Editing previous response:

Please fix the highlighted areas below before submitting.

Home Language Survey - English Language Families

Massachusetts Department of Elementary and Secondary Education regulations require that all schools determine the language(s) spoken in each student’s home in order to identify their specific language needs. This information is essential in order for schools to provide meaningful instruction for all students. If a language other than English is spoken in the home, the District is required to do further assessment of your child. Please help us meet this important requirement by answering the following questions.  Thank you for your assistance.

Student Information

School Information

Questions for Parents/Guardians

Will you require written information from school in your native language?*
Answer Required
How frequently? *
Answer Required
How frequently?
Answer Required
How often does your child use this language?*
Answer Required
How often does your child use this language?
Answer Required
Will you require an interpreter/translator at Parent-Teacher meetings?*
Answer Required
Parent/Guardian Signature*
Signature Required

Sign this form

By pressing “Sign Form,” you are agreeing to signing this form electronically.
Signature *
Type to sign
Draw your signature

Confirmation Email