TWO REQUIREMETS BY Federal Law When Identifying LEP Students

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TWO REQUIREMETS BY Federal Law
When Identifying LEP Students

Chipola Institute


HOME LANGUAGE SURVEY


Academic Year 2024-2025


Dear Parent/Guardian,



Welcome To Our School Community! To Help Us Provide The Best Educational Experience For
Your Child, Please Complete This Home Language Survey. This Information Will Help Us Understand
Your Child's Language Background And Ensure Appropriate Academic Support. All Information Will
Remain Confidential And Will Only Be Used For Educational Purposes.



STUDENT INFORMATION

Full Name: ___________________________________ Date: _______________

Grade Level: _________________________________ DOB: _______________

Previous School(S): _______________________________________________



LANGUAGE BACKGROUND ASSESSMENT



Please Answer All Questions As Completely As Possible:



1. What Language(S) Did Your Child First Learn To Speak?

□ English □ Other (Please Specify): _______________________________



2. What Language(S) Are Spoken In Your Home Most Of The Time?

□ English □ Other (Please Specify): _______________________________

Primary Language: _____________ Secondary Language: _______________