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.
Email address *
AAPPL Testing Date
Which portion(s) of the AAPPL exam do you plan to take?
STAMP 4S Testing Date (English, Hebrew or Polish ONLY)
School *
World Language or English Learner TEACHER (Last name only -- Write NONE, if you are not currently enrolled in a WL or EL class.) *
Your answer
District #204 Student ID *
Your answer
Last Name *
Your answer
First Name *
Your answer
Gender *
Language (In which language are you applying to earn the Seal of Biliteracy? *
Your answer
DOB (Date of Birth) MM/DD/YEAR *
Your answer
Course Level/Years of Study *
Grade *
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.
Your answer
Contact Phone # *
Your answer
Please indicate if you have taken any of the following exams as a proof of English proficiency:
Please indicate if you have taken an AP Exam as proof of additional language proficiency: (4 or 5 score requirement)
Please check ALL three of the following boxes: *
Required
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