Name _______________________________________________ APSCN ID ________________________
Elementary (K-5) Programs—This student is enrolled in the program checked below. All programs are designed to enable
ELL students to work toward the same academic standards as all other students. As an ELL student’s English proficiency
increases, he/she is moved to a higher level.
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SPECIFIC/SYSTEMATIC ENGLISH LANGUAGE DEVELOPMENT (GRADES K-5)The goal of Specific/Systematic English Language Development is to develop the solid English language foundation needed to
fully engage in academic and real life situations. Students learn the language necessary to move from one proficiency level to the
next. Specific/Systematic English Language Development is taught in functional contexts following a scope and sequence of oral
and written language skills which balances focus on form and focus on meaning. Specific/Systematic English Language
Development is 30 minutes of specialized instruction provided by a certified ESOL teacher, a classroom teacher with an ESOL
endorsement, or an ESOL Instructional Assistant under the direction of an ESOL endorsed teacher.
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ACCESS TO ACADEMIC CONTENT INSTRUCTION (GRADES K-12):
English Language Learners have access to all academic content areas provided to all students appropriate for their grade level.
Scaffolding support structures are used by classroom teachers to integrate academic language development into lessons,
allowing students to learn and practice English as it is used in the context of school, including the vocabulary used in textbooks
and assessments in each academic discipline. Schools provide a variety of support structures including sheltered instruction,
academic intervention groups, and co-teaching.
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TRANSITION ESOL PROGRAMS (Grades K-12) - PROGRAMAS DE TRANSICIÓN DE ESOL
are offered in every school. Students’ continual progress in acquiring academic English is monitored. These students may still
need help in improving their English skills in reading and writing. They will take all subjects appropriate for their grade level.
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Student is eligible for ESOL services marked above unless otherwise indicated on IEP.
Annual Assessments/Placements
This student will participate in all grade level appropriate state/district assessments and will also be tested annually with the state
language proficiency test to monitor his/her progress in acquiring English. Federal and State law requires annual language
proficiency assessment of all ELL students until the student is reclassified as Fluent English Proficient (FEP). Annual
language proficiency scores, teacher assessments, performance in the classroom, teacher observations, and information from the
parents are taken into consideration when determining the students’ annual placement in an ESOL program. The parent will be
notified of the results of the assessments and recommended placements annually. Parents/Guardians/Persons in loco parentis
may request a conference to discuss this information in person.
Parental Rights
Parents/Guardians/Persons in loco parentis have the right to have their child immediately removed from a language instructional
program upon their request. In order to decline enrollment in such program, parents/guardians must sign the ESOL Program
Waiver form that may be obtained from the ESOL Office (631-3559). Declining enrollment means that the student will not receive
specialized language instruction.
I have read this form and/or had someone from the school district explain this information to me. I understand the identification of
my child as an English Language Learner, my child’s placement in the ESOL program, and my rights as a parent, guardian, or
person in loco parentis to decline enrollment in such program.
Parent or Guardian Signature ____________________________________________ Date _________________________
ESOL Staff Signature __________________________________________________ Date _________________________
E
Original—ESOL Office
ESOL Mission Statement
To enable English Language Learners to access all of the educational
possibilities/ opportunities available in the educational system by improving
language skills, self-confidence, and cultural awareness as quickly and
efficiently as possible
Yellow—Cumulative Folder
Pink—Parent (English)
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Goldenrod—Parent (Spanish)