Dual Language Immersion Application
Due Date: March 31, 2024
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Email *
Child's Last Name: *
Child's First Name: *
Child's Date of Birth: *
MM
/
DD
/
YYYY
Child's Gender: *
Child's Address: *
Child's Primary Language: *
Other language(s) spoken by the child: *
Language spoken in the home: *
Boundary School: *
*Note: If your child does not live in East Elementary boundaries and is accepted into the Dual Immersion Program, you must complete an In-District Transfer Form and submit it to the front office for approval.
Does this child have a sibling currently enrolled in the DLI program? *
Mother's Name: *
Mother's Phone Number: *
Mother's email address: *
*Contact regarding this application will occur through email.
Father's Name: *
Fathers Phone Number
Father's email address: *
CONDITIONS FOR DUAL IMMERSION PLACEMENT
Please mark the box next to each statement confirming you have read and understand the parent agreement.
(Please refer to our school website for more information.)
*
Required
COMMITMENT
Please check one of the following:
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