Student Information:

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Last Name / Apellido:*

First Name / Nombre:*

Student ID / Número de Identificación:

Student Date of Birth / Fecha de nacimiento del estudiante:*

Student Gender / Sexo del estudiante: *

Female/Femenino Male/Masculino

Grade Level / Grado:* Grade Level... First/Primero Second/Segundo Third/Tercero Fourth/Cuarto Fifth/Quinto

Home Primary Language / Idioma principal del hogar:

Student Primary Language / Lenguaje principal del estudiante:

Zoned Campus / Escuela por zona:* Select a Campus... Bennett Elementary Burks Elementary Caldwell Elementary Cockrill Middle School County Residential Center Disciplinary Alt Educ Program Dowell Middle School Eddins Elementary Evans Middle School Faubion Middle School Finch Elementary Frazier Elementary Glen Oaks Elementary Greer Annex Johnson Elementary Johnson Middle School Juv Justice Alter Educ Program Lawson Early Childhood Center Linc Center Malvern Elementary Mcclure Elementary Mcgowen Elementary Mckinney Boyd High School Mckinney High School Mckinney North High School Mcneil Elementary Minshew Elementary Press Elementary Serenity High School Slaughter Elementary Valley Creek Elementary Vega Elementary Walker Elementary Webb Elementary Wilmeth Elementary Wolford Elementary

Did your student participate in a two-way dual language program during the 23-24 school year? / ¿Durante el año escolar 23-24, su estudiante participó en un programa de lenguage dual?

Yes/Sí No

**If the answer to this question is NO, your child does not meet the requirements to participate in the program. Si contestó no a esta pregunta su hijo/a no cumple con los requisitos para entrar al programa.

Provide a brief description of previous dual language education / Provea una descripción breve sobre la educación previa en un programa de lenguaje dual:*

Does the student have a sibling attending and participating in the district’s Two-Way Dual Language Program? / ¿Tiene el estudiante algún hermano(a) participando actualmente en el programa de lenguaje dual bilateral del distrito?*

Yes/Sí No

Last Name of Sibling / Apellido del hermano(a):

First Name / Nombre:

Sibling I.D. Number/Número de identificación del hermano(a):

Parent or Guardian Last Name/Apellido del padre o tutor:*

Parent or Guardian First Name/Nombre del padre o tutor:*

Street Address / Domicilio:*

City / Ciudad:*

State / Estado:* State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code / Código Postal:*

Telephone Number / Número de teléfono:*

Parent Email Address / Correo electrónico del padre o tutor: *

Date / Fecha:

I confirm that the information provided in this application is accurate / Confirmo que la información en esta solicitud es correcta.

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