Copperas Cove District Name TEXAS EDUCATION AGENCY

Copperas Cove District Name TEXAS EDUCATION AGENCY

Copperas Cove
District Name
TEXAS EDUCATION AGENCY
DIVISION OF BILINGUAL EDUCATION
Home Language Survey
Grades Pre-K - 8
Name of Student
Campus
Grade
TO BE FILLED IN BY PARENT/GUARDIAN:
(1)
What language is spoken in your home most of the time?
¿Cuál es el idioma que más se habla en su hogar?
(2)
What language does your child (do you) speak most of the time?
¿Cuál es el idioma que su niño(a) habla más?
Copperas Cove ISD does not discriminate
against any person because of race, color,
religion, sex, national origin, disability, age,
or on any other basis prohibited by law.
Copperas Cove ISD no discriminan en base
de la raza, del color, de la religión, del sexo,
del origen nacional, disabilidad, de la edad,
o empleo como lo requiere la ley.
Signature of Parent/Guardian
Date
Revised April 2008
Copperas Cove
District Name
TEXAS EDUCATION AGENCY
DIVISION OF BILINGUAL EDUCATION
Home Language Survey
Grades Pre-K - 8
Name of Student
Campus
Grade
TO BE FILLED IN BY PARENT/GUARDIAN:
(1)
What language is spoken in your home most of the time?
¿Cuál es el idioma que más se habla en su hogar?
(2)
What language does your child (do you) speak most of the time?
¿Cuál es el idioma que su niño(a) habla más?
Copperas Cove ISD does not discriminate
against any person because of race, color,
religion, sex, national origin, disability, age,
or on any other basis prohibited by law.
Copperas Cove ISD no discriminan en base
de la raza, del color, de la religión, del sexo,
del origen nacional, disabilidad, de la edad, o
empleo como lo requiere la ley.
Signature of Parent/Guardian
Date
Revised April 2008