Maryland Home Language Survey

Federal, state (COMAR 13A.05.07.02–.03), and local regulations require school districts to determine the language(s) used by students in their homes. Please answer each question below. This Home Language Survey will be used only for determining whether a student needs English language support services and will not be used for immigration matters or reported to immigration authorities.

This form is required for all K-12 newly enrolling students. If a language other than English is indicated on two or more of the three questions below, the student will be assessed for English language support services. Additional criteria for testing may be considered. 

Maryland Home Language Survey	43 K	English
Encuesta de idioma del hogar de Maryland	40 K	Spanish
Enquête du maryland sur la langue parlée à la maison	39 K	French
Phỏng Vấn Về Ngôn Ngữ Tại Nhà Maryland	102 K	Vietnamese
馬里蘭州家庭語言調查	63 K	Chinese
Maryland 가정에서 사용하는 언어 설문조사	55 K	Korean
ሜሪላንድ ቤት ውስጥ ስለሚጠቀሙበት ቋንቋ ዳሰሳ	56 K	Amharic
Pesquisa de Idioma Falado em Casa de Maryland	37 K	Portuguese

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat