Dual Language Immersion Program Application

Applicant Information
Student Name *
Student Name
Date of birth *
Date of birth
Gender *
Applying for the school year *
Does this student have a twin or triplet? *
Student's Primary Language *
Does the student have a sibling currently enrolled in the Dual Immersion Program? *
Parent/Guardian Information
Parent Phone *
Parent Phone
2nd Parent Phone (if applicable)
2nd Parent Phone (if applicable)
School/Language Preferences
Hillcrest Elementary (Portuguese) *
Bridger Elementary (Spanish) *
Has your child previously attended a full year in an immersion program? *
If not selected in the lottery, would you like to be placed on the wait list? *
Wait list for Hillcrest Elementary (Portuguese)?
Wait list for Bridger Elementary (Spanish)?
Conditions and Consent
I have read and understand the conditions associated with this program. I understand that this application is not a guarantee of placement in the program.
Please type your full name as your signature.
Please type today's date.