PARENT INTERVIEW - Albuquerque Public Schools
Student Name ________________________________ APS Student ID # __________________ Date ____
Person Interviewed _______________________ Relationship To Student _____________
Person Doing Interview _______________________ APS Position _______________________
1. What is your child’s birthplace? ___________________________________________________________
2. In what languages has your child been educated and for how long?_______________________________ _____________________________________________________________________________________
_____________________________________________________________________________________
3. Does the family spend time in any other countries or more traditional settings like a Pueblo or reservation? ( Yes ( No If Yes, where, how often, and for how long? ______________________________________
__________________________________________________________________________________________________________________________________________________________________________
4. What was your child’s first language? _______________________________________________________
5. What language does your child speak most of the time? _____________________________________________________________________________________
6. Does your child understand any languages other than English? ( Yes ( No
If yes, what language(s)? _______________________________________________________________
If yes, how well does s/he understand? ( Poor ( Fair ( Good
7. Does your child speak any languages other than English? ( Yes ( No
If yes, what language(s)? _______________________________________________________________
If yes, how well does s/he speak? ( Poor ( Fair ( Good
8. Has your child ever been taught to read and/or write in a language other than English? ( Yes ( No
If yes, what language(s), where or by whom, and for how long? __________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________
If yes, how well does s/he read in that language? ( Poor ( Fair ( Good
If yes, how well does s/he write in that language? ( Poor ( Fair ( Good
9. When did your child begin to understand/speak English? _______________________________________
10. When did this student begin to be taught to read & write in English? ______________________________
11. What language(s) are used by the parent(s)/guardian(s)/caretaker(s)? ____________________________
12. What language(s) does your child speak with you? ___________________________________________
13. What language(s) does your child speak with siblings? ________________________________________
14. Does the family listen to the radio or watch TV in a language other than English? ( Yes ( No
15. Does the family have books, magazines, or newspapers in the home that are written in a language other than English? ( Yes ( No
16. Does anyone in the family read to this student in a language other than English? ( Yes ( No
17. Does the family have books, magazines, or newspapers in the home that are written in English? ( Yes
( No
18. Does anyone in the family read to your child in English? ( Yes ( No
19. Does your child ever interpret English for other family members? ( Yes ( No
If yes, for whom and in what situations? __________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________
20. When comparing your child to siblings or friends with a similar cultural and language background, how well does s/he:
Understand the home language that is other than English? ( Not As Well ( About the Same ( Better
Speak the home language that is other than English? ( Not As Well ( About the Same ( Better
Seem to be learning English? ( Not As Well ( About the Same ( Better
Perform in School? ( Not As Well ( About the Same ( Better
21. If the primary home language is other than English, does the family perceive this child as having
problems in that language? ( Yes ( No ( N/A (when primary home language is English)
If yes, please briefly describe the problems: __________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
22. Has anyone in the family had problems with speech or language? ( Yes ( No
23. Has anyone in the family had problems learning to read or write? ( Yes ( No
24. Please provide information about the student’s educational history:
|Grade |School |Where |Language of |Special Programs |
| |Year | |Instruction |(ESL, Bilingual, etc.) |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
Revised 7/25/2111
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