The Civil Rights Act of 1964, Title VI, Language Minority Compliance Procedures, requires school districts and charter schools to determine the language(s) spoken in each student’s home in order to identify their specific language needs. This information is essential in order for schools to provide meaningful instruction for all students as outlined in Plyler v. Doe, 457 U.S. 202 (1982).

The purpose of this survey is to determine the primary or home language of the student. The HLS must be given to all students enrolled in the school district/charter school. The HLS is administered one time, upon initial enrollment in Indiana, and remains in the student's cumulative file.

Please note that the answers to the survey below are student-specific. If a language other than English is recorded for ANY of the survey questions below, the English proficiency placement tests (W-APT for Kindergarten or WIDA Screener for grades 1-12) will be administered to determine whether or not the student will qualify for additional English language development support. 

Please answer the following questions regarding the language spoken by the student:

1. What is the native language of the student?
2. What language(s) is spoken most often by the student?
3. What language(s) is spoken by the student in the home?

The Home Language Survey Form has been translated into 12 languages. 

• Albanian

• Arabic

• Burmese

• Chinese

• English

• Italian

• Japanese

• Korean

• Mongolian

• Spanish

• Turkish

• Vietnamese