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Form number: 560-24
Audience: Parents/Guardians
Last revised: July 2020
Form 565-1 - Student Emergency Information
INSTRUCTIONS: This form is to be completed by parent/guardian. For all students new to or reentering MCPS, the verification of the following must be presented at the time of enrollment: Montgomery County residency, age, and immunizations, unless homeless. Social security number is not required for enrollment.
Effective July 1, 2017, the Maryland Home Language Survey also must be completed for all students enrolling in MCPS. MCPS Form 560-24 includes the 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. 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. 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.
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