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SCSD Home Language Survey 2020-2021
Encuesta de Lenguaje en Casa 2018
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Student's Name (Nombre de estudiante)
Your answer
School (Escuela)
Your answer
Date of Birth (Fecha de Nacimiento)
MM
/
DD
/
YYYY
Gender (Genero)
Male
Female
Clear selection
Age (Edad)
Your answer
Teacher (Maestra/maestro)
Your answer
Grade (Grado)
Your answer
What language is spoken in your home most of the time? (Cual es el idioma que habla mas en su casa?)
English (Ingles)
Spanish (Espanol)
Other (Otro)
Clear selection
What language does the student speak most of the time? (Cual es el idioma que habla mas el estudiante?)
English (Ingles)
Spanish (Espanol)
Other (Otro)
Clear selection
What language do parents/guardians speak to the student most of the time? (Cual es el idioma que le lablan mas los padres al estudiante?)
English (Ingles)
Spanish (Espanol)
Other (Otro)
Clear selection
What services has your child received in previous schools? (Que servicios ha recibido su hijo/a en su escuela anterior?)
ESL
Gifted & Talented
Special Education (Educacion Especial)
Speech (Discurso)
Other (Otro)
Clear selection
What grade did your child first enroll in Arkansas schools? (En que grado se inscribio su hijo cuando llego a una de la escuela de Arkansas por primera vez?)
Your answer
What grade did your child first enroll in any U.S. school? (En que grado se inscribio su hijo por pimera vez en los estados unidos?)
Your answer
What written language would you prefer to receive school communications such as attendance letters, etc.? (En que idioma prefiere recibir informacion escrita por parte de la escuela? )
English (Ingles)
Spanish (Espanol)
Other (Otro)
Clear selection
Parent/Guardian's Signature (Firma de padre/guardian)
Your answer
Date (Fecha)
MM
/
DD
/
YYYY
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