Home Language Survey 2021-2022

• This Home Language Survey (HLS) is to be completed by the parent or legal guardian of the student enrolling in this school .
• The information on this form helps us identify students who may need support in increasing their English language skills necessary for success in school.
• Completion of the survey is optional, though indicating that English was not the child ’s first language may lead to additional resources or supports to assist in your child’s develo pment in the English language for academic achievement .

1. If your child is identified as a possible English Language Learner through this Home Language Survey the student will go through a process to make a final determination.
2. Your child will be screened to determine the child’s English language status. If the student scores a 26 or lower on the Kindergarten W - APT or below a 4.5 on the 1st - 12th WIDA Screener the child will be identified as an English Language Learner.
3. You will receive a Parental Notific ation Letter of your child’s score and the eligibility. a. If your child is identified as English Language Learner you will be notified of educational services he/she will receive and will be tested annually to determine if he/she becomes proficient in the E nglish language. b. The letter will offer you the option to decline some or all services to your child. Your child’s score will be entered into the Native American Student Information System ( NASIS).
4. If you have any questions, please contact the school Admin istrator.

Student Languages - Please check Yes or No

If you answered YES to Question 2 and/or 3: What language is used by the student or used more than half of the time at home?