Title: Portland Public Schools English as a Second Language (ESL) Program Initial Eligibility Determination Parent Notification Form
Portland Public Schools
English as a Second Language (ESL) Program
INITIAL ELIGIBILITY DETERMINATION
PARENT NOTIFICATION FORM
Under No Child Left Behind legislation, parents have the right to receive written notification of their child’s placement in ESL services annually within 30 days of the start of the school year. Parents also have the right to decline ESL services and remove their child from ESL services at any time during the school year. In order to decline ESL services, parent(s) must sign a Decline Services Form, available at the Multilingual Intake Office or at the school where their child is a student.
To the parents of: _____________________________________ Date: ______________
School: ___________________ Grade: _____ Date of Birth: ________ Student ID #____
Grades completed: U.S. _______ Other _______ in (Country) _____________________
Your child’s English language fluency has been assessed to determine his/her initial eligibility for Portland’s ESL Program. Based on this information, the following placement has been recommended:
____ Fulltime ESL classes at _______________________________ School.
____ ESL classes with partial mainstreaming into regular classes at ________________
____ Full mainstreaming into regular classes at _________________________ School.
This recommendation is based on the following criteria as marked below:
1. ____Level of oral proficiency in English
Test: Pre LAS (K-1) LAS-01 (2-8) LAS-02 (9-12)
Score: _________ Level: ________ 1 2 3 4 5
2. ____ Level of reading/writing proficiency in English
LAS READING: Form 1A 2A 3A Score: ____ Level: 1 2 3
LAS WRITING: Form 1A 2A 3A Score: ____ Level: 1 2 3
3. ____ Prior education and social experience
If you have any questions about this placement, please call the Multilingual Intake Center at 874-8135.
Original: Student File
Copy 1: Parent
Copy 2: Intake file
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