Post-Exit Ell Monitoring Form (Elementary)
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1
2
3Post-Exit ELL Monitoring Form (Elementary)
Pages 1 and 3 to be completed by the appropriate ESL/Bilingual Education Staff
Student Name
st
Grade in 1
year of monitoring
Academic Year
Name of classroom teacher
The classroom teacher is responsible for
st
(1
year of monitoring)
completing this form at quarterly intervals and
returning it to the ESL/Bilingual Education
Name of classroom teacher
nd
teacher for review.
(2
year of monitoring)
Name of ESL/Bilingual Ed teacher
The ESL teacher is responsible for reviewing
st
(1
year of monitoring)
this form each time that it is completed by the
Name of ESL/Bilingual Ed teacher
classroom teacher.
nd
(2
year of monitoring)
ESL Coordinator
(Responsible for ensuring that this form is completed each quarter
and maintained in the student’s academic record)
®
Exiting ACCESS for ELLs
Results:
Composite
Listening
Speaking
Reading
Writing
Literacy
Comprehension
Oral Language
PSSA Results (Below basic, Basic, Proficient, Advanced):
Reading
Mathematics
Writing
st
1
Year of
monitoring
nd
2
year of
monitoring
1
st
year of
2
nd
year of
monitoring
monitoring
Is the student receiving any special services?
NO
YES
NO
YES
(any academic services/programs in addition to the standard academic program)
st
If yes, describe the services (1
year):
nd
If yes, describe the services (2
year):
Report Card Results:
st
nd
1
year of monitoring
2
year of monitoring
st
nd
rd
th
st
nd
rd
th
1
2
3
4
1
2
3
4
LA
Math
Science
Social
Studies
1
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