Ell Student Plan Template - Esol Department
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1St. Lucie Public Schools
ESOL Department
ELL Student Plan
Student Name_____________________________________ Student ID____________________________ Grade_______________
School Name___________________ Language Spoken at Home______________ Date Entered in a U.S School (K-12) ___________
Check the appropriate box & complete ALL the appropriate information:
Initial Placement
Annual Continuation of
EXIT
Reclassification
Services
Student Plan Date:
Exit Date:
Reclassification Start Date:
Student Plan Date:
Reclassification Exit Date:
Referral Date:
Basis of Exit:
Copy of Notification of
H
I
J
L
Continuation of ESOL
Monitoring:
Services attached
Monitoring:
st
1
Report Card Date:__________
Classification Date:
Transfer Comments:___________
st
1
Report Card Date:______________
st
____________________________
1
Semi-annual Date:__________
____________________________
st
1
Semi-annual Date:______________
nd
____________________________
2
Semi-annual Date:__________
DOCUMENTS ATTACHED
____________________________
nd
2
Semi-annual Date:______________
nd
____________________________
End of the 2
Year____________
Programmatic Assessment
____________________________
nd
End of the 2
Year :_______________
Copy of Parent
Notification of Placement
REPORT CARD MUST BE ATTACHED
Previous School Records
REPORT CARD MUST BE ATTACHED FOR
Copy of Delay of Testing
FOR EACH MONITORING WITH
enclosed
EACH MONITORING WITH COINCIDING
Notification
COINCIDING MARKING PERIOD.
MARKING PERIOD.
Test Name
IPT
IRW
IRW
CELLA
CELLA
CELLA
CELLA
FCAT
OTHER
Reading
Writing
Listening
Speaking
Reading
Writing
Test Date
Score
Language
(Not
(Not
(Not
(Not
applicable)
applicable)
applicable)
applicable)
Proficiency Level
Statewide and Assessment Accommodations:
Instructional Model:
Mainstream/Inclusion
Flexible setting
Sheltered English-Language Arts through ESOL
Flexible time
Additional Support_____________________(specify)
Use of word-to-word bilingual dictionary
Assistance in Heritage Language
(Word-to-word only
FTE Summary Schedule:
translations)
(130 Funding must be reflected for students under 6 yrs.)
Student receives services from other Program(s):
st
1
Semester (K-12) Schedule Attached
NO
YES__________________________(specify)
nd
2
Semester(6-12) Schedule Attached
Schools must provide students with a word to word
bilingual dictionary throughout the school year and must
be made available in every class
.
_______________________________________________
______________________________________________
Print Name of Person Completing Form
Signature of Person Completing Form
FED0052.2 revised July 2015
Page 1
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