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Home Language Survey

About this Form

Form number: 335-41

Audience:  MCPS Staff, Parents/Guardians

Last revised: June 2017

Related Forms

Form 560-24 - New Student Information

INSTRUCTIONS:  Federal, state (COMAR 13A.05.07.02–.03), and local regulations require school districts to determine the language(s) used by students in their homes. Please answer each question below. This Home Language Survey will be used only for determining whether a student needs English language support services and will not be used for immigration matters or reported to immigration authorities. If a language other than English is indicated on two or more of the three questions below, the student will be assessed for English language support services. Additional criteria for testing may be considered.

A Home Language Survey form needs to be completed for all students who are new to Montgomery County Public Schools.

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