Two-Way Dual Language Student Application
Please fill out the following form in order for your child to be considered for placement in the Two-Way Dual Language Program at Irving Elementary.  This application is for students entering Kindergarten in the 2021-2022 school year.  
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Email *
Student's Last Name *
Student's First Name *
Student's Middle Name *
Date of Birth *
MM
/
DD
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YYYY
Gender *
Parent's Name (First and last name) *
Best Contact Phone Number *
Email *
Home Address (include street, city, and zip code) *
Alternate phone number
Are you a Cleburne ISD resident? *
Student's Home Campus *
Does your child have a sibling currently enrolled in the two-way dual language program? *
Is the parent or guardian an employee of Cleburne ISD? *
Student's Primary Language *
Did your child attend a Pre-Kindergarten program?  If yes, list name of school or program on the next question. *
Name of preschool:
Will your child need transportation? *
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