Hancock County Public Schools

Mike Antrican, Director of Schools

P.O. Box 629 *Sneedville, TN 37869

*Phone 1-423-733-2591 *Fax 1-423-733-8757

HOME LANGUAGE SURVEY

Dear Parent(s):

In order to provide the best possible educational services for

your child, please complete the Home Language Survey listed below.

Survey should be returned to your child's classroom/homeroom

teachers and filed in permanent records. Thank you.

Student Name:_______________________________________________

Social Security Number: _______________________________________

School: _____________________________________________________

Grade: _____________________________________________________

Teacher:____________________________________________________

1. What is the first language your child learned to speak?

____________________________________________________________

2. What language does your child speak most often outside of school?

____________________________________________________________

3. What language do people usually speak in your child's home?

_____________________________________________________________________

______________________________________________________________________________

(Parent’s or Guardian’s Signature)

“Committed To Excellence”