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Name
:
A red asterisk (*) indicates required questions.
Please call me ___ .
This is my first school in the United States.
*
Yes
No
My parents can speak English.
*
Yes
No
My parents can read English.
*
Yes
No
My family speaks ___ .
*
English
Spanish
Haitian Creole
French
Vietnamese
a different language
I like school.
Yes
No
I have a computer at home that I can use for school work.
*
Yes
No
I can use the internet at home for school work.
*
Yes
No
My parent's phone number is __ .
*
What do you like to do at home?
What do you want to learn about in school?
Ms. Allen
Smitha Middle School
Marietta, GA
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