This is a template poem I created after being inspired by the "Where I am From" template poem. Rather than ask students to poetically describe where they come from, my template asks students to examine the influence and impact language has in their lives, drawing from family sayings they grew up hearing, to ads they see, to pop culture references from their favorite movies and TV shows. I use this as a "first week back to school" assignment with my high school juniors (AP mostly, I but I don't see why on-level 11th graders couldn't tackle this). It is a great way for me to introduce myself using my own Literacy Autobiography Poem as a sample to model for students, and as a way for me to get to know students. I usually have students share their favorite stanza on the day these poems are due. In the past, I have had students create their poems on paper lunch sacks (which I provided), and had them place their favorite "language relic" in the bag to share with us too. A language relic can be anything with language on it, that represents the significance of language in their lives. For example, movie stubs, concert tickets, brochures, photographs, etc. Students get pretty creative with this!
I have included the template, directions, a grading rubric, and a model sample. However, I recommend you write your own Literacy Autobiography poem so students have a chance to glimpse into the ways language impacts your life.