paid online at their website)
STAMP 4S Test #2 02/16/19 8AM - 1 PM (Deadline 2/7/19) ($25 paid online at their website)
STAMP 4S Test #2 02/16/19 8AM - 1 PM (Deadline 2/7/19) (Retake of a portion of the test) (Paid online at their website)
World Language or English Learner TEACHER (Last name only -- Write NONE, if you are not currently enrolled in a WL or EL class.)
District #204 Student ID
Prefer not to say
Language (In which language are you applying to earn the Seal of Biliteracy?
DOB (Date of Birth) MM/DD/YEAR
Course Level/Years of Study
5 (AP course in the target language)
Native Speaker - No Foreign Language Taken at H.S.
If you are planning to apply for more than one Seal of Biliteracy, please write the additional language(s). If so, you must complete an additional application for that language.
Contact Phone #
Please indicate if you have taken any of the following exams as a proof of English proficiency:
AP Exam (4 or 5 score requirement)
ACT (21 Reading/Writing score requirement)
SAT (540 Reading/Writing score requirement)
ACCESS (4.8 overall score requirement)
AAPPL English Exam (Intermediate-high or Advanced score requirement in Listening, Speaking, Reading and Writing)
STAMP English Exam
Please indicate if you have taken an AP Exam as proof of additional language proficiency: (4 or 5 score requirement)
AP Exam (4)
AP Exam (5)
Please check ALL three of the following boxes:
I understand that there is a limited number of seats and that Seniors will receive priority on testing dates.
I also understand that a student receiving the Seal of Biliteracy will not be recognized until his/her senior year.
I also understand that it is my responsiblity to submit proof of proficiency in English and any additional languages in order to receive the Seal of Biliteracy.
Send me a copy of my responses.
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