BILINGUAL QUESTIONNAIRE AND ZONE TRANSFER REQUEST
PARENTS: This application is for your child to be considered for the Bilingual Education Programs at:
LA CASITA ELEMENTARY
MARSHALL 6TH GRADE ACADEMY
YUCCA MIDDLE SCHOOL
CHS FRESHMAN ACADEMY
CLOVIS HIGH SCHOOL. 

You must complete this Bilingual Questionnaire when requesting any bilingual program. If a Zone Transfer Request is needed, you will be prompted to fill it out.

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Student's Last Name: *
Student's First Name: *
Student's Date of Birth: *
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Parent/Guardian Name: *
Address: *
Telephone number (include area code): *
Email address (All communication will be sent via email. Please check it regularly!) *
School year you would like your child to be considered for: *
Current Grade for the 2025-2026 School Year: *
Today's Date: *
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