Programmatic Assessment And Grade Placement Checklist Template (Esol) printable pdf download

St. Lucie Public Schools

PROGRAMMATIC ASSESSMENT AND GRADE PLACEMENT CHECKLIST

ESOL Department

Student Name _______________________________________Student ID___________________ Grade________________________

School Name __________________________________________________________________Date___________________________

In Accordance with State rule 6A‐6.0902:

Each school district shall seek to document the prior schooling experience of ELLs by

means of school records, transcripts and other evidence of educational experiences, and take such experiences into account in

planning and providing appropriate instruction to such students. For foreign‐born students, the same district adopted policies

regarding age appropriate placement shall be followed as are followed for students born in the United States.

Check ALL items used to determine the student’s academic experiences

Age appropriate

Interview student’s parent or guardian to determine prior educational experiences and academic subject

competencies.

Results of Interview if student does not have records:

What grade was the student in during previous school year: __________________________________________

What courses were taken:_____________________________________________________________________

What is the total number of years the student was in school:_________________________________________

Was the student ever retained: No Yes Which grade? ____________

Review of student’s cumulative folder:

_____Previous school record

_____ Verified promotion or retention

_____Transcripts (Name corresponds with the transcript)

_____ Verified the academic calendar of previous school

_____ Checked academic year of report card

_____Standardized and/or criterion Referenced Tests:

Test Name: __________________ Date: _____/____/_____ Score_________________

Language assistance was provided (when clearly feasible).

_____________________________________

___________________________________

________________

Print Name of ESOL Contact

Signature of ESOL Contact

Date

FED0098 revised July 2015

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Programmatic Assessment And Grade Placement Checklist Template (Esol)