BCSCDual Language ImmersionDual Language Immersion RegistrationApplication ng Dual Language Immersion Application ng Dual Language Immersion Student InformationLast Name(Kailangan)First Name(Kailangan)Middle NameDate of Birth(Kailangan) MM slash DD slash YYYY Language(s) spoken in the home(Kailangan)Other language(s) the student speaksHas the child attended preschool and/or BPS Readiness Kindergarten?(Kailangan) Yes No If so, list name of school(Kailangan)Does the Dual Immersion applicant have a twin/triplet also applying for the program?(Kailangan) Yes No If so, list student name(s)(Kailangan)Does the Dual Immersion applicant have a sibling(s) that is already in the program at another grade level?(Kailangan) Yes No If so, list student name(s)(Kailangan)Parent/Guardian InformationName(Kailangan)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 SudanEspanyaSri 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 Telepono(Kailangan)Email(Kailangan) 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: Ang pananaliksik ay nagpapahiwatig ng isang programa sa paglulubog ay pinaka -epektibo kapag ang mga mag -aaral ay mananatili sa programa para sa isang matagal na panahon. 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. Naiintindihan ko na kakailanganin kong basahin o kasama ang aking anak sa bahay 20-30 minuto araw -araw sa Ingles. There will also be homework in Chinese. Magsasagawa ako sa pagtulong sa aking anak sa kanilang araling -bahay. Magbibigay ako ng positibong pampalakas sa aking anak at guro. Naiintindihan ko na hindi pangkaraniwan para sa mga bata sa programang ito na makaranas ng ilang pagkapagod, luha, at pagkabigo sa mga unang buwan. Alam ito, Hindi ko aalisin ang aking anak sa kadahilanang ito. I understand that fifty percent of my child’s instruction time will be in Mandarin Chinese. Naiintindihan ko na kinakailangan ang regular at punctual na pagdalo ng mag -aaral. Nangangako akong regular na pumasok ang aking anak sa paaralan at sa oras. Naiintindihan ko na sa buong mga larawan ng programa at video ng aking anak ay dadalhin at gagamitin para sa mga layuning pang -edukasyon at pang -promosyon.I have read and agree to the information listed in the Application Process and the Parent Commitment Terms.(Kailangan) I have read and agree to the information listed in the Application Process and the Parent Commitment Terms.