Book: I

Section: Instruction

Title: Portland Public Schools English as a Second Language (ESL) Program Initial Eligibility Determination Parent Notification Form

Code: IHBEA-E

Status: Active

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 ________________

            School.

____ 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

IHBEA-E - ESL Eligibiilty Determination Parent Notification Form.pdf (11 KB)

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