E.S.L.

COMMUNICATION FORM
Welcome to English as a Second Language class! You will hear this class referred to as E.S.L. In order
for me to learn how best to communicate with you and your family, I need to know the following
information.
Your name: ___________________________________________________________________________
Circle your grade:

Languages spoken at home: ______________________________________________________________

Other than English, what languages do you speak?____________________________________________
Other than English, what languages do you read?_____________________________________________
Other than English, what languages do you write?____________________________________________
MAIL
Occasionally, I send letters and information home to your parents. My students families get to choose
how they prefer those letters to be written. Some families prefer to call me and ask me to explain the
letters . Please circle the language your parents/guardians would prefer.
English

Spanish

English and Spanish

Other__________________________________

PHONECALLS
If the school needs to speak to your parents/guardians, what language would your family prefer that we
use? Please circle:
English

Spanish

English and Spanish

Other__________________________________

NOTES TO ME:
Please note anything you think would be helpful for me to know. I am here to help you be the best
student you can be, and my students are awesome. Examples:
My dad speaks English and Spanish, but my mom speaks only Spanish. Letters need to come home in
English and Spanish so both parents can read them.
I live with my grandma who speaks Vietnamese. My aunt lives with us. She speaks English and explains
letters to Grandma.
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