THE SCHOOL DISTRICT OF GREENVILLE
COUNTY
PRIMARY/HOME LANGUAGE IDENTIFICATION FORM
(Please Print)
This form must be completed at registration for every student who registers in a district school for the first time. If the first language is other than English, contact the Foreign Language/Bilingual Consultant at the District Office (242-6450) or the Bilingual Education Office (235-0141) for assistance in placement before registering the student. If the first language is English, proceed with registration and file this form in the student's permanent record folder.
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Student's
Name
Date
_______________________________________
___________________________________
Student's
Address Current
Grade Level
_______________________________________ ___________________________________
City,
State,
ZIP County
of Birth
_______________________________________
___________________________________
Name of
School Alien
Registration Number
Please answer the following questions about the student's language/cultural background before completing the school registration form.
What is the first language you (the student) learned to speak? (Circle the appropriate number)
| Arabic | Gujarati | Spanish |
| Cambodian | Hindi | Tagalog |
| Chinese | Japanese | Thai |
| English | Korean | Urdu |
| French | Laotian | Vietnamese |
| German | Portuguese | Other______________ |
| Greek |
What is the language you (the student) speak most often?__________________________
What language is spoken most often in your home?_______________________________
Do your parents/guardians read and speak English?______________________________
Mother
yes____ no____
Father
yes____ no____
Guardians
yes____ no____
Signature of person completing this form_______________________________________