SPANISH DUAL LANGUAGE IMMERSION PROGRAM APPLICATION

SPANISH DUAL LANGUAGE IMMERSION PROGRAM APPLICATION

For Thomas Edison Language Institute in San Juan Unified
Students who desire to participate in the Spanish Dual Immersion program at Thomas Edison Language Institute must submit this application. Families will be contacted when placements can be made.
What Language did your child first learn to speak?*
What language is primarily spoken in your home?*
Does your child speak Spanish already and, if so, how well does he / she speak?*

Native SpeakerFluent, but not a nativeLess than Fluent
Student ID number, If attending a San Juan Unified School already.
Grade*
Student's name*

First NameLast Name
Student's Date of Birth*

MonthDayYear
Date
Student's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone*
Please enter a valid phone number.
Secondary Phone
Please enter a valid phone number.
Parent email*
example@example.com
School Currently Attending*
If not attending school type NA
School of Residence
Please check off those that apply and fill in requested information*

Parent / Guardian is a SJUSD employee at Department / SiteSibling Attending Thoams Edison Language InstituteSpecial EducationNone of the Above
If Parent / Guardian and SJUSD employee, please list name.
If sibling attending Thomas Edison, please list name.
If Special Education, which applies?

SDCResource
Special Education students must be reviewed by the Special Education Department before a transfer can be approved
I understand and agree that under the provisions of this agreement, I am responsible for the student's transportation to and from school. The assigned choice school becomes my child's school of residence and is a permanent change. I may only request a change of site for the next school year.
Parent's Name*

First NameLast Name
Parent Signature*

Clear
Today's Date

MonthDayYear
Date
Comments
Should be Empty:

SPANISH DUAL LANGUAGE IMMERSION PROGRAM APPLICATION

Special Education students must be reviewed by the Special Education Department before a transfer can be approved