Enrollment - Language Questionnaire
This form will give us some basic information on how well he or she understands, speaks, reads, and writes in English.  Please fill out this form even if your child only speaks English.  A staff member may reach out with additional questions after we receive the information to be sure that we meet all your children's needs.

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Email *
Student Name *
Date of Birth *
MM
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DD
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YYYY
Gender
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Parent/Guardian Name *
Relation to Student
What language(s) is (are) spoken in the student's home or residence? *
What is the first language your child learned? *
What is the home language of the first parent/guardian? *
If applicable, what is the home language of the second parent/guardian?
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What language(s) does your child understand? *
What language(s) does your child speak? *
What language(s) does your child read? *
What language(s) does your child read? *
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