South Kitsap School District
Spanish Immersion Program
Educating 21st Century Learners and Tomorrow’s Leaders
Imagine the Possibilities!
Application Form Directions
Step 1
Prior to completing the application for the first grade Spanish Immersion
Program at Burley-Glenwood Elementary School, the student must be
enrolled in the South Kitsap School District (SKSD). To enroll in SKSD,
contact your neighborhood elementary school or the South Kitsap
School District at 360.874.7000.
Step 2
Complete the Spanish Immersion Application Form
Step 3
Completed applications must be received by the South Kitsap School
District or postmarked by Friday, May 15, 2015.
Completed applications may be dropped off at or mailed to:
South Kitsap School District
Spanish Immersion Program
2689 Hoover Ave. S.E.
Port Orchard, WA 98366
OR
Faxed to 360.874,7068
Application Deadline: Friday, May 15, 2015
Placement Notification Letter
Placement decisions will be made the week of May 26, 2015. Once a student is placed in the first
grade Spanish Immersion Program at Burley-Glenwood Elementary, a notification letter will be mailed
to the student’s home inviting the student to enroll in the first grade Spanish Immersion class at
Burley-Glenwood Elementary. Parents will have approximately two weeks (by June 19, 2015) to
accept the placement in the Spanish Immersion first grade class at Burley-Glenwood Elementary.
Questions? Visit the website at www.skitsap.wednet.edu or call 360.874.7000.
South Kitsap School District
First Grade Spanish Immersion Program
Application Form
2015-16 School Year
Submission Deadline: Friday, May 15, 2015
Student’s Name: ___________________________________________________________________
Address: _________________________________________________________________________
Home School District: _______________________________________________________________
Current Elementary School):__________________________________________________________
Please initial each of the following statements:
______ My child will be entering first grade in September, 2015.
______ If my child is invited to enroll in the first grade Spanish Immersion class at Burley-Glenwood
Elementary, I understand that I will have approximately two weeks (by June 19, 2015) to
accept the placement.
______ I understand that when I accept placement in the first grade Spanish Immersion class at
Burley-Glenwood Elementary, I must complete an open enrollment form if Burley-Glenwood
is not my home school or an Out-of-District enrollment form and South Kitsap School District
registration form if the South Kitsap School District is not my home school district.
______ I understand that if Burley-Glenwood is not my home school, I will be responsible for
providing transportation for my child and ensuring that he/she gets to school on time each
day and is picked up at dismissal time each day
______ I understand that placement in the Spanish Immersion Program at Burley-Glenwood is a six
(6) year commitment.
______ I understand that the parents’ role is to provide on-going support for their child in the
program and to continually enrich their child’s English language acquisition through reading
with and to their child and providing opportunities to enrich their child’s English vocabulary.
______ I have read and understand the Spanish Immersion Program Lottery Process Frequently
Asked Questions (FAQ).
Please complete the following information:
Print parent/guardian name: _____________________________________________Home Phone:_________________
Parent/guardian signature: ______________________________________________Work Phone: _________________
Parent/guardian email: _________________________________________________ Cell Phone: ___________________
Return this form by the deadline, Friday, May 15, 2015 to: The South Kitsap School District Spanish Immersion
Program 2689 Hoover Ave. S.E Port Orchard, WA 98366 or Fax to: 360.874.7068
South Kitsap School District does not discriminate in any programs or activities on the basis of sex, race, creed, religion, color, national origin, age,
veteran or military status, sexual orientation, gender expression or identity, disability, or the use of a trained dog guide or service animal and provides
equal access to the Boy Scouts and other designated youth groups. The following employees have been designated to handle questions and complaints
of alleged discrimination:
Title IX Coordinator
Rita Reandeau
2150 Fircrest Drive SE
Port Orchard WA 98366
Phone: (360) 443-3625
reandeau@skitsap.wednet.edu
Section 504 Coordinator
Abbie Pack
2150 Fircrest Drive SE
Port Orchard WA 98366
Phone: (360) 443-3625
pack@skitsap.wednet.edu
Compliance Coordinator/ADA
Misty Dieffenbach
2689 Hoover Ave. S.E.
Port Orchard, WA 98366
Phone: (360) 87407080
dieffenbach@skitsap.wednet.edu