Loading...

Editing previous response:

Please fix the highlighted areas below before submitting.

Home Language Survey - English Language Families 2024-2025

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

Date:
Confirmation Email