Directory of Foreign Language Immersion Programs in U.S. Schools SUBMISSION FORM Please complete the form below to submit your program information for inclusion in the directory. The average time to complete this form is 15 minutes. Please note that each submission is reviewed prior to inclusion in the directory, so please allow time for it to be reviewed and posted. Please email CAL if you have any questions. SCHOOL INFORMATION School:* (school required) Address 1:* (address 1 required) Address 2: Address 3: City:* (city required) State:* -Select State- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY (select a state) Zip:* (zip required) Phone:* (phone required) Ext: Fax: Web Site: Email: Immersion Type: Other Total Partial (If "Other", please specify in Notes field) School Type:* Private/Independent Public Charter Public Magnet/Choice Public Unknown (select school type) Funding: FederalStateLocal Other Funding: Notes: LANGUAGE INFORMATION (You can add up to 6 languages) Language:* Arabic Cantonese Chinook Danish Diné French German Greek Hawaiian Italian Japanese Mandarin Norwegian Ojibwe Russian Spanish Swedish Yup'ik Others If Others: Year Program Started:* (year started is required)(must be a number) Student Count:* (student count is required)(must be a number) Teacher Count:* (teacher count is required)(must be a number) Grades Levels:* PKK123 45678 9101112 DISTRICT INFORMATION District Name:* (district required) PRIMARY CONTACT INFORMATION First Name:* (first name required) Last Name:* (last name required) Title: Phone:* (phone required) Extension: Email:* (email required) DISTRICT CONTACT INFORMATION (Optional) First Name: Last Name: Title: Address 1: Address 2: Address 3: City: State: -Select State- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip: Phone: Extension: Fax: Email: SUBMITTER CONTACT INFORMATION First Name:* (first name required) Last Name:* (last name required) Title: Address 1:* (address 1 required) Address 2: Address 3: City:* (city required) State:* -Select State- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY (select a state) Zip:* (zip required) Phone:* (phone required) Extension: Fax: Email: Please verify the information that you've entered above. If everything is correct, click on the SUBMIT button below to submit your data. Please click the submit button only once.