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Isd home language survey form

School: RUBY SUE CLIFTON MIDDLE SCHOOL 2026

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The document is a Home Language Survey from the Houston Independent School District, designed to collect information about the languages spoken at home by students. It includes sections for student identification, place of birth, language usage at home and school, and requirements for assessing language proficiency. The survey aims to ensure that schools can provide appropriate instruction for all students, particularly those who are immigrants or speak languages other than English.

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Click ‘Get Form’ to open the Home Language Survey in our editor.
Begin by entering the Student Name and School: RUBY SUE CLIFTON MIDDLE SCHOOL in the designated fields.
Fill in the Student Address, Home Phone, Date of Birth, Grade, HISD ID#, and PEIMS# accurately.
In Part A, provide details about the Place of Birth, Date of initial entry into U.S. schools, and Number of complete academic years in a U.S. school.
Indicate whether your child attended school regularly outside the U.S. by selecting either Part Time or Full Time and provide any necessary specifications.
In Part B, specify the language spoken at home and by the student most of the time by checking the appropriate boxes and filling in any other languages as needed.
Ensure that both Parent or Guardian signatures are provided along with dates before submitting the form.

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