Application for Madison Elementary School Two-Way Dual Language Program 2021-2022

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As an alternative to a required meeting, families who are interested in the dual language program at Madison Elementary need to watch the video and complete the application below. All applications are due no later than Friday, April 30th at 5pm. Families will be notified about program acceptance in mid-June.

***You must complete one application per student***

*** If you need help in completing this form, please call the school at (360) 428-6131 to make an appointment. You would need to come to the school to complete the form. ***

Presentation of Madison's Dual Language Program

Madison Dual Language Program Video *

By checking this box, I certify that I have watched the dual language program video in its entirety, and have been informed about the Dual Language Program's language, academic, and cultural goals, as well as its curriculum, instructional, and assessment approaches. I understand the guidelines and the conditions necessary for the successful participation of my child in the program.

Verplicht

By checking each box, you agree to support your child and the program by understanding and committing in the following ways: *

My child will be in a classroom that has a balanced number of English speaking-dominant children and Spanish speaking-dominant children.

My child will learn and develop academically, socially, and culturally in their primary language for the duration of the process.

My child will develop bilingual (understanding and speaking) and biliteracy (reading and writing) competencies in the two languages.

Spanish and English homework, although age appropriate, will not be translated. Homework stays in the target language and is considered practice from previous lessons.

I understand that the dual language program will be most successful over an extended period and I am willing to make a long-term commitment to this program. If my child starts the program in Kindergarten, they will participate in the program for at least 9 years.

My child will attend school regularly, missing no more than 5% of cumulative school days. I will inform the school of absences due to illness, family emergencies, or medical appointments. I will try to make all appointments outside of the school day as best I can. I will try to avoid scheduling family vacations when school is in session. The school will contact me to set up a meeting about my child's attendance if my child has five(5) or more excused absences within one month, ten(10) or more excused absences within one year, three (3) or more unexcused absences within one month, and/or if school personnel have concerns about my child's attendance.

I commit to attend any Dual Language Program parent meeting, participate in Dual Language Program events, and support the program and classroom teachers.

In the 50/50 dual language model, my child will receive instruction in both languages for equal amounts of time from Kinder through 5th grades.

My child's science instruction will be in Spanish and social studies instruction will be in English. My child's math instruction will be in English and supported in Spanish.

I plan to remain in this area for at least 9 years and am committed to the Dual Language Program for the entire 9 years.

Verplicht

Please fill out your child's information as accurately as possible in the spaces below.

Child's full name: *

Child's Gender: *

Female

Male

Non-Binary

Child's Date of Birth: *

JJJJ

What grade will your child be in next school year (2020-2021)? *Please only select one grade* *

Kinder

1st

2nd

3rd

4th

5th

Home Address: *

Town

Mount Veronn

Anders:

Selectie wissen

Zip Code

98273

98274

Anders:

Selectie wissen

Father's (Guardian) name: If none, please write N/A *

Cell Phone number of father/guardian: If none, please write N/A *

Mother's (Guardian) name: If none, please write N/A *

Cell Phone number of mother/guardian: If none, please write N/A *

Home phone number * Please indicate N/A if one is not available. *

Work phone number of father/guardian *Please indicate N/A if one is not available. *

Work phone number of mother/guardian *Please indicate N/A if one is not available. *

Email *If no email type N/A* *

Primary language spoken in the home *Please check all that apply. *

English

Spanish

Russian

Mixteco

Triqui

Other

Verplicht

My child speaks both Spanish and English. *

Yes

Verplicht

If your child speaks both English and Spanish, which language do they speak best? *

If this question does not apply to you, please select 'NA.'

English

Spanish

N/A

My child speaks a language that is not English or Spanish. *

Yes

Verplicht

If your child speaks a language that is not Spanish or English, what language do they speak? *

If this question does not apply to you, please type 'NA.'

Any additional information you would like to share.

As an alternative to a signature, please type your full name below to indicate that you have completed the application.

Full Name *

Today's Date *

JJJJ

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