Dual Language Program Application - Waukesha School District

Dual Language 2-Way Application 2013-2014Name of Child:Date of Birth: 2013-2014 K5____1st_____ M FName of Parent/Guardian:Address:Home Phone:Work:Cell:E-mail Address:What is the first language your child learned to speak?What language does your child speak most often?What other language(s) is/are spoken at home?Is your child currently receiving special education services? Yes No Answering “yes”does not exclude your child from considerationWe plan to/have attended a District Information Session. Yes___ No___ Date________Does your child have a sibling enrolled in Dual Language? Yes___ No___ Where?_______Parents who are considering a dual language program for their child are advised toconsider the following guiding questions. Mark with an “X” for “yes” answers.Does my child express interest in learning another language?Is my child’s native language developing within normal limits?Does my child appreciate differences in others?Does my child thrive in social situations?Is my family prepared to make a seven year commitment to dual language?Signature: _______________________ Date:Please return by March 1 st , 2013 to Leticia Campos, Bilingual Department222 Maple Ave. Room 121Waukesha, WI 53186Phone (262) 970-1009Acceptance Procedure – Lottery Notice – Notice of Nondiscrimination Due to the potential for limited space, alottery may be necessary. This could apply to all applicants. Once accepted, parents must commit within one week ofbeing notified. If a seat is not available he/she will be placed on a waiting list. Your child will remain on a waitinglist until the next year. You must complete a new application in the new school year. Students in the attendance areaare offered priority enrollment.The School District of Waukesha and its schools do not discriminate on the basis of sex, race, religion, nationalorigin, color, national origin, ancestry, creed, pregnancy, marital or potential status, sexual orientation or physical,mental, emotional or learning disability in admission policies or other school programs.**********************************************************************************************For Office Use: Date Application ReceivedVerify age and grade infoVerify a Bethesda or Banting Attendance Area ResidentDate admittedTime of call made to parentsSpoke toLeft messageAccepted enrollment: Yes No Starting Date NotesAttended Information sessions Yes__ No____, date__________

Welcome/!Bienvenidos! to the Dual Language 2-Way Program offered by the SchoolDistrict of Waukesha. We hope to meet you and your family and support you through theregistration process. The lists below will help guide you and your family through theprocess.Requirements:1. Attend a Parent Information Meeting on December 11, January 16 or February 20.2. Complete the registration and enrollment paper work as follows:Complete the Dual Language ApplicationComplete the School District of Waukesha Application for In-DistrictTransferNew to the district? Complete the District New Enrollment Packet3. Submit all materials before March 1, 2013Class Selection:Prioritization:Attendance Area StudentsBalance of Primary Language Speakers, and GenderSiblings in the Dual Language ProgramNotification:Notification Process:Notification by phone/mail will occur the month of MayFamilies can take one week to acceptParent/Family Orientation and Training will be available following admission.Contacts:Department of Bilingual/ESL and World LanguagesSchool District of Waukesha222 Maple AvenueWaukesha, WI. 53186D. Garcia, Director, (262)970-1018Jamie Martinson, Coordinador, (262) 970-1169Leticia Campos, Program Assistant, (262) 970-1009