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Union Park Spanish Dual Language Immersion Application 2023-2024
**Note: Information collected from this form will not be used to determine eligibility for the immersion program. Eligibility is based solely on enrollment status and the date the application was received.
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* Indicates required question
Email
*
Your email
STUDENT FIRST NAME:
*
Your answer
STUDENT LAST NAME:
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Your answer
CHILD'S BIRTHDATE (note- child must be five by 8/31/23 to enroll in Kindergarten or be cleared for early entry by DVUSD)
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MM
/
DD
/
YYYY
FULL ADDRESS (STREET ADDRESS, CITY, STATE, ZIP CODE)
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Your answer
PHONE NUMBER:
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Your answer
PARENT/GUARDIAN NAME(S):
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Your answer
Which grade will your child be in for the 2023-2024 school year? (Kindergarten enrollment begins November 1, 2022)
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Kindergarten
1st Grade (Waitlist)
2nd Grade** (Waitlist)
3rd Grade** (Student must have prior experience in Spanish immersion)
4th Grade** (Student must have prior experience in Spanish immersion)
Does this student have a sibling in the Spanish Dual Immersion Program?
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Yes
No
If you answered "yes" above, provide the sibling's name:
Your answer
Why would you like for your child to be enrolled in the Spanish Program?
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Your answer
I have read the DVUSD Dual Language Immersion Commitment Form. By typing my name below, I commit to supporting my child and the DLI program.
DLI COMMITMENT FORM
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Your answer
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