BCSCDual Language ImmersionDual Language Immersion RegistrationDual Language Immersion Application Dual Language Immersion Application Student InformationLast Name(Required)First Name(Required)Middle NameDate of Birth(Required) MM slash DD slash YYYY Language(s) spoken in the home(Required)Other language(s) the student speaksHas the child attended preschool and/or BPS Readiness Kindergarten?(Required) Yes No If so, list name of school(Required)Does the Dual Immersion applicant have a twin/triplet also applying for the program?(Required) Yes No If so, list student name(s)(Required)Does the Dual Immersion applicant have a sibling(s) that is already in the program at another grade level?(Required) Yes No If so, list student name(s)(Required)Parent/Guardian InformationName(Required)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) I am requesting that my child be enrolled in the Batesville Chinese Immersion Program. I understand that the enrollment of my child is conditional on my understanding of and commitment to the following: Research indicates an immersion program is most effective when students remain in the program for a sustained period of time. The student will be expected to continue the program until the fifth grade unless a team decision is made involving the parent and school staff that it is in the best interest of the student to have different placement. I understand that I will need to read to or with my child at home 20-30 minutes daily in English. There will also be homework in Chinese. I will commit to helping my child with their homework. I will give positive reinforcement to my child and teacher. I understand that it is not unusual for children in this program to experience some fatigue, tears, and frustration during the first months. Knowing this, I will not remove my child for this reason. I understand that fifty percent of my child’s instruction time will be in Mandarin Chinese. I understand that regular and punctual student attendance is required. I commit to having my child attend school regularly and on time. I understand that throughout the program pictures and videos of my child will be taken and used for educational and promotional purposes.I have read and agree to the information listed in the Application Process and the Parent Commitment Terms.(Required) I have read and agree to the information listed in the Application Process and the Parent Commitment Terms.
