English Version Home Language Survey Commissioner Mike Morath 1701 North Congress Avenue • Austin, Texas 78701-1494 • 512 463-9734 • 512 436-9838 FAX • tea.texas.gov
Student Name:
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District Name:
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Student ID#:
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Campus Name:
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HOME LANGUAGE SURVEY 19 TAC Chapter 89, Subchapter BB, §89.1215 (Home Language Survey only administered during initial enrollment in Texas public schools) To be completed by Parent or Guardian for students enrolling in Prekindergarten* through grade 8 (or by students in grades 9-12).
* Prekindergarten includes any student enrolling in a 3- or 4-year-old school program.
Part One:
The state of Texas requires that the following information be completed for each student who enrolls in a Texas public school for the first time. It is the responsibility of the parent or guardian, not the school, to provide the language information requested by the questions below. Dear Parent or Guardian: Please answer the questions below about the languages your child or family uses. If your responses indicate the use of a language other than English, the school will conduct a language proficiency assessment to determine how well your child communicates in English. This information will be used to determine any appropriate linguistic supports and inform instructional recommendations. If you have questions about the purpose and use of the Home Language Survey, or you would like assistance in completing the form, please contact your school/district personnel.
This survey shall be kept in each student’s permanent record folder. A copy of this survey shall follow the student while enrolled in any public or open enrolled charter school in Texas.
April 2024
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