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Home Language Survey

Required

Georgia Department of Education ESOL $ Title III Unit

 

Dear Parent or Guardian: In order to provide your child with the best possible education, we need to determine how well he or she speaks and understands English. This survey assists school personnel in deciding whether your child may be a candidate for additional English language support. Final qualification for language support is based on results of an English language assessment. Thank you
Student Namerequired
First Name
Middle
Last Name
By typing your name in the box above and selecting "submit" you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this agreement.required
First Name
Last Name
Must contain a date in M/D/YYYY format