Alvin Independent School District

Home Language Survey

Vietnamese Version

Cha m hay ngi gim h:

Lut lin bang v tiu bang mu ny c hon thnh cho mi tr ghi danh
vo trng. Xin vui lng hon thnh mu n ny v yu cu con qu v tr
li cho trng.

Tn (Name) __________________________________________
Trng hc (School) ___________________________________ Cp (Grade)
____________

c in vo bi cha m hay ngi gim h (Filled in by parent or

guardian):
1) Ngn ng no c ni nh hu ht thi gian? (Language spoken
at home?)
________________________________
2) Ngn ng no con bn ni nhiu nht trong thi gian? (Language
that child speaks?)
________________________________
________________________________
Ch k ph huynh (Parent Signature)
________________________________
Ch k ca hc sinh lp 9-12
(Signature of student in grades 9-12)
________________________________
Ngy (Date)