Incoming Kindergarten Home Language Survey

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Thank you for completing this survey. An official home language survey will be provided during the online registration process. However, by completing this survey now, you are assuring that we will be able to provide your students with the necessary classes for English language instruction, if they should need it. If you have more than one child going to Kindergarten, please fill this out for each child. We will contact you to set up a time to complete a language screener. If you have any questions, please contact jmdearth@bluevalleyk12.org.

Email *

Parent Name: *

Child's First & Last Name: *

Child's Date of Birth *

YYYY

Child's Grade Level for 2025-2026 *

Kindergarten

Child's School for 2025-2026 *

Did your child attend Blue Valley's Early Childhood at Hilltop? *

Yes

Please list the language that your child first learned to speak. *

Please list any languages spoken by adults in the home regularly. *

Please list any languages your child speaks at home. *

Please list any languages that you speak to your child (even if they respond in English). *

Has your child had any previous schooling in English? *

Yes

Do you need an interpreter for registration or school information? *

Yes

Maybe

A copy of your responses will be emailed to the address you provided.

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