Home Language Survey

 

The Michigan Education Code requires schools to determine the language(s) spoken at home by each student.  This information is essential in order for schools to provide meaningful instruction for all students. 

 

Your cooperation will help us meet this important requirement.  Please answer the following questions.  Thank you.

 

Name of Student(s), Grade & Age:

___________________________________________________________________________              __________         __________    

 

___________________________________________________________________________              __________         __________

 

___________________________________________________________________________              __________         __________

 

 

1. Which language did you son/daughter learn when he or she first began to talk?

 

__________________________________________________________________________________________________________

 

2. What language does your son/daughter most frequently use at home?

 

__________________________________________________________________________________________________________

 

 

3. What language do you use most frequently speak to your son/daughter?

 

_________________________________________________________________________________________________________

 

 

4. Name the language most often spoken by the adults at home.

 

________________________________________________________________________________________________________

 

 

 

 

 

Signature of Parent / Guardian:  _________________________________________________________  Date:  ______/______/______