Samoan Bilingual Option Form TALAOSAGA MO VASEGA SAMOA Apolima – Ipu o le ola Igoa o lou alo*Child's Name First Last Tagata nuu*EthnicityNuuVillagesGagana faaaogia i le aiga i taimi umaLanguage(s) spoken at home Aoga sa i aiPrevious schoolAoga faaSamoa sa iai muamua; e fia tausaga?Any previous bilingual Samoan education, if yes ,where? Faamolemole faailoa ni mafuaaago o lou finagalo e tuu lou alo i le vasega SamoaPlease state the reasons you have applied for Apolima Bilingual Class: E mafai ona tautala i le gagana Samoa?Can your child speak Samoan?Leai (No)E laititi (Basic)E lelei (Capable)E lelei tele (Confident/Fluent)E mafai ona faitau i le gagana Samoa?Can your child read Samoan?Leai (No)E laititi (Basic)E lelei (Capable)E lelei tele (Confident/Fluent)E mafai ona tusitusi i le gagana Samoa?Can your child write in Samoan?Leai (No)E laititi (Basic)E lelei (Capable)E lelei tele (Confident/Fluent)E malamalama i le gagana Samoa?Can your child understand Samoan?Leai (No)E laititi (Basic)E lelei (Capable)E lelei tele (Confident/Fluent)Faamolemole o nisi vaega taua o le polokalame o loo taua i lalo, e manaomia le auai o tamaiti uma, sei vagana ua iaise mafuaaga tatau. (Apolima requires our students to participate in the following programmes)Faafiafiafa (Siva ma pese faa Samoa) Malaga i fafo atu o le aoga Ia faaaoga tu ma aga faa Samoa i taimi uma Performances(dances and songs) Trips out of school Students will display our faaSamoa values at all times I agreeMatua*Parent/Guardian/CaregiverAso*Date Date Format: DD slash MM slash YYYY Tamaitai/Alii Aoga*Student/ChildAso*Date Date Format: DD slash MM slash YYYY CAPTCHA