KINDERGARTEN - Student Demographics Forms

Kindergarten Student Demographics

	First Name	Middle Name	Last Name	Date of Birth
Student Information

Ethnic and Racial Demographic Designation Form

Schools are required to report ethnicity and race to the state and to the U.S. Department of Education. Because of recent changes to MN state law, MN disaggregates each category into detailed groups to further represent our student populations. Parents or guardians are not required to answer the federal questions for their children. If you choose not to answer the federal questions, federal law requires schools to choose for you. This is a last resort - we prefer if parents or guardians complete the form. State questions are labeled as "Optional" and schools will not fill in this information for you. This information helps improve teaching and learning for everyone and helps us to accurately identify and advocate for students currently underserved. The information this form collects is considered private information. You can review the privacy notice to learn more about the purpose of collection this formation, how it will be used, and how the detailed groups were identified. The privacy notice can be found in our Frequently Asked Questions: Ethnic and Racial Designation Form.
Is the student Hispanic/Latino as defined by the federal government? The federal definition includes persons of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin, regardless of race.*

YesNo
Optional Question: If yes was chosen above, select all that apply from the list below (this question will not be answered by school staff).

Decline to IndicateColombianEcuadorianGuatemalanMexicanPuerto RicanSalvadoranSpaniard/Spanish/Spanish-AmericanOther Hispanic/LatinoUnknown
Does the student identify as American Indian or Alaska Native as defined by the state of Minnesota? The state of Minnesota definition includes persons having origins in any of the original peoples of North America who maintain cultural identification through tribal affiliation or community recognition. (This question is needed to calculate state aid/funding)*

YesNo
Optional Question: If yes was chosen above, select all that apply from the list below (this question will not be answered by school staff).

Decline to IndicateAnishinaabe/OjibweCherokeeDakota/LakotaOther North American Indian Tribal AffiliationUnknown
Is the student American Indian from South or Central America?*

YesNo
Is the student Asian as defined by the federal government? The federal government includes persons having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.*

YesNo
Optional Question: If yes was chosen above, select all that apply from the list below (this question will not be answered by school staff).

Decline to IndicateAsian IndianBurmeseChineseFilipinoHmongKarenKoreanVietnameseOther AsianUnknown
Is the student black or African American as defined by the federal government? The federal definition includes persons having origins in any of the black racial groups of Africa.*

YesNo
Optional Question: If yes was chosen above, select all that apply from the list below (this question will not be answered by school staff).

Decline to IndicateAfrican-AmericanEthiopian-OromoEthiopian - OtherLiberianNigerianSomaliOther blackUnknown
Is the student Native Hawaiian or Other Pacific Islander as defined by the federal government? The federal definition includes persons having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.*

YesNo
Is the student white as defined by the federal government? The federal definition includes persons having origins in any of the original peoples of Europe, the Middle East, or North Africa.*

YesNo

Kindergarten Student Demographics

Ethnic and Racial Demographic Designation Form

Minnesota Language Survey

Student Digital Equity Survey