School ACCESS for ELLs Order Form
All students in grades K-12 identified as Non-English Proficient (NEP) and Limited-English Proficient (LEP) are required to take the ACCESS for ELLs January 11-February 12,
2016. Only order the amount of tests that your school currently need as CSI receives a 10% overage, which is distributed to schools as needed. Schools may be charged for
excessive amounts of unused materials. Please note the changes to the grade clusters, and the online option available to schools for testing this year. Be sure to use the tier
placement resources to identify the most appropriate tier for students before completing this order form. Schools testing online are not required to do tier placement. All schools are
required to submit this form to Kenny Smith via email (smith_kenny@csi.state.co.us) by Friday, November 6, 2015.
School Name:
School ACCESS Contact’s Name:
Please check the appropriate box below:
☐ My school does not have students taking the ACCESS for ELLs. (STOP HERE AND SUBMIT FORM)
☐ My school does have students taking the ACCESS for ELLs. (COMPLETE THE REMAINDER OF THIS FORM, THEN SUBMIT)
Please check the appropriate box that best describes your schools testing method::
☐ My school will do all online testing
☐ My school will do some paper-based testing
☐ My school will do all paper-based testing
Test Materials Shipment/Pick Up
Please identify the earliest date that test materials can arrive at your school in January, keeping in mind any holiday breaks where staff will not be available to sign for the shipment.
Earliest Date for Receiving Materials: January
, 2016. OR If you would prefer to pick up your test materials from CSI’s office, please specify a pick up date in January.
Date for Picking Up Materials from CSI Office: January
, 2016.
ACCESS for ELLS – ONLINE TESTS ONLY
1
2-3
4-5
6-8
9-12
ACCESS for ELLs - PAPER-BASED ONLY
K
1
1
1
2
A
B
C
A
2
B
2
C
3
A
3
B
3
C
4-5
A
4-5
B
4-5
C
6-8
A
6-8
B
6-8
C
9-12
A
9-12
B
9-12
C
School ACCESS for ELLs Order Form
ACCESS for ELLs - LARGE PRINT
K
1
1
1
A
B
C
Alternate ACCESS:
1-2
3-5
6-8
9-12
2
A
2
B
2
C
3
A
3
B
3
C
4-5
A
4-5
B
4-5
C
6-8
A
6-8
B
6-8
C
9-12
A
9-12
B
9-12
C
Alternate ACCESS for ELLs is designed for ELLs with significant cognitive disabilities. In order to receive meaningful information from the
test, it is very important that only students who meet all 3 criteria below participate in the assessment as determined by your school’s IEP
team. Other ELLs should continue to take the existing ACCESS for ELLs assessment, with appropriate accommodations as necessary.
Alternate Participation Criteria:
1. The student has been classified as ELL.
2. The student has a significant cognitive disability and is eligible for special education services under IDEA.
3. The student is in an alternate curriculum aligned with their state's academic standards, and is participating in the state's alternate accountability assessment.