Home Language Survey

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STATE BOARD OF EDUCATION
APPROVED HOME LANGUAGE SURVEY*

Conner Creek Academy East/Michigan Collegiate is collecting information regarding the language background of each of its students. This information will be used by the district to determine the number of children who should be provided bilingual instruction according to Sections 380.1151 – 380.1158 of the School Code of 1976, Michigan’s Bilingual Education Law. Would you please help by providing the following information?

Thank you very much for your cooperation.

*Translation of this survey form in Spanish, Arabic, French, Italian, and Ojibwa is available at the Office of Field Service.

(1) ”Primary language” means “dominant language used by a person for communication.”