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Home Language Survey
Washington State
Transitional Bilingual Instructional ProgramStudents Name:
School:
SSID:
1. Date:
Grade:
Gender:Tennis a language other than English spoken in the home? If yes,
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What is if yes list languages?
If yes list languages is a list of languages that are required to be reported if applicable.
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Anyone who meets the criteria for reporting languages must file if yes list languages.
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To fill out if yes list languages, simply list the languages that are applicable.
What is the purpose of if yes list languages?
The purpose of if yes list languages is to track and report on the languages used.
What information must be reported on if yes list languages?
The list of languages used must be reported on if yes list languages.
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