Dual Language Application
2024/2025

Applications Due By: 5/3/2024 3:45:00 PM
Student Information
*Student Last Name:
*Student First Name:
Student Middle Name:
*Student Date Of Birth (MM/DD/YYYY):
*Student Gender:
*Did the student attend pre-k/pre-school?
*What language does your child speak most of the time?
*What language is spoken in the home most of the time?
*Student's attending zone school:
*Dual Language program Grade applying for:
Parent/Guardian Information and Additional Comments
*Last Name:
*First Name:
Middle Name:
 *Email:
*Mailing Address:
*City:
*State:
*ZIP Code:
*Home Phone (Primary):
Work Phone:
Cell or Other Phone:

Other Children Living at Home
Please list siblings that currently are in the Dual Language Program first and then list the remaining siblings living at home.

   Child's Name Child's Age Child's School Participates in Dual Language
1.
2.
3.
4.
5.
Preferred School
You have the opportunity to select the schools you are interested in attending. If you are only interested in 1 school, select only that school. If you are interested in other schools, you will have the opportunity to select those as well. It is not necessary to rank schools from 1-5. Select only those schools that you are interested in attending.
*Choice #1
 
Yes, this is the ONLY school I am interested in.
No, this is NOT the only school I am interested in.
 
If you are considering more than one school, please select ONLY those that you are interested in. Select N/A for campuses you are NOT interested in attending.
Choice #2
 Choice #3
Choice #4
Choice #5

I have read and ancknowledged the Compact Commitment form above. *

*Type your name below to sign the document: