Minnesota Language Survey
Minnesota is home to speakers of more than 100 different languages.  The ability to speak and understand multiple languages is valued.

The information you provide will be used by the school district to see if your student is multilingual.  In Minnesota, students who are multilingual may qualify for a Multilingual Seal upon high school graduation.  Additionally, the information you provide will determine if your student should take an English proficiency test.  Based upon the results of the test, your student may be entitled to English language development services.  Access to services is required by Federal ad State law.  As a parent or guardian, you have the right to decline English Learner services at any time.  

Every enrolling student must be provided with the Minnesota Language Survey during enrollment.  Information requested on this form is important to us to be able to serve your student.  Your assistance in completing the Minnesota Language Survey is greatly appreciated.
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1. Student's FIRST, MIDDLE, and LAST NAME *
2. Date of Birth *
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3. CHECK THE PHRASE THAT BEST DESCRIBES YOUR STUDENT.  My student FIRST LEARNED: *
4.  If your child FIRST LEARNED a language or languages other than English, please list the language(s):
5. CHECK THE PHRASE THAT BEST DESCRIBES YOUR STUDENT. My student SPEAKS: *
6.  If your child SPEAKS a language or languages other than English, please list the language(s):
7. CHECK THE PHRASE THAT BEST DESCRIBES YOUR STUDENT. My student UNDERSTANDS: *
8.  If your child UNDERSTANDS a language or languages other than English, please list the language(s):
9. CHECK THE PHRASE THAT BEST DESCRIBES YOUR STUDENT. My student HAS MEANINGFUL and CONSISTENT EXPOSURE TO: *
10.  If your child  HAS MEANINGFUL and CONSISTENT EXPOSURE to a language or languages other than English, please list the language(s):
11. PARENT / GUARDIAN INFORMATION:  Parent/Guardian, please enter your full name in the space below. *
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