Dual Language+ Program Application (Kindergarten)
Please complete this application for the 2019-2020 academic year.
About the Parent and Child
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Date of Birth *
(The child must be 5 years of age on or before September 1, 2019)
MM
/
DD
/
YYYY
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Contact Phone Number *
Your answer
Contact Email *
Your answer
School of Residence *
If you answered "Other schools/districts" above, please indicate which school/district.
Your answer
Home Address *
Your answer
Schools and Programs Requested
Select ALL the School(s) you would like to enroll your child in. If you choose more than one school, please indicate your first, second, and third priority schools.

*** DEWEY AVENUE ELEMENTARY SCHOOL (SPANISH/ENGLISH DUAL LANGUAGE+ PROGRAM) ***
525 E. Dewey Ave., San Gabriel, CA 91776
Program:
8:20 a.m.-2:35 p.m. (during school day) – Spanish/English Dual Language Program
2:35-3:30 p.m. (required) – After-School Enrichment Program to develop appreciation for Chinese language and culture through visual and performing arts

*** DUFF LANGUAGE MAGNET ACADEMY (CHINESE/ENGLISH DUAL LANGUAGE+ PROGRAM ***
7830 Dorothy Ave., Rosemead, CA 91770
Program:
8:20 a.m.-2:35 p.m. (during school day) – Chinese (Mandarin)/English Dual Language Program
2:35-3:30 p.m. (required) – After-School Enrichment Program to develop appreciation for Spanish language and culture through visual and performing arts

*** HILLCREST ELEMENTARY SCHOOL (CHINESE/ENGLISH DUAL LANGUAGE+ PROGRAM) ***
795 Pepper Street, Monterey Park, CA 91755
Program:
8:20 a.m.-2:35 p.m. (during school day) – Chinese (Mandarin)/English Dual Language Program
2:35-3:30 p.m. (required) – After-School Enrichment Program to develop appreciation for Spanish language and culture through visual and performing arts

FIRST PRIORITY: Select the school you would like to enroll your child in. *
SECOND PRIORITY: Select the school you would like to enroll your child in. *
THIRD PRIORITY: Select the school you would like to enroll your child in. *
Parent Commitment
The Dual Language+ Program is a challenging and rigorous program. Parent support and commitment to the program is of critical importance to the success of your child in the program. Please indicate your commitment in the following areas:
Parent Commitment Requirements (you will need to be able to commit to all 6 requirements in order to be eligible) *
Required
Your Signature (Print Your Name) *
Your answer
Submit
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