List of Forms* Framework for the LPAC Process Manual

Section VI APPENDIX

List of Forms* Framework for the LPAC Process Manual Section II Section III Section IV Section V Section VI LPAC Membership Forms LPAC Parent Membership Request Letter Solicitud de Padres Como Miembros del Comité de Evaluación del Dominio del Idioma (LPAC) LPAC Member Roster LPAC Confidentiality Statement LPAC Minutes Form LPAC Minutes Form LPAC Training Certificate LPAC Responsibilities Forms Home Language Survey (HLS) Initial Review Bilingual Education/ESL Program Parental Notification Identification and Placement Notificación de padres Identifcación y participación Bilingual Education Program Benefits English as a Second Language Program Benefits Annual End of Year Review Bilingual Education / ESL Program Monitoring of Exited Students Parental Report on Student Progress Informe para padres sobre el progreso del estudiante Coordination with other Programs Bilingual/ESL Special Program/Content Area Collaboration Parent Survey Bilingual/ESL Summer Program Encuesta de Padres Programa Bilingüe/ESL K-1 Programa de verano Bilingual/ESL Program Summer School (English/Spanish Sample form) Bilingual/ESL Summer School Program Programa Bilingüe/ESL de verano Resources Acceleration of English Language Proficiency LEP Student Plan Additional Forms Limited English Proficient Student Documentation Checklist Student Folder Checklist A Guide for LEP Student Information * The forms included with the LPAC manual are for use by the district and are not required forms for the implementation of a Bilingual / ESL program. Texas Education Agency Bilingual/ESL Unit 143 September 2007

Answers to LPAC Quiz: 1. Language Proficiency Assessment Committee (LPAC) 2. Yes, every district that implements a bilingual or ESL program is required to have on file policy and procedures for the selection, appointment, and the training of its LPAC members. Districts must provide training on program requirements and documentation procedures as they pertain to the identification, placement, parent notification and annual review of the student s progress in attaining language and academic proficiency. Title III requirements for implementing special language 3. 4. programs must be followed by the LPAC. One or more professional personnel (campus administrator or certified ESL teacher is recommended), and a parent of a limited English proficient (LEP) student participating in the program designated by the district (no parent serving on the committee shall be an employee of the school district). Any two or more of the following: Designate the language proficiency level of each LEP student Designate the level of academic achievement of each LEP student Facilitate the participation of LEP students in other special programs Classify students as English proficient and recommend their exit from the program, once exit criteria have been met. Determine the appropriate assessment option for LEP students before the administration of the state criterion referenced test each year. 5. Documented parental approval of entry or placement into the program. Only LEP students with parental approval can be counted toward the bilingual allotment. 6. A trained, alternate professional staff member designated by the district can replace an absent LPAC member. However, a trained parent must always be present. 7. Before the end of the school year. 8. At the end of the school year, LEP students must demonstrate oral and written language proficiency in English on an agency-approved test; must meet state performance standards on the reading and writing (when available) portions of the English language criterion referenced (TAKS) test or, if enrolled in 1 st or 2 nd grade, must score at or above the 40 th percentile on the reading and language arts sections of an agency-approved standardized test; and must demonstrate satisfactory performance on agency-approved criterion-referenced tests and a subjective teacher evaluation. 9. LPAC committees must monitor the progress of exited LEP students for two academic years. Students who do not demonstrate academic success as a result of limited English proficiency shall be reclassified as limited English proficent [Chapter 89.1225(j)]. Students who are not reclassified may be placed in compensatory or accelerated instruction, interventions, or other special language program to address their needs. 10. LEP students in Grades 3-10 must meet five general exemption criteria before an LPAC may consider the need for a LEP exemption from TAKS: LEP status, program participation, TAKS immigrant status, years in U.S. schools, and RPTE rating. The LPAC must have documentation in the student s permanent record folder indicating that the student meets all five of these criteria. For additional clarification, please refer to p. 16 of the LPAC Assessment Manual. Texas Education Agency Bilingual/ESL Unit 144 September 2007

LPAC Quiz answers (cont.) 11. No. 12. The Spanish version TAKS is available for students in Grades 3-6 receiving Spanish instruction in Math, Reading, Writing (Grade 4) and Science (Grade 5). 13. No. To qualify for an exemption, LEP students must be participating in a state-approved bilingual or English as a second language (ESL) program. 14. Immigrant (PEIMS) Individuals aged 3-21; not born in any U.S. state; have not attended 1 or more schools in any one or more state for more than 3 academic years. Immigrant (TAKS) - Students who have resided outside the 50 U.S. states for at least two consecutive years. Immigrant (Bilingual/ESL Programs) LEP student born outside the U.S. 15. All districts required to conduct a bilingual education or ESL program shall conduct periodic assessment and continuous diagnosis in the languages of instruction to determine program impact and student outcomes in all subject areas. Annual reports of educational performance shall reflect the academic progress in either language of the LEP students. Districts shall annually report to parents the progress of their child. Each school year, the principal of each school campus with the assistance of the campus level committee, shall develop, review and revise the Campus Improvement Plan for the purpose of improving student performance. 16. LPAC members should coordinate efforts with special program personnel and identify appropriate assessment procedures for LEP students. 17. LEP students should be tested by their classroom teacher. Some tests can be administered by teacher observation, such as the TELPAS. True or False answers 1. False. The LPAC committee should meet as needed, including the beginning of the year, before administration of the state criterion referenced test, and at the end of the school year. 2. False. The LPAC Committee must meet upon a student s initial enrollment in the district and whenever important instructional decisions are required. 3. True. A bilingual program is a full-time program of instruction in which both the students home language and English are used for instruction. An ESL program is an intensive program of English instruction designed to develop proficiency in the comprehension, speaking, reading, and composition of the English language. 4. False. All LEP students, including those whose parents have denied special language services must have an LPAC. 5. False. Only the signed original or copy of the signed original HLS form should be kept in the LEP student s cumulative folder. 6. True. 7. False. Teachers should review each student s cumulative folder at the beginning and the end of the school year to ensure that documentation is correct and adequate. 8. False. A student may not be exited from the bilingual education or English as a second language program in prekindergarten through Grade 1. 9. False. LPAC and ARD Committee work in collaboration. One does not supercede the other. Texas Education Agency Bilingual/ESL Unit 145 September 2007

LPAC Parent Membership Request Letter : Dear Parents: According to state policy, we are required to have a parent of a student who participates in a Bilingual or English as a Second Language program serve on our school s Language Proficiency Assessment Committee (LPAC). The LPAC serves as the students advocate to make certain they receive the appropriate services. We are asking for parent volunteers who would be willing to serve as our parent member of the LPAC. You will receive training at the first LPAC meeting and then be asked to assist the team in identifying and placing children in the appropriate program for language development and academic success. If you would be willing to serve on the LPAC, please fill out the information below and send the form to school with your child. If you have any questions please contact at. Sincerely, Parent Name(s): Phone: Child s Name: School: Grade: Texas Education Agency Bilingual/ESL Unit 146 September 2007

Solicitud de Padres Como Miembros del Comité de Evaluación del Dominio del Idioma (LPAC) Fecha: Estimados Padres: De acuerdo con la ley estatal tenemos la obligación de que un padre cuyo hijo/a participe en el programa bilingüe o el programa de inglés como segundo idioma (ESL) sea un representante en el Comité de Evaluación del Dominio del Idioma (LPAC) de nuestra escuela. El Comité de Evaluación del Dominio del Idioma (LPAC) representa los intereses de los estudiantes para asegurarse que reciban los servicios educativos apropiados. Estamos solicitando padres de familia que estén dispuestos a participar como voluntarios en el Comité de Evaluación del Dominio del Idioma (LPAC). Recibirán entrenamiento durante la primera reunión del Comité de Evaluación del Dominio del Idioma (LPAC) y después se les pedirá su ayuda para identificar y recomendar el programa apropiado que asegure el desarrollo del idioma y el éxito académico de los estudiantes. Si están dispuestos a participar en el Comité de Evaluación del Dominio del Idioma (LPAC), favor de completar la siguiente información y regrese esta hoja a la escuela con su hijo/a. Si tiene preguntas, favor de comunicarse con al teléfono. Sinceramente, Nombre(s) de Padre(s): Número de teléfono: Nombre del estudiante: Escuela: Grado escolar: Texas Education Agency Bilingual/ESL Unit 147 September 2007

LANGUAGE PROFICIENCY ASSESSMENT COMMITTEE (LPAC) MEMBER ROSTER School Year School District/Charter School: Campus: : NAME OF LPAC MEMBER SIGNATURE 1. Professional Bilingual Educator 2. Professional Transitional Language Educator 3. Parent Representative 4. Campus Administrator 5. LPAC Representative for ARD Committee (if needed) 6. 7. Texas Education Agency Bilingual/ESL Unit 148 September 2007

LPAC Confidentiality Statement Independent School District/Charter School I,, serve as a member of the (school) Language Proficiency Assessment Committee (LPAC) as provided by 19 TAC Chapter 89.1220(f). I hereby certify that I have been informed that any educational records examined by me in connection with the performance of my duties as a member of the LPAC are confidential records as defined by the Family Educational Rights and Privacy Act and the contents are not to be released except in compliance with the terms of that statute. 20 U.S.C.,Section 1232g;34CFR,Part 99. Signature ----------------------------------------------------------------------------------------------------------------------------------- Yo, el suscrito,, actúo como miembro del Comité de Evaluación del Dominio del Idioma (LPAC) de la escuela de acuerdo con el 19 TAC Capítulo 89.1220(f). Por la presente certifico que he sido informado que cualquier archivo educativo que examine en relación a mis responsabilidades como miembro del Comité de Evaluación del Dominio del Idioma (LPAC) es archivo confidencial, según lo estipula la Ley de Privacidad y de Derechos Educacionales de la Familia, cuyo contenido no será divulgado excepto en acuerdo con los términos de dicha ley. 20 U.S.C.,Sección 1232g;34CFR,Parte 99. Firma Fecha Texas Education Agency Bilingual/ESL Unit 149 September 2007

Page 1 of 2 LPAC Meeting Minutes Form Campus: : LPAC Members Present 1. Bilingual Teacher 2. Transitional Language Teacher 3. LPAC Parent Representative 4. Campus Administrator 5. ARD Committee (if needed)* 6. Other, specify: Student Name ID Number Years in U.S. Schools Grade Home Language Oral Language Proficiency Test Score (OLPT) Norm Referenced Standardized Achievement Test Score(s) Program Placement TELPAS Composite Score TAKS The student s permanent record or other record that transfers with the student shall contain documentation of all actions impacting the limited English proficient student. *ARD Committee must work in conjunction with the LPAC. Texas Education Agency Bilingual/ESL Unit 150 September 2007

Page 2 of 2 LPAC Meeting Minutes Form Campus: : This LPAC meeting will review and address: (check all that apply) Program Placements Instructional Levels Instructional Interventions Participation in state assessments Reclassification of Students 2 Year Follow-up Parental Denials Special Education Students Other, please specify: Summary of LPAC decisions or actions taken: Circle grade levels reviewed: PK K 1 2 3 4 5 6 7 8 9 10 11 12 The student s permanent record or other record that transfers with the student shall contain all actions impacting the limited English proficient student. Signature of person completing minutes Position Texas Education Agency Bilingual/ESL Unit 151 September 2007

Certificate of Training for the Language Proficiency Assessment Committee This is to certify that : Has received training in the role and responsibilities of an LPAC member and can serve as a member of the Language Proficiency Assessment Committee (LPAC). Texas Education Agency Bilingual/ESL Unit 152 September 2007

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ---------------------------------------------------------------------------------------------------------------------------------- Cuestionario del idioma que se habla en el hogar DEBE DE COMPLETARSE POR EL PADRE/MADRE/ O REPRESENTANTE LEGAL: (O POR EL ESTUDIANTE SI ESTA EN LOS GRADOS 9-12): El estado de Texas requiere que la siguiente información se complete para cada estudiante que se matricula por primera vez en una escuela pública de Texas. Este cuestionario se archivará en el expediente del estudiante. NOMBRE DEL ESTUDIANTE #ID DIRECCIÓN TELÉFONO ESCUELA 1. Qué idioma se habla en su hogar la mayoría del tiempo? 2. Qué idioma habla su hijo/a (usted) la mayoría del tiempo? Firma del Padre/Madre/ o Representante Legal Firma del estudiante si está en los grados 9-12 Fecha Fecha Texas Education Agency Bilingual/ESL Unit 153 September 2007

Enrollment : LPAC : Placement : INITIAL REVIEW Bilingual Education / ESL Program ISD/Charter School HLS : Parent Permission : Parent Denial : Student Name: Student ID: DOB: Age: Grade: Campus: INITIAL ASSESSMENT SCORES: Oral Language Proficiency Test: English Score: *Primary language Score: Norm- Referenced Standardized Achievement Test (grades 2 12): : Reading: %ile Language Arts %ile Other academic information: *This score is required in bilingual programs and it is encouraged in ESL programs LPAC RECOMMENDATIONS ENGLISH LANGUAGE CLASSIFICATION: (Check the appropriate box) LEP Non LEP LEVEL OF ENGLISH LANGUAGE PROFICIENCY BASED ON TEST(S) ADMINISTERED: LANGUAGE PROGRAM PLACEMENT: Elementary Bilingual Education Program Elementary English as a Second Language Program Secondary English as a Second Language Program Dual Language Program All English Program PARENT NOTIFICATION FOR LEP PLACEMENT: Program Description and Benefits to Student Level of Language and Academic Proficiency Other, specify COMMENTS: IMMIGRANT STUDENT HISTORY COMPLETE (if applicable): Student History Worksheet (attach) Evidence of Inadequate Foundation (attach) Instructional Interventions (attach) Insufficient Progress (attach) Reminder: An LPAC meeting must be held in the semester of the TAKS testing to make assessment decisions. Use forms found in the LPAC Decision Making Process for the Texas Assessment Program (Grades 3-12). COMMENTS: LPAC SIGNATURES: (all members must be LPAC trained) *LPAC Parent Representative Bilingual Education Teacher *English as a Second Language Teacher Transitional / General Education Teacher of LEP Student Campus Administrator * Indicates required ESL Program LPAC Membership Texas Education Agency Bilingual/ESL Unit 154 September 2007

Page 1 of 2 Independent School District /Charter School Initial Parental Notification Identification and Placement Bilingual / ESL Program, 19TAC Chapter 89, Subchapter BB 1220(j) (k); PL 107-110 3302 (a) Campus Name To the Parents/Guardians of Grade Federal and Texas laws require language instruction programs for students who have not attained proficiency in using the English language. We have reviewed your son/daughter s oral language and academic performance in order to make the best instructional decision. English Oral Language Proficiency Test ** (OLPT, PK-12) Name: Administered: Results: Proficiency: Spanish Oral Language Proficiency Test *(OLPT) Name: Administered: Results: Proficiency: English Norm-referenced Standardized Achievement Test** (Grades 2-12) Name Reading Score Language Arts Score Spanish Norm-referenced Standardized Achievement Test** (Grades 2-12) Name Reading Score Language Arts Score *required for placement in the Bilingual program **required for placement in the Bilingual and the ESL programs Tests taken for placement or for exit are from the state approved list of tests found on the TEA Bilingual unit website: http://www.tea.state.tx.us/curriculum/biling/listapprovedtests0708.pdf. Other language/academic tests(s) reviewed (optional): Name of Placement Test Results: Reading Name of Placement Test Results: Writing Texas English Language Proficiency Assessment System (TELPAS) Listening Speaking Reading Writing Composite Based on the results reviewed from all of these assessments, the English language proficiency for your son/daughter has been determined to be. Consequently, we recommend that your son/daughter be placed in the following program required in the district (19 TAC Subchapter BB 89.1205): Bilingual English as a Second Language (ESL) The following is a description of the program that your son/daughter will be placed in. It describes how the program differs from the regular program in content, instruction goals, and use of English and native language instruction. Texas Education Agency Bilingual/ESL Unit 155 September 2007

Page 2 of 2 Our district expects all students, including students participating in the Bilingual or English as a second language (ESL) programs, to achieve success in meeting the academic standards set by the state. The district s curriculum is the Texas Essential Knowledge and Skills (TEKS). Teachers in the Bilingual and ESL programs are trained on how to plan instruction for children whose first language is not English. Curriculum and instruction in the bilingual/esl program will be accomplished through developmentally appropriate materials and instructional strategies designed to accelerate your child s development of English comprehension, communication and academic skills. Instruction may include the use of the child s primary language. In the case of a child with a disability, the ARD Committee in conjunction with the LPAC shall determine appropriate instruction by following the student s Individual Educational Plan (IEP). Your son/daughter is expected to graduate. The transition from the bilingual/esl program into the regular program is expected to occur within years. Students can exit the program when they meet the following exit criteria set by the state for Bilingual and ESL program students: 1) TEA-approved tests that measure the extent to which the student has developed oral and written language proficiency and specific language skills in English; 2) Satisfactory performance on the reading assessment instrument under the Texas Education Code, 39.023(a), or an English language arts assessment instrument administered in English, or a score at or above the 40 th percentile on both the English reading and the English language arts sections of a TEA-approved norm-referenced assessment instrument for a student who is enrolled in Grade 1 or 2; and 3) TEA-approved criterion-referenced written tests when available, other TEA-approved tests when written criterion-referenced test is not available, and the results of a subjective teacher evaluation [TEC, 29.056(g)]. Please indicate your approval for your child s participation in the district s Bilingual or ESL program by entering your signature in the appropriate space. YES Signature of parent/guardian Note: Please return this notice to your son/daughter s teacher. If you have any questions, please contact at our office at. Texas Education Agency Bilingual/ESL Unit 156 September 2007

Página 1 de 2 Distrito Escolar Independiente/Escuela Excepcional (Charter) de Notificación Inicial para Padres Identificación y participación en el programa bilingüe / ESL 19 TAC Capítulo 89, Subcapítulo BB 1220(j) (k); PL 107-110 3302 (a) Escuela Fecha Para los padres/representantes legales de Grado Las leyes federales y estatales requieren programas del lenguaje educacionales para los estudiantes que no han dominado el inglés. Hemos revisado los resultados de las pruebas del dominio oral y de aprovechamiento académico de su hijo/a para hacer decisiones sobre la mejor manera de darle instrucción en la escuela. Prueba oral del dominio del idioma en inglés ** (OLPT, PK-12) Nombre: Fecha de administración: Resultados: Nivel de dominio del idioma: Prueba de dominio del idioma en español (OLPT)* Nombre: Fecha de administración: Resultados: Nivel de dominio del idioma: Prueba de medición estandarizada en inglés** (Grados 2-12) Nombre: Resultados de lectura Resultados de artes del lenguaje Prueba de medición estandarizada en español ** (Grados 2-12) Nombre: Resultados de lectura Resultados de artes del lenguaje *requerido para participar en el programa bilingüe **requerido para participar en los programas bilingües o de inglés como segundo idioma Las pruebas que se toman para participar o salida de estos programas están en la lista de pruebas aprobadas por el estado y se encuentran en el sitio de internet de TEA del programa bilingüe: http://www.tea.state.tx.us/curriculum/biling/listapprovedtests0708.pdf Pruebas del lenguaje académicas adicionales que se revisaron (opcional): Nombre de la prueba de ingreso Resultados: Lectura Nombre de la prueba de ingreso Resultados: Escritura Protocolo de observaciones (TELPAS) Habilidad para: Escuchar Hablar Leer Escribir Compuesto Basándonos en los resultados de estas pruebas, el nivel de dominio del idioma inglés que se ha determinado para su hijo/a es. Por consiguiente, recomendamos que su hijo/a participe en el siguiente programa requerido por el distrito (19TAC Subcapítulo BB 89.1205): Bilingüe Inglés como segundo idioma (ESL) A continuación le damos una descripción del programa en el cual su hijo/a será inscrito. La descripción demuestra como el programa se distingue en contenido, metas de aprendizaje, y el uso del inglés e instrucción en el primer idioma. Texas Education Agency Bilingual/ESL Unit 157 September 2007

Página 2 de 2 Nuestro distrito espera que todos los estudiantes, incluyendo a los estudiantes que participen en los programas de educación bilingüe o inglés como segundo idioma, logren obtener con éxito los estándares fijados por el estado. El currículo estatal son los conocimientos y destrezas esenciales de Texas (TEKS), es el mismo que se enseña en nuestro distrito. Se espera que todos los estudiantes cumplan con los estándares del estado con éxito. A los maestros en los programas bilingües e inglés como segundo idioma se les da entrenamiento sobre como desarrollar los planes de instrucción para los niños cuyo primer idioma no es el inglés. El currículo y la instrucción en el programa bilingüe/esl serán llevados a cabo usando materiales apropiados de acuerdo al nivel de desarrollo del estudiante y por medio de metodología apropiada diseñada para acelerar el desarrollo de la comprensión, comunicación, y las destrezas académicas en inglés. Esto puede incluir el uso del primer idioma del niño/a. En el caso de un estudiante con alguna discapacidad, el programa de educación especial en colaboración con el comité que evalúa el dominio de lenguaje (LPAC) determinará instrucción apropriada siguiendo el programa individual de educación (IEP) que se ha elaborado especialmente para el estudiante. Se espera que su hijo/a se gradúe en. Para los estudiantes que no han logrado el nivel Avanzado Superior en el dominio del idioma, la transición del primer idioma al inglés se llevará acabo dentro de años. Los estudiantes pueden salir del programa cuando hayan cumplido con los requisitos siguentes del programa establecido por el estado para los estudiantes en los programas bilingüe e inglés como segundo idioma (ESL). 1) Exámenes aprobados por la Agencia de Educación de Tejas (TEA) que miden el punto que el estudiante ha desarrollado dominio del idioma oral y escrito y habilidades de lenguaje específicas en inglés; 2) Desempeño satisfactorio en el instrumento de la evaluación de la lectura bajo la Sección 39.023(a) del Código de Educación de Tejas, o un instrumento de evaluación de artes de lenguaje administrado en inglés, o una puntuación de percentil 40 o superior en las ambas secciones de lectura en inglés y de artes del lenguaje en inglés de un instrumento de evaluación de medición aprobada por la Agencia de Educación de Tejas (TEA) si el estudiante esta matriculado en el primer o segundo grado; y 3) Exámenes de escritura de medición de criterios aprobados por la Agencia de Educación de Tejas (TEA) cuando sean disponibles, otros exámenes aprobados por la Agencia de Educación de Tejas (TEA) cuando exámenes de escritura de medición de criterios no sean disponibles, y los resultados de la evaluación subjetiva del maestro [TEC, 29.056(g)]. Favor de indicar su autorización para la participación de su hijo/a en el programa bilingüe o el programa de inglés como segundo idioma (ESL) poniendo su firma en el espacio indicado. SI Firma de padre/madre/representante legal Fecha Nota: Por favor regrese esta notificación al maestro/a de su hijo/a. Si tiene preguntas, llame a nuestra oficina y hable con, (teléfono). Texas Education Agency Bilingual/ESL Unit 158 September 2007

For Parents Denying Services Bilingual Education Program Benefits Student Name: Dear Parent or Guardian: There are benefits that will be gained by your son/daughter when he/she participates in a bilingual education program. Because your child hears Spanish at home and/or speaks Spanish with other children, he/she would benefit from bilingual instruction. The bilingual education program provides your child with Spanish instruction by a teacher who also speaks Spanish to make sure that he/she understands what the teacher is saying; therefore the student achieves his/her own potential. English is clearly an important language for success. Your child will receive daily instruction in English, and as he/she becomes more able to understand and speak English, more of the teacher s instruction will be in English. The concepts and skills learned in Spanish will transfer to English. Knowledge that your child acquires through learning to read, and completing assignments in mathematics, science and other subject areas in Spanish transfers to English as he/she learns to understand and speak English. If a student is also enrolled in a special education program, the teachers collaborate so that instruction is provided according to the student s Individual Education Plan (IEP). ARD Committee in conjunction with LPAC will determine appropriate instruction. However, if you do not want your child to participate in the Bilingual Education Program, please contact me or your child s teacher to discuss other options for your child to develop English language proficiency. Sign below only if you have read the information above and do not want your child in a bilingual program. Thank you, School Principal I do not want my son/daughter to participate in the Bilingual program. I would like to discuss other options that will address my son/daughter s language/academic needs. Parent/ Guardian Signature Texas Education Agency Bilingual/ESL Unit 159 September 2007

For Parents Denying Services English as a Second Language (ESL) Education Program Benefits Student Name: Dear Parent or Guardian: There are benefits that will be gained by your son/daughter when he/she participates in an English as a Second Language (ESL) education program. Because your son/daughter hears a language other than English at home and/or speaks a language other than English with peers, he/she would benefit from intensive English instruction. A teacher in the English as a Second Language (ESL) education program is trained on how to teach the English language using special materials, teaching materials, and is sensitive to the individual needs of a student who is learning English. The teacher in an ESL program collaborates with other teachers who may also have your son/daughter in class. This is necessary so that your son/daughter will meet all of the required state standards expected of all students. If a student is also enrolled in a special education program, the teachers collaborate so that instruction is provided according to the student s Individual Education Plan (IEP). ARD Committee in conjunction with LPAC will determine appropriate instruction. However, if you do not want your son/daughter to participate in the English as a Second Language (ESL) education program, please contact me or your son/daughter s teacher to discuss other options for the development of English language proficiency. Sign below only if you have read the information above and do not want your son/daughter in the English as a Second Language (ESL) program. Thank you, School Principal I do not want my son/daughter to participate in the ESL program. I would like to discuss other options that will address my son/daughter s language/academic needs. Parent Signature Relationship to Student Texas Education Agency Bilingual/ESL Unit 160 September 2007

Enrollment : LPAC : Exit : ISD/Charter School Annual End of Year Review Bilingual Education / ESL Program / Parent Denials Academic Year: HLS : Parent Permission : Denial : Student Name: Student ID: DOB: Grade: Campus: ANNUAL REVIEW / EXIT CRITERIA Oral Language Proficiency English Test: English Test Results: ANNUAL REVIEW / EXIT CRITERIA Norm- Referenced Standardized Achievement Test For Grades 1&2 ONLY* Test: : Reading %ile Language Arts: %ile Grades 3-12 TAKS** Spanish Test: : : Indicate Meets/Does Not Meet Standards and Scale Score (SS) Spanish Test Results: Reading: Meets Standards SS: Consider overall student performance and participation in special programs when making exit decisions: GT Migrant Title I Special Ed. At Risk Dyslexia 504 OEYP CATE Does Not Meet Standards ELA: Meets Standards SS: Does Not Meet Standards Alternative Writing: *State Approved **Use alternative writing assessment for TAKS grade level where writing is not tested. LPAC RECOMMENDATIONS English Language Classification: LEP Reclassified Non-LEP Program Placement: Continue in program Exit Program Level of English Language Proficiency based on TELPAS: Reading Beg. Int. Adv. Adv. High Writing Beg. Int. Adv. Adv. High Listening Beg. Int. Adv. Adv. High Speaking Beg. Int. Adv. Adv. High Assessment Information: TPRI TELPAS Reading Tejas Lee TELPAS Composite Score Comments: Complete and attach School History Form (immigrant students only) Attach other data as needed LEVEL OF ACADEMIC ACHIEVEMENT Subject End of Year Grade English / Language Arts Math Science Social Studies Other content areas LPAC SIGNATURES: (all members must be LPAC trained) *LPAC Parent Representative Bilingual Education Teacher *English as a Second Language Teachers Transitional / General Education Teacher of LEP Student Campus Administrator Other * Indicates required ESL Program LPAC Membership Texas Education Agency Bilingual/ESL Unit 161 September 2007

Page 1 of 2 MONITORING OF EXITED / RECLASSIFIED STUDENTS Bilingual Education / ESL Program To Be Used in Conjunction with Annual End of Year Review Form ISD / Charter School Student Name: of Enrollment in U.S. Schools: ----------------------------------------------------------- Original Home Language Survey : Current Grade Level: Total Years in BE/ESL Program: Exit : Year of Monitoring: Year 1 Year 2 Permission : Re-enrollment : Denial : Credits Earned Toward Graduation (9-12): FOUNDATION SUBJECTS Grading Period Grading Period Grading Period Grading Period Grading Period Grading Period Semester Avg. The LPAC has reviewed any disciplinary actions taken against the student under TEC 37. Yes No Monitor for grading period. 1st 2 nd 3rd LPAC Recommendations: Re-enrollment/Re-entry (occurs when LPAC determines that student s lack of success is due to cognitive academic language) Continue in regular all English program with additional Interventions (cognitive, linguistic, affective): LPAC Signatures: (All members must be LPAC trained) *LPAC Parent Representative Bilingual Education Teacher *English as a Second Language Teacher Transitional / General Education Teacher of LEP Student Campus Administrator Other *Indicated required ESL Program LPAC Membership Texas Education Agency Bilingual/ESL Unit 162 September 2007

Page 2 of 2 MONITORING OF EXITED / RECLASSIFIED STUDENTS Bilingual Education / ESL Program To Be Used in Conjunction with Annual End of Year Review Form ISD / Charter School FOUNDATION SUBJECTS Grading Period Grading Period Grading Period Grading Period Grading Period Grading Period Semester Avg. The LPAC has reviewed any disciplinary actions taken against the student under TEC 37. Yes No Grading Period of Monitor: 4th 5th 6th LPAC Recommendations: Re-enrollment/Re-entry (occurs when LPAC determines that student s lack of success is due to cognitive academic language) Continue in regular all English program with additional interventions (cognitive, linguistic, affective): LPAC Signatures: (All members must be LPAC trained) *LPAC Parent Representative Bilingual Education Teacher *English as a Second Language Teacher Transitional / General Education Teacher of LEP Student Campus Administrator Other *Indicated required ESL Program LPAC Membership Texas Education Agency Bilingual/ESL Unit 163 September 2007

Page 1 of 2 Independent School District/Charter School Parental Report on Student Progress Bilingual / ESL Program, 19 TAC Chapter 89, Subchapter BB, 89.1260, and PL 107-110 3302 Campus Name To the Parents/Guardians of State and federal law requires that we inform you of the progress of your son/daughter in the Bilingual or ESL program. We have reviewed the following language and academic data to determine the best future placement for your son/daughter. English Oral Language Proficiency Test **(OLPT, PK-12)** Name: Administered: Results: Proficiency: Spanish Oral Language Proficiency Test (OLPT)* Name: Administered: Results: Proficiency: Norm-referenced Standardized Achievement Test**(Grades 2-12)Name: Results: *required for placement in the Bilingual program **required for placement in the Bilingual and the ESL programs Tests taken for placement and exit are from the state approved list of tests found on the TEA Bilingual unit website. Other language/academic tests(s) reviewed (optional): Name of Test: : Results Reading: Name of Test: : Results Writing: Texas English Language Proficiency Assessment System (TELPAS) Please circle level attained or attach Confidential Student Report: B Beginning I Intermediate A Advanced AH Advanced High Listening B I A AH Speaking B I A AH Writing B I A AH Reading B I A AH (K-12 TELPAS) TAKS (Grades 3-12): Language of Test: English: : Did student meet the state standard? YES (or) NO Spanish: : Results: Reading Writing Mathematics Social Studies Science English Language Arts (ELA) Texas Education Agency Bilingual/ESL Unit 164 September 2007

Page 2 of 2 Additional comments on student s language acquisition/ academic progress(compare to data on previous page): Students can exit the program when they are able to meet the following exit criteria set by the state for bilingual and ESL program students: 1) TEA-approved tests that measure the extent to which the student has developed oral and written language proficiency and specific language skills in English; 2) Satisfactory performance on the reading assessment instrument under the Texas Education Code, 39.023(a), or an English language arts assessment instrument administered in English, or a score at or above the 40 th percentile on both the English reading and the English language arts sections of a TEA-approved norm-referenced assessment instrument for a student who is enrolled in Grade 1 or 2; and 3) TEA-approved criterion-referenced written tests when available, other TEA-approved tests when written criterion-referenced test is not available, and the results of a subjective teacher evaluation [TEC 29.056(g)]. Consequently, it has been recommended that your son/daughter: Continue in the Bilingual Program Continue in the English as a Second Language (ESL) Program Re-enter into the Bilingual Program Re-enter into the ESL Program Exit the Bilingual Program - Exit criteria have been met. Exit the ESL Program Exit criteria have been met. Continue monitoring for 1 additional school year exited student Monitor for 2 additional school years after exiting to ensure success in school Program denied by parent/guardian; continue monitoring academic progress of student Provide intensive instructional support [TEC 29.0561(c)] If you have any questions regarding this placement decision, please contact at our office at. Name Telephone Texas Education Agency Bilingual/ESL Unit 165 September 2007

Página 1 de 2 Distrito Escolar Independiente /Escuela Excepcional (Charter) de Informe para padres sobre el progreso del estudiante Programa Bilingüe / Inglés como segundo idioma, 19 TAC Capítulo 89, Subcapítulo BB, 89.1260, y PL 107-110 3302 Escuela Fecha Para los padres/representantes legales de Las leyes federales y estatales requieren programas educacionales para los estudiantes que no han dominado el uso del inglés. Hemos revisado los resultados de las pruebas del dominio oral y de aprovechamiento académicos de su hijo/a para tomar la mejor decisión sobre la educación futura de su hijo/a. Prueba oral de dominio del idioma en inglés ** (OLPT, PK-12) Nombre: Fecha de administración: Resultados: Nivel de dominio del idioma: Prueba del dominio del idioma en español (OLPT)* Nombre: Fecha de administración: Resultados: Nivel de dominio del idioma: Prueba de medición estandarizada** (Grados 2-12) Nombre: Resultados: *requerido para participar en el programa bilingüe **requerido para colocación en los programas bilingües e inglés como segundo idioma. Las pruebas que se toman para participar o salir de estos programas están en la lista de pruebas aprobadas por el estado y se encuentran en el sitio de internet de TEA del programa bilingüe. Pruebas de lenguaje/académicas adicionales que se revisaron (opcional): Nombre de la prueba: Fecha: Resultados Lectura: Nombre de la prueba: Fecha: Resultados Escritura: Protocolo de observaciones (TELPAS) Encierre con un círculo el nivel obtenido: P - Principiante I Intermedio A Avanzado AS Avanzado Superior Habilidad para: escuchar: P I A AS hablar: P I A AS escribir: P I A AS leer: P I A AS (K-12 TELPAS) TAKS (Grados 3-12) Idioma de la prueba: Inglés: Fecha: Español: Fecha: Logró el estudiante el estándar estatal? SI (o) NO Resultados: Lectura Escritura Matemáticas Estudios Sociales Ciencia Artes del lenguaje en inglés (ELA) Comentarios adicionales sobre el progreso del idioma o del progreso académico del estudiante (compare con la información en la página previa): Texas Education Agency Bilingual/ESL Unit 166 September 2007

Página 2 de 2 Para los estudiantes que no han logrado el nivel Avanzado Superior en el dominio del inglés, la transición del primer idioma al inglés se llevará acabo dentro de años. Los estudiantes pueden salir del programa cuando hayan cumplido con los requisitos siguientes de salida establecidos por el estado para los estudiantes en los programas bilingües y de inglés como segundo idioma (ESL): 1) Exámenes aprobados por la Agencia de Educación de Tejas (TEA) que miden el punto que el estudiante ha desarrollado dominio del idioma oral y escrito y habilidades de lenguaje específicas en inglés; 2) Desempeño satisfactorio en el instrumento de la evaluación de la lectura bajo la Sección 39.023(a) del Código de Educación de Tejas, o un instrumento de evaluación de artes de lenguaje administrado en inglés, o una puntuación de percentil 40 o superior en las ambas secciones de lectura en inglés y de artes del lenguaje en inglés de un instrumento de evaluación de medición aprobada por la Agencia de Educación de Tejas (TEA) si el estudiante esta matriculado en el primer o segundo grado; y 3) Exámenes de escritura de medición de criterios aprobados por la Agencia de Educación de Tejas (TEA) cuando sean disponibles, otros exámenes aprobados por la Agencia de Educación de Tejas (TEA) cuando exámenes de escritura de medición de criterios no sean disponibles, y los resultados de la evaluación subjetiva del maestro [TEC 29.056(g)]. Por esta razón, se recomienda que su hijo/a: Continúe en el programa bilingüe Continúe en el programa de inglés como segundo idioma Vuelva a participar en el programa bilingüe Vuelva a participar en el programa de inglés como segundo idioma No participe en el programa bilingüe - El criterio de salida del programa se ha cumplido. No participe en el programa de inglés como segundo idioma El criterio de salida del programa se ha cumplido. Supervise al estudiante por 2 años adicionales - después de salir del programa para que tenga éxito en la escuela Supervise al estudiante por 1 año adicional el estudiante ya no participa en el programa Programa de instrucción rechazado por el padre/madre/representante legal; se continúe supervisando el progreso académico del estudiante Provea apoyo intensivo en instrucción [TEC 29.0561(c)] Si tiene algunas preguntas sobre esta decisión, llame a a nuestra oficina al. Nombre Teléfono Texas Education Agency Bilingual/ESL Unit 167 September 2007

ISD BILINGUAL/ESL PROGRAM Special Program/Content Area Collaboration Form* Student Campus Grade Bilingual/ESL Teacher: Collaborating Teacher(s):,, Objectives Period From: to LANGUAGE OBJECTIVES COGNITIVE AREA OBJECTIVES AFFECTIVE/BEHAVIOR AREA OBJECTIVES SUMMARY OF CONFERENCE(S): Teacher/Teacher Conference : Signatures of Conferencing Teachers,, Next Conference Scheduled for Time *It is recommended that this form be used along with the Bilingual/ESL Student Plan. Texas Education Agency Bilingual/ESL Unit 168 September 2007

Parent Survey Bilingual/ESL Program K-1 Summer Program (s of Program) (Campus) Is your child entering Kindergarten or First Grade in the fall? Your child may be eligible to attend the Bilingual/ESL K-1 Summer Program. Please complete the following information so that we can send you information about the summer program: Name of Child Birthdate Parent / Guardian Address Telephone Home School Please return this form to the principal at your home school or call the Bilingual / ESL Department at. (District Sample) Texas Education Agency Bilingual/ESL Unit 169 September 2007

Encuesta para Padres de Familia Programa Bilingüe/Inglés Como Segundo Idioma (ESL) K-1 Programa de Verano K-1 (Fechas del Programa) (Escuela) Tiene usted un hijo(a) que va a entrar a kindergarten o primer grado? El/ella puede participar en el programa bilingüe / ESL de verano. Por favor complete los siguientes datos para enviarle información sobre el programa bilingüe / ESL de verano: Nombre de su hijo/a Fecha de nacimiento Padre/madre/representante legal Dirección Teléfono Escuela Por favor devuelva este formulario al director de la escuela de su hijo(a) o llame al departamento bilingüe/esl al. (Muestra para el distrito) Texas Education Agency Bilingual/ESL Unit 170 September 2007

ISD/Charter School Bilingual / ESL Program Summer School (Sample Form) (s of Program) Dear Parent/Guardian: The district s (campus) will be offering a summer program for children of limited English proficiency who will be enrolled in Kindergarten or First Grade in the fall. This program will help your child to continue in his/her development of social skills, literacy, and his/her use of language needed for success in school. The program will take place from (dates) to. Classes will be from (time) to. Children attending the summer program will be offered (mention services such as food, transportation, etc.) Please fill out the following information needed to place your child on the list of children planning to attend: Name of child Birthdate Parent/Guardian s name Address Telephone Please send this information to. If you child was not enrolled in the district during the regular school year, 2007-2008, please bring the following documents on the first day of the summer program: (list documents needed for enrollment.) If you have any questions, please call at. ISD/Escuela Excepcional (Charter) ESCUELA DE VERANO DEL PROGRAMA BILINGUE / INGLES COMO SEGUNDO IDIOMA (ESL) (Fechas del Programa) Estimado Padre/Madre/Representante Legal: El distrito (escuela) estará ofreciendo un programa de verano para niños que no han dominado el idioma inglés y que van a entrar a Kindergarten o Primer Grado en el otoño. Este programa le ayudará a su hijo/a a que continúe su desarrollo en destrezas sociales, el alfabeto, y su uso de lenguaje para tener éxito en la escuela. El programa tendrá lugar desde (fechas) a. Las clases serán de (horas) a. Los niños que vengan al programa de verano recibirán (mencione servicios). Por favor complete la siguiente información que se necesita para poner a su hijo/a en la lista de estudiantes que piensan asistir: Nombre del Niño/a Fecha de nacimiento Nombre de Padre/Madre/Representante legal Dirección o Domicilio Teléfono Por favor mande esta información a. Si su niño/a no fue matriculado en el distrito durante el año escolar 2007-08, traiga los siguientes documentos el primer día del programa de verano: (lista de documentos) Si tiene alguna pregunta, por favor llame a, (teléfono). Texas Education Agency Bilingual/ESL Unit 171 September 2007

Independent School District/Charter School Bilingual/ESL Summer School Program Summer School Program s: Our school will be offering a summer school program for children of limited English proficiency who will be enrolled in kindergarten or first grade in the fall. This program will help your child to continue his/her development of English language proficiency, academic and higher order thinking skills needed for success in school. The summer school program will be held from to. Classes will be from to. Children attending the summer school program will be offered (Time) (Time). Please complete the following information needed to place your child s (list services, transportation, food, etc.) name on the list of children planning to attend our summer school program. Name of Child: Birth : Parent / Guardian Name: Address: Telephone: Please send this information to. If your child was not enrolled in the district during the regular school year, (20-20 ), bring the following documents on the first day of summer school (list documents needed for enrollment). If you have any questions please call at. Texas Education Agency Bilingual/ESL Unit 172 September 2007

Distrito Escolar Independiente/Escuela Excepcional (Charter) de Programa Bilingüe/ESL de verano Fecha del programa: Estimado Padre/Madre/Representante Legal: La escuela estará ofreciendo un programa de verano para estudiantes que no han dominado el idioma inglés y que van a entrar a kindergarten o primer grado el próximo año escolar, 20-20. Este programa ayudará a su hijo/a a continuar con su desarrollo de las destrezas sociales, el alfabeto, y uso del lenguaje para tener éxito en la escuela. El programa tendrá lugar del a. Las clases serán de a. fecha fecha hora hora A los niños que asistan al programa de verano se les ofrecerá: Por favor complete la siguiente información para poner el nombre de su hijo/a en la lista de estudiantes que piensan asistir al programa de verano: Nombre del estudiante Fecha de nacimiento Nombre del Padre/Madre/Representante Legal Dirección Teléfono Por favor mande esta información a. Si su hijo/a no estuvo matriculado en el distrito durante el año escolar 20-20, traiga los siguientes documentos el primer día del programa de verano: Si tiene preguntas, favor de comunicarse con al teléfono. Texas Education Agency Bilingual/ESL Unit 173 September 2007

Page 1 of 2 ACCELERATION OF ENGLISH LANGUAGE PROFICIENCY LEP STUDENT PLAN STUDENT CAMPUS TEACHER (S) DATE PART I. Individual Needs of Student I. Student s Present Level of Performance: List Assessment Results/Data. II. Plan to Address Program Components: (Use additional sheets as needed.) Affective: History, cultural heritage, self-assurance, positive self esteem Targeted Skill/ Measurable Objective Time Strategy Progress Check Linguistic: Receptive and expressive language Targeted Skill/ Measurable Objective Time Strategy Progress Check Cognitive: Content area skills and concepts Targeted Skill/ Measurable Objective Time Strategy Progress Check III. Interval of time for monitoring progress towards the objectives: Texas Education Agency Bilingual/ESL Unit 174 September 2007

Page 2 of 2 PART II. TEACHER REPORT ON STUDENT PROGRESS I. Interval period from to Teacher OBJECTIVE NOTED PROGRESS RECOMMENDATIONS II. Interval period from to Teacher OBJECTIVE NOTED PROGRESS RECOMMENDATIONS III. Interval period from to Teacher OBJECTIVE NOTED PROGRESS RECOMMENDATIONS Texas Education Agency Bilingual/ESL Unit August 2004 Texas Education Agency Bilingual/ESL Unit 175 September 2007

LIMITED ENGLISH PROFICIENT STUDENT DOCUMENTATION CHECKLIST Student s Name D.O.B. (PLEASE PRINT) TO BE PLACED IN THE CUMULATIVE FOLDER WITHIN FOUR (4) WEEKS FOLLOWING THE STUDENT S FIRST DAY OF SCHOOL. FORM DATE ON FORM MONITOR S SIGNATURE 1. Home Language Survey 2. Oral Proficiency Assessments A. English B. Spanish 3. Notification of Placement (Check one) A. Parent Acceptance B. Parent Denial 4. LPAC Initial Recommendation ADDITIONAL DOCUMENTATION TO BE PLACED IN THE SPRING*: 5. OLPT - English 6. Achievement Test(s) 7. TAKS Results 8. TELPAS Reading 9. TELPAS Listening, Speaking, Writing 10. Annual Progress Review ONLY IF A STUDENT MEETS EXIT CRITERIA: 11. Exit Consideration 12. Annual Review 13. Parent Report 14. Program Exit 15. One-Year Follow-Up Data 16. Two-Year Follow-Up Data Optional: Most recent LEP Student Plan Texas Education Agency Bilingual/ESL Unit 176 September 2007

Student Folder Checklist A Guide for LEP Student Information Each student s LEP folder containing all assessment data, all LPAC information, and original signed forms should be placed inside their cumulative folder. Their cumulative folders should contain the same information as any other student. Please keep in mind that these are the minimum items that must be present in order to be in compliance with state mandated bilingual and/or ESL education in Texas. Title III requirements impacting the LPAC process have been integrated in the forms contained in the manual. See Texas Administrative Code Chapter 89. Adaptations for Special Populations Subchapter BB. Commissioner's Rules Concerning State Plan for Educating Limited English Proficient Students One Home Language Survey (the one dated farthest back) in each student s cumulative folder. This particular item applies to all students, not only LEP. Initial testing data o Agency-approved OLPT - Oral test scores ( in English and native language for bilingual programs) o Norm Referenced Test scores (grades 2-12), if applicable o TELPAS Rating Initial LPAC documentation with dates and signatures which classifies the student as either LEP or Non- LEP Signed parent permission or denial of placement for students who qualify for services Any other subsequent LPAC documentation concerning the instructional design or setting of the student Assessment LPAC documentation dated early spring noting the assessment decision (English, Spanish, or Exemption for qualifying immigrant students, SDAA as determined by an ARD) TELPAS scores, if applicable (listening, speaking, reading, writing, composite) End of the year OLPT scores Annual LPAC Review documentation, showing the following year placement and data used to determine the placement LAT accommodations: Math Reading Science For student s exiting the program, evidence of reading, writing, and oral fluency in English based on exit criteria from 19 TAC Ch. 89 Signed parent notification of program exit Monitoring information for the two years following the exit of students from the program For ease of review, each year s data can be stapled together. Keep all relevant data and signed forms. Items in the box above must occur within the first 4 weeks (20 school days) of the student s enrollment in the district and contain signatures and dates where applicable. Texas Education Agency Bilingual/ESL Unit 177 September 2007

Compliance Statement Title VI, Civil Rights Act of 1964; The Modified Court Order, Civil Action 5281, Federal District Court, Eastern District of Texas, Tyler Division Reviews of local education agencies pertaining to compliance with Title VI Civil Rights Act of 1964 and with specific requirements of the Modified Court Order, Civil Action No. 5281, Federal District Court, Eastern District of Texas, Tyler Division are conducted periodically by staff representatives of the Texas Education Agency. These reviews cover at least the following policies and practices: (1) acceptance policies on student transfers from other school districts; (2) operation of school bus routes or runs on a non-segregated basis; (3) nondiscrimination in extracurricular activities and the use of school facilities; (4) nondiscriminatory practices in the hiring, assigning, promoting, paying, demoting, reassigning, or dismissing of faculty and staff members who work with children; (5) enrollment and assignment of students without discrimination on the basis of race, color, or national origin; (6) nondiscriminatory practices relating to the use of a student s first language; and (7) evidence of published procedures for hearing complaints and grievances. In addition to conducting reviews, the Texas Education Agency staff representatives check complaints of discrimination made by a citizen or citizens residing in a school district where it is alleged discriminatory practices have occurred or are occurring. Where a violation of Title VI of the Civil Rights Act is found, the findings are reported to the Office for Civil Rights, U.S. Department of Education. If there is a direct violation of the Court Order in Civil Action No. 5281 that cannot be cleared through negotiation, the sanctions required by the Court Order are applied. Title VII, Civil Rights Act of 1964 as amended by the Equal Employment Opportunity Act of 1972; Executive Orders 11246 and 113275; Equal Pay Act of 1964; Title IX, Education Amendments; Rehabilitation Act of 1973 as amended; 1974 Amendments to the Wage-hour Law Expanding the Age Discrimination in Employment Act of 1967; Vietnam Era Veterans Readjustment Assistance Act of 1972 as amended; Immigration Reform and Control Act of 1991. The Texas Education shall comply fully with the nondiscrimination provisions of all federal and state laws, rules, and regulations by assuring that no person shall be excluded from consideration for recruitment, selection, appointment, training, promotion, retention, or any other personnel action, or be denied any benefits or participation in any educational programs or activities which it operates on the grounds of race, religion, color, national origin, sex, disability, age, or veteran status (except where age, sex, or disability constitutes a bona fide occupational qualification necessary to proper and efficient administration). The Texas Education Agency is an Equal Employment Opportunity/Affirmative Action employer. Texas Education Agency Bilingual/ESL Unit 178 September 2007

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ DISTRIKTI I SHKOLLËS SË PAVARUR/SHKOLLËS SË PRIVILEGJUAR ANKETË E GJUHËS SË FOLUR NË SHTËPI-19TAC Kapitulli 89, Nënkapitulli BB 89.1215 PËR T'U PLOTËSUAR NGA PRINDI OSE KUJDESTARI (OSE NXËNËSI NËSE ËSHTË NË KLASAT 9-12): Shteti i Texas-it kërkon që informacioni i mëposhtëm të plotësohet për çdo nxënës që rregjistrohet për herë të parë në shkollat publike të Texas-it. Kjo anketë do të mbahet në dosjen e dokumentave të përhershme të çdo nxënësi. EMRI I NUMRI IDENTIFIKUES NXËNËSIT I NXËNËSIT ADRESA NUMRI I TELEFONIT KOMPLEKSI 1. Cila gjuhë flitet në shtëpinë tuaj shumicën e kohës? 2. Cilën gjuhë flet fëmija juaj (flisni ju) shumicën e kohës? Nënshkrimi i Prindit/Kujdestarit Data Nënshkrimi i Nxënësit nëse në Klasat 9-12 Data Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Albanian

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------- A / A -19TAC E 89, U E BB 89.1215 ( 9-12 ) E E E. A 1. A? 2. A (E )? / 9-12 Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Amharic

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 -------------------------------------------------------------------------------------------------------------------------------- التعليم المستقلة/المدارس الخاصة إدارة حول اللغة الا م - استفتاء BB 89.1215 الفصل الفرعي 89 الفصل 19TAC القانون يجججججببببب أننننن يقققققوووووممممم الللللوووووااااالللللددددديييييننننن أووووو الللللوووووصصصصصييييي (أأأأأو الللللطططططااااالللللببببب إذذذذذااااا كاااااننننن فييييي الللللفففففصصصصصللللل 9 إلللللىىىىى 12 هههههذذذذذههههه) بملا لا لا لا لا الالالالالاسسسسستتتتتمممممااااارررررةةةةة::::: تطلب ولاية تكساس تقديم المعلومات التالية بالنسبة لكل طالب يسجل للمرة الا ولى بالمدارس العمومية بولاية تكساس. سيحتفظ بهذا الاستفتاء في ملف سجل الطالب. الطالب اسم العنوان هوية الطالب رقم الهاتف رقم الجام المركب ما هي اللغة المستعملة في بيتك في أغلب الا وقات ما هي اللغة التي تتحدثها أو يتحدثها طفلك في أغلب الا حيان.1.2 التاريخ التاريخ توقيع الولي/ الوصي توقيع الطالب إذا كان في الفصل 9 إلى 12 Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Arabic

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ NEZAVISNI ŠKOLSKI OKRUG/ ŠKOLA S POVLASTICOM ANKETA O JEZIKU KOJIM SE GOVORI KOD KUĆE - 19TAC član 89, poglavlje BB 89.1215 OVO ISPUNJAVA RODITELJ ILI STARATELJ (ILI UČENIK, UKOLIKO SE UPISUJE U RAZREDE OD 9-12): Država Texas zahtijeva da se slijedeće informacije upišu za svakog učenika koji se po prvi put upisuje u javne(državne) škole Texasa. Ova anketa se trajno čuva u učenikovom školskom dosijeu. IDENTIFIKACIJSKI IME UČENIKA BROJ UČENIKA ADRESA BROJ TELEFONA ŠKOLA/ŠKOLSKI CENTAR 1. Kojim se jezikom najviše govori kod kuće? 2. Koji jezik Vaše dijete (Vi) najviše govorite? Potpis roditelja/staratelja Datum Potpis učenika (ako je u razredima 9-12) Datum Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Bosnian

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ mn_lesvagb;rm / salafmµnubaøékracü kars_g;matupasa-19tac CMBUk 89, CMBUkrg BB 89.1215 RtUvseRmceday«Bukm_ay b GaNaBüa)al (b sissebieronfñak;ti 9-12): rdæ Texas)anman smeninuvb_t manducxagerkamenh ehiyrtuvetsermccmebahsisserog_xøün EdlcuHeQµaHCaelIk dmbug enabn_asalardæénrdæ Texas. lixits_g;enhrtuv)antmkl;tukkúñgbba IÉksarCaRbcaMrbs; sissmñak;_. eqµahrbs;siss Gt_sBaØaNb_N_rbs;nisSit # Gasydæan TUrs_B_ # TIkúñgbrievNénmhaviTüal_y 1. PasaNaEdlRtUv)anniyayenAp_Hrbs;GñkPaKeRcInenAevlaNa? 2. PasaNaEdlkUnrbs;Gñk (b Gñkp_al;_RtUv)anniyayPaKeRcInenAevlaNa)? htßelxarbs;«bukm_ay_ganabüa)al htßelxarbs;sissebieronfñak;ti 9-12 éf TI éf TI Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Cambodian

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ 19TAC 89 BB 89.1215 9-12 1. 2. ( ) (9-12 ) Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Chinese

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------- منطقه مستقل مدرسه/مدرسه چارتر 89.1215 BB زير فصل 89 فصل 19TACبررسی زبان در خانه بايد توسط پدر يا مادر يا قيم تکميل شود (يا دانش ا موز اگر در کلاس های 12-9 باشد): ايالت تکزاس می خواهد که اطلاعات زير برای هر دانش ا موز که برای اولين بار در مدارس عمومی تکزاس ثبت نام می کند تکميل شود. اين بررسی در پوشه داي می سوابق هر دانش ا موز نگهداری خواهد شد. نام دانش ا موز کدشناسايیدانشا مو ا درس شماره تلفن محل مدرسه.1 در خانه شما بيشتر اوقات به چه زبان تکلم می شود 2. کودک (خودتان) شما بيشتر زمان ها به چه زبانی صحبت می کنيد امضای پدر يا مادر / قيم تاريخ امضای دانش ا موز اگر در کلاس های - 9 12 است تاريخ Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Farsi

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ ÉCOLE INDÉPENDANTE/ÉCOLE À CHARTE ENQUÊTE SUR LES LANGUES PARLÉES À LA MAISON - 19TAC Chapitre 89, Sous-chapitre BB Paragraphe 89.1215 À FAIRE REMPLIR PAR LES PARENTS OU LE TUTEUR (OU L ÉLÈVE, DE LA 9 ème À LA 12 ème ) : L État du Texas exige que les informations suivantes soient fournies pour chaque élève qui s inscrit pour la première fois au système des écoles publiques du Texas. Cette enquête restera dans le dossier permanent de chaque élève. NOM DE L ÉLÈVE NUMÉRO D IDENTIFICATION DE L ÉLÈVE ADRESSE TÉLÉPHONE ÉCOLE 1. Quelle langue est parlée le plus souvent à la maison? 2. Quelle langue votre enfant parle-t-il le plus souvent (parlez-vous le plus souvent)? Signature d un parent/tuteur Signature de l élève (de la 9 ème à la 12 ème ) Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 French

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ ¹ìÍÕõLÍLË VÀ>á ìíãvëÿ@ë/çëëóß VÀ>á èùü á"_bäõé çßäõ (ÜðAÝ Ûëæë ÜùÉHëí) - 19 TAC Ç"MËß 89, çúç"mëß BB 89.1215 ÜëÖëìÕÖë ± äë äëáí (± äë ìäzë a, ½õ ÃþõÍ 9-12 èùý Öù) ëßë ç_õñhëý äë ÜëËõÑ VËõË ±ë"î Ë"@ççÞí ÉwìßÝëÖ Èõ Àõ, Ë"@çç ÕãOáÀ VÀ>áùÜë_ Õèõáí äëß Õþäõå ÜõâäÖë ÕþIÝõÀ ìäzë a ÜëËõ ÞíÇõ ±ëõõáí ÜëìèÖíÞõ ç_õñhëý ÀßäëÜë_ ±ëäõ. ±ë ÜùÉHëíÞõ ÕþIÝõÀ ìäzë aþë ÀëÝÜÞë ß"ÀùÍóÞë ÎùSÍßÜë_ ßëÂäëÜë_ ±ëäåõ. ìäzë aþð_ ÞëÜ VË>ÍLË ID# çßþëü ËõìáÎùÞ # À"QÕç 1. ÖÜëßë CëßÜë_ ÜùËë ÛëÃõ À Ûëæë ÚùáäëÜë_ ±ëäõ Èõ? 2. ÖÜëßð_ ÚëâÀ (ÖÜõ ÕHë) ÜùËë ÛëÃõ À Ûëæë Úùáù Èù? ÜëÖëìÕÖë/äëáíÞí çèí Öëßí ½õ ÃþõÍ 9-12 èùý Öù, ìäzë aþí çèí Öëßí Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Gujurati

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ DISTRIK ESKOLÈ ENDEPANDAN / LEKÒL LETA FINANSE KESYONÈ SOU LANG YO PALE LAKAY ELÈV - 19TAC Chapit 89, Souchapit BB 89.1215 FÒMILÈ POU PAPA, MANMAN, OSWA MOUN KI RESPONSAB ELÈV LA REPONN (OSWA ELÈV LA LI MENM, SI LI ANT KLAS 9yèm ak 12yèm): Eta Texas egzije pou yo bay enfòmasyon yo mande pi ba la yo pou chak elèv k ap enskri premye fwa nan lekòl piblik nan Texas. Yo pral klase kesyonè sa a nan dosye pèmanan chak elèv. NON ELÈV LA NIMEWO IDANTITE ELÈV LA ADRÈS TELEFÒN KANPIS 1. Ki lang yo pale pi souvan lakay ou? 2. Ki lang pitit ou (ak ou menm) pale pi souvan? Siyati Papa, Manman, oswa Moun Responsab la Dat Siyati Elèv la, si li ant klas 9yèm ak 12yèm Dat Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Haitian Creole

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ SßÌ æ S ê Ü ççuçsåþu ÅU/ æåüuúu S ê Ü»ëãU Öæáæ âßðüÿæ æ 19TAC ñœåuúu 89, âõ ñœåuúu BB 89.1215 æìæ/çâìæ Íßæ çööæß ( Íßæ çßlæíèü, ØçλýðÇU 9-12 ð ãuæð) mæúuæ ÖÚUæ ÁæÙæ ãñuñ ÅñU âæâ ÚUæ Ø ØãU Âðÿææ ÚUÌæ ãñu ç ÅñU âæâ ÂçŽÜ S ê Üæð ð ÂãUÜè ÕæÚU ÖÌèü ãuæðùð ßæÜð ÂýˆØð çßlæíèü ð çü çù A ÁæÙ æúuè ÖÚUè Áæ Ð â âßðüÿæ æ æð ÂýˆØð çßlæíèü ð SÍæØè çúu æòçüu È æðëçuúu ð ÚU¹æ Áæ»æÐ çßlæíèü æ Ùæ çßlæíèü æ ü.çuè. Ù ÕÚ # ÂÌæ ÅðUÜèÈ æðù Ù ÕÚ # ñ Ââ 1. æâ ð ƒæúu ð çï æ àæ â Ø æñù âè Öæáæ ÕæðÜè ÁæÌè ãñu? 2. æâ æ Õ ææ ( æâ) çï æ àæ â Ø æñù âè Öæáæ ÕæðÜÌð ãñ U? æìæ Øæ çâìæ/ çööæß ð ãusìæÿæúu çîùæ çßlæíèü æ ãusìæÿæúu, ØçλýðÇU 9-12 ð ãuæð çîùæ Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Hindi

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ CHEEB TSAM TSEV KAWM NTAWV/TSEV KAWM NTAWV UAS TAU NYIAJ PAB LOS NTAWM TSOOM FWV (CHARTER) DAIM NTAWV NUG TXOG HOM LUS HAIS TOM TSEV-19TAC Chapter 89, Subchapter BB 89.1215 NIAM TXIV LOS SIS TUS NEEG SAIB XYUAS SAU SEEM HAUV QAB NO (LOS SIS TUS MENYUAM KAWM NTAWV YOG TIAS NYOB QIB KAWM 9-12): Xeev Texas hais tias kom yuav tsum muaj cov lus qhia nram qab no rau txhua tus menyuam kawm ntawv uas tuaj kawm thawj zaug hauv Texas cov tsev kawm ntawv. Daim ntawv nug no yuav muab khaws cia rau hauv txhua tus menyuam kawm ntawv cov ntaub ntawv. MENYUAM KAWM NTAWV LUB NPE MENYUAM KAWM NTAWV TUS ID# CHAW NYOB XOV TOOJ # CHAW KAWM (CAMPUS) 1. Feem ntau hais hom lus twg hauv koj lub tsev heev tshaj? 2. Feem ntau koj tus menyuam (koj) hais hom lus twg heev tshaj? Niam txiv/tus saib xyuas kos npe Hnub tim Menyuam kawm ntawv qib 9-12 kos npe Hnub tim Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Hmong

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ ( ): Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Japanese

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ INDEPENDENT 19TAC 89 BB 89.1215 9-12 Texas Texas (ID)# # 1. 2. 9-12 Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Korean

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ »»¼ Àº ì¾ Â»»¼ º À õº /ª¾ ö ¹ ¾ ¾ ¹ì ¾ à û²¾ ¾Ã ɾ - 19TAC ö ê 89 ¹ö Ó Èº BB 89.1215 ªˆ Ó ø Ã¹É ö ø  ²ÒÁ È ò»¼ ¹ìõ øé ö º (¹ìõ ò»¼ «É¾µø 9-12): ìñ Àêñ ñ (Texas)ªÉº ¾ ùɪˆ Ó ø Ã¹É ö ø ìñ ñ»¼ ÁªÈì½ ö ê ö ê½ ¼ à »»¼ ¾ê¾ì½ ½À ñ Àêôê ºò. ¾ ¹ì š ½«õ»ñ ¾Ä Éà ñ êô «¾ º º ñ»¼ ÁªÈì½ ö. ˆ º ñ»¼ Àì ñ ½ ªö º ñ»¼ ê µøè À óâêë ñ òê½ ¾À 1. ²¾ ¾¹ ñ ê À í¾¹ì¾ ê à ɾ º êè¾? 2. ²¾ ¾¹ ñ ê ìø º êè¾ (êè¾ )À í¾¹ì¾ ê? ì¾ À ñ º ²ÒÁ È/ øé ö º ñ À õº ó ì¾ À ñ º ñ ô ¾«É¾µø 9 12 ñ À õº ó Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Laotian

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ DISTRITO ESCOLAR INDEPENDENTE/ESCOLA CREDENCIADA (CHARTER SCHOOL) PESQUISA DE LÍNGUA MATERNA - Capítulo 89, subcapítulo BB 89.1215 19TAC PARA SER RESPONDIDO POR UM DOS PAIS OU RESPONSÁVEL (OU PELO ESTUDANTE, SE ELE FOR DA 9ª À 12ª SÉRIE): O Estado do Texas exige que as informações a seguir sejam preenchidas no caso de qualquer estudante que se matricule pela primeira vez em uma escola pública do Texas. Esta pesquisa ficará arquivada juntamente com a ficha escolar permanente do estudante. NOME DO ESTUDANTE Nº de IDENT. DO ESTUDANTE ENDEREÇO TELEFONE LOCAL DA ESCOLA 1. Qual é a língua falada mais freqüentemente em sua casa? 2. Qual é a língua que seu filho (ou você) fala mais freqüentemente? Assinatura do pai, mãe ou responsável Data Assinatura do estudante, se for da 9ª à 12ª série Data Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Portuguese

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ πâøâapple ±Ò ««z / apple apple ±Ò ÿapple «Úº ÏØÒ ªÁ Ì Ù øïøë appleú - 19TAC ÀÍ apple 89, Ï ÀÍ apple BB 89.1215 «appleó Ó Â -«Í ª appleíappleº  ( ª «Ú«Á appleê à 9-12 «Ú À) ÚÒØ Ì«apple Á À : À πøá À «À ÍÏ«Ò ±Òª «Úº Í«Ò Ú apple Á ıò Ø Ú Ò apple «Ú«Á appleê Á øïøë «Ú «Ò» È «ÁºÂ Á ÀÕ È apple «Ú«Á appleê Á Ê «apple apple ØÒ apple «Ú apple Õ «Ú«Á appleê Á Ȫ «Ú«Á appleê Á ID ÈßÏapple Í ÀÒ ØÈ ÈßÏapple À Í 1.  ÿapple «Ú Ï πâ Óª «Û Ì Ù ÏØÒ ªÁ À? 2.  Ϻ (   ƒ) Ï πâ Óª «Û Ì Ù ÏØÒÁ Ø? Ó Â -«Í / appleíappleº  Á Á Âı  apple ı «Ú«Á appleê Á Á ÂıÂ, à 9-12 «Úº À  apple ı Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Punjabi

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ çöáäçàëàåõâ òäéãúçõâ éäêìé/óäêíöêçäü òäéãä ÄçäÖíÄ éå éëçéççéå üáõäö éåôöçàü ÑéåÄ - ê Á ÂÎ 89, ÔÓ apple Á ÂÎ BB 89.1215, 19 Ä ÏËÌËÒÚapple ÚË Ì È ÍÓ ÂÍÒ Ú Ú íâı Ò (19TAC) ùíì îéêåì ÑéãÜÖç áäèéãçàíú êéñàíöãú àãà éèöäìç (ìóäôàöëü 9-12 äãäëëéç åééìí áäèéãçàíú ëäåà): ÒÓÓÚ ÂÚÒÚ ËË Ò ÚappleÂ Ó ÌËflÏË Ú Ú íâı Ò ÒÎÂ Û fl ËÌÙÓappleÏ ˆËfl ÓÎÊÌ Ú Ôapple ÒÚ ÎÂÌ Ì Í Ê Ó Ó Û Â ÓÒfl, ÍÓÚÓapple È Ì ËÌ ÂÚ Ó Û ÂÌË ÓÒÛ appleòú ÂÌÌ ı ÍÓÎ ı Ú Ú. ÄÌÍÂÚ ÓÎÊÌ ıapple ÌËÚ Òfl ÂÎÂ Í Ê Ó Ó Û Â ÓÒfl. àåü à îäåàãàü ìóäôöééëü ìñéëíéçöêöçàü ÄÑêÖë íöãöîéçä ääåèìë 1. ç Í ÍÓÏ flá Í ÓÎ Â ÒÂ Ó Ó ÓappleflÚ Ç ÂÏ ÓÏÂ? 2. ç Í ÍÓÏ flá ÍÂ Ç appleâ ÂÌÓÍ (Ç ) Ó ÓappleËÚ (Â) ÓÎ Â Ò Ó? èó ÔËÒ appleó ËÚÂÎfl/ÓÔÂÍÛÌ Ñ Ú èó ÔËÒ Û Â ÓÒfl, ÂÒÎË Û ËÚÒfl 9-12 ÍÎ. Ñ Ú Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Russian

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ DUGSI MADAXBANNAAN EE DEGMO / DUGSI QAANUUN LAGU DEJIYAY RA YI-BAARIS LUQADDA GURIGA 19TAC Qaybta 89, Qaybta hoose BB 89.1215 AY TAHAY INUU BUUXIYO WAALID AMA WALI (AMA ARDAY HADDUU YAHAY FASAL 9-12): Dawladda Texas waxay dooneysaa in warbixintan soo socoto loo buuxiyo arday kasta marka ugu horreyso oo uu galo dugsiyada dawladda ee Texas. Ra yi baaristaan waxaa lagu hayn doonaa galka qoorallada joogtada ah ee ardayga. MAGACA ARDAYGA AQOONSIGA ARDAYGA CINWAANKA TALEEFONKA MAGACA DUGSIGA/KULLIYADDA 1. Luqaddee looga hadlaa gurigaaga waqtiga badankiisa? 2. Luqaddee cunuggagu ku hadlaa (adigu ku hadashaa) waqtiga badankiisa? Saxiixa Waalidka/Waliga Taarikhda Saxiixa Ardeyga hadduu yahay fasalka 9-12 Taarikhda Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Somali

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ NA INDEPENDIYENTENG DISTRITO NG PAARALAN/KINONTRATANG PAARALAN PAGTATANONG TUNGKOL SA WIKA SA BAHAY-19TAC Kabanata 89, Napapailalim na Kabanata BB 89.1215 UPANG KUMPLETUHIN NG MAGULANG O TAGAPANGALAGA (O ESTUDYANTE KUNG NASA GRADO 9-12): Ang estado ng Texas ay nag-aatas na ang sumusunod na impormasyon ay kumpletuhin para sa bawat estudyanteng nagpatala sa unang pagkakataon sa mga pampublikong paaralan ng Texas. Ang pagtatanong na ito ay dapat panatilihin sa permanenteng folder ng rekord ng bawat estudyante. PANGALAN NG ESTUDYANTE NUMERO NG ID NG ESTUDYANTE TIRAHAN NUMERO NG TELEPONO KAMPUS 1. Anong wika ang pinakamadalas na ginagamit sa inyong bahay? 2. Anong wika ang pinakamadalas na ginagamit ng iyong anak (ginagamit mo)? Pirma ng Magulang/Tagapangalaga Petsa Pirma ng Estudyante kung Nasa Grado 9-12 Petsa Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Tagalog

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ / -19TAC 89 89, BB 89.1215 ( 9-12): ID # # 1.? 2.? / 9-12 Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Thai

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------- = Ç=ü Å ƒ eÿ<m Ç=eƒ] ƒ/ `}` eÿ<m à Š19TAC E 89 E BB 89.1215 ( 9-12 E Å ) E E O I E U Å ' E Å E Å Å Å 1. Å U E E? 2. Å U E E? / E 9-12 E E Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Tigrigna

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------------ çöáäãöüçàâ òäßãúçàâ éäêìé / óäêíöêçä òäéãä ßçîéêåÄñßü èêé êßñçì åéçì ìóçü - 19íÄë (Ä Ï Ì ÒÚapple ÚË ÌËÈ ÍÓ ÂÍÒ Ú ÚÛ íâı Ò, appleóá Î 19), Î 89, Ô appleóá Î ÇÇ 89.1215 îéêåä áäèéççû íúëü ÅÄíúäéå (åäíßê'û) óà éèßäìçéå (ÄÅé ìóçüåà 9-12 äãäëßç): üí ÔÂapple ÂÌÓ Á ÍÓÌÓ ÒÚ ÓÏ Ú ÚÛ íâı Ò, Ì ÍÓÊÌÓ Ó Û Ìfl, flíëè ÛÔÂapple  Á apple ıó ÛπÚ Òfl Ó ÂappleÊ ÌÓª ÍÓÎË Ú ÚÛ íâı Ò, Ï π ÛÚË Ì Ì Ì ÒÚÛÔÌ ÌÙÓappleÏ ˆ fl. ñfl ÙÓappleÏ ÔÓÒÚ ÈÌÓ Á Âapple πú Òfl ÓÒÓ ËÒÚ È ÒÔapple Û Ìfl. ßå'ü íä èêßáçàôö ìóçü ID# ÄÑêÖëÄ íöãöîéçì òäéãä 1. üíó ÏÓ Ó ÔÂapple ÊÌÓ appleóáïó Îfl Ú Û Ò ÓÏ? 2. üíó ÏÓ Ó ÔÂapple ÊÌÓ appleóáïó Îflπ Ç ËÚËÌ (appleóáïó ÎflπÚ ÇË)? è ÔËÒ Ú Í (Ï ÚÂapple ) Ë ÓÔ ÍÛÌ Ñ Ú è ÔËÒ Û Ìfl 9-12 ÍÎ Ò Ñ Ú Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Ukrainian

INDEPENDENT SCHOOL DISTRICT/CHARTER SCHOOL HOME LANGUAGE SURVEY-19TAC Chapter 89, Subchapter BB 89.1215 TO BE COMPLETED BY PARENT OR GUARDIAN (OR STUDENT IF GRADES 9-12): The state of Texas requires that the following information be completed for each student that enrolls for the first time in Texas public schools. This survey shall be kept in each student s permanent record folder. NAME OF STUDENT STUDENT ID# ADDRESS TELEPHONE # CAMPUS 1. What language is spoken in your home most of the time? 2. What language does your child (do you) speak most of the time? Signature of Parent/Guardian Signature of Student if Grades 9-12 ------------------------------------------------------------------------------------------------------------------------------- چ ارٹر اس کول /یا زاد اس کول ض لع زب ان یمادر ۓس روے ب را 19TACب اب 89 ب اب یلیذ 89.1215 BB ضروری ہے کہ والدين يا سرپرست مکمل کريں (يا اگر 12-9 گريڈ ميں ہے تو خود طالبعلم): رياست ٹيکساس اس بات کی متقاضی ہے کہ ہر اس طالبعلم کی درج ذيل معلومات مکمل کی جانی چاہي يں جو ٹيکساس کے پبلک اسکولز ميں پہلی مرتبہ اندراج کروا رہے ہيں ضروری ہے کہ يہ سروے ہر طالبعلم کے مستقل ريکارڈ فولڈر ميں رکها جاۓ طالبعلم کا نام طالبعلم کا شناختی نمبر # پتہ ٹيلی فون نمبر# کيمپس ا پ کے گهر ميں زيادہ تر کون سی زبان بولی جاتی ہے ا پ کا بچہ (ا پ خود) زيادہ تر کون سی زبان بولتا (بولتے) ہيں.1.2 دستخط والدين / سرپرست تاريخ دستخط طالبعلم اگر گريڈ 12-9 ميں ہے تاريخ Original English version from the Texas Education Agency, Bilingual/ESL Unit, August 2004 Translation provided by Region 4 Education Service Center, April 2005 Urdu

List of Approved Tests 2007-2008 School Year for Assessment of Limited English Proficient Students Texas Education Agency Division of Curriculum Bilingual/English as a Second Language Education Program Unit 1701 North Congress Avenue, WBT 3-121 Austin, Texas 78701-1494 (512) 463-9581

Oral Language Proficiency Tests in English To be used for Identification/Entry/Exit [19 TAC 89.1225(a), (f), and (h)]. May be used for Annual Assessment [19 TAC 89.1220(g)]. Name of Test / Year Normed Skills Measured Grade Levels Score Indicating Limited English Proficiency Pre IPT, Third Edition, 2004 IPT 1, Second Edition, Forms E & F, 2004 IPT 2, Second Edition, Forms C & D, 2004 Pre-LAS 2000, Forms C & D, 2004 Listening Speaking Listening Speaking Listening Speaking Listening Speaking Pre-K (3 years old) Pre-K (4-5 years old) Below Level D Below Level E K (Initial) Below Level D K (Redesignation)-2 Below Level E 3-6 Below Level F 6 Below Level E 7-12 Below Level F PreK-1 Below Level 4 Language Assessment Scales (LAS-O), Form C, Level I, 2004 Language Assessment Scales (LAS-O), Form C, Level II, 2004 Language Assessment Scales (LAS-O), Second Edition, Form C, Level I, 2004 Language Assessment Scales (LAS-O), Second Edition, Form C, Level II, 2004 LAS Links, 2005 Forms A & B Stanford English Language Proficiency Test, (Stanford ELP), Form A, 2003 & 2006; Form B, 2003; Form C, 2004 Woodcock-Muñoz Language Survey, Revised 2005, Age norms 2-90, Grade norms K.0 to 18.0 Forms A & B Bilingual Verbal Ability Tests Normative Update (BVAT NU), 2005 Measures bilingual ability in 18 languages. Publisher Contact Information on pp. 11-13 Listening Speaking Listening Speaking Listening Speaking Listening Speaking Listening Speaking Listening Speaking Listening Speaking Listening Speaking Comprehension 1-6 Below Level 4 7-12 Below Level 4 1-6 Below Level 4 7-12 Below Level 4 K-1 Below Level 4 2-3 4-5 6-8 9-12 PreK-12 Below Level 5 PreK-1: Tests 1-2 2 12: Tests 1-4 Below Level 4 PreK-12 Below Level 4 TEA 2007-2008 School Year List of Approved Tests for Assessment of Limited English Proficient Students Page 2 of 28

Oral Language Proficiency Tests in Spanish To be used for Identification/Placement [19 TAC 89.1225(b)]. May be used for Annual Assessment [19 TAC 89.1220(g)]. Name of Test / Year Normed Skills Measured Grade Levels Score Indicating Limited Spanish Proficiency Pre IPT Spanish, Third Edition, 2004 Listening Pre-K (3 years old) Below Level D Speaking Pre-K (4-5 years Below Level E old) IPT 1 Spanish, Third Edition, 2004 Listening K (Initial) Below Level C Speaking K (Redesignation) Below Level D 1 Below Level E 2-6 Below Level F IPT 2 Spanish, Third Edition, 2004 Pre LAS 2000, Form C, 2004 Listening Speaking Listening Speaking 7-12 Below Level F PreK-1 Below Level 4 LAS Links Español, 2006 Language Assessment Scales (LAS-O), Form B, Level I, 2004 Language Assessment Scales (LAS-O), Form B, Level II, 2004 Stanford Spanish Language Proficiency Test, Form A, 2004 & 2006 Listening Speaking Listening Speaking Listening Speaking Listening Speaking K-1 2-3 4-5 6-8 9-12 Below Level 4 1-6 Below Level 4 7-12 Below Level 4 PreK-12 Below Level 5 Woodcock-Muñoz Language Survey, Revised 2005, Age norms 2-90, Grade norms K.0 to 18.0 Forms A & B Listening Speaking Comprehension PreK-1: Tests 1-2 2 12: Tests 1-4 Below Level 4 Publisher Contact Information on pp. 14-16 TEA 2007-2008 School Year List of Approved Tests for Assessment of Limited English Proficient Students Page 3 of 28

Reading and Writing Proficiency Tests in English May be used for Program Placement [19 TAC 89.1220(g)]. Writing Proficiency Tests may be used for Exit in Grades 1-12 [19 TAC 89.1225 (f) and (h)]. Name of Test / Year Normed Skills Measured Grade Levels Score Indicating Limited English Proficiency IPT Early Literacy, Second Edition, 2004 IPT 1, Forms C & D, 2002 (to be phased out if not renormed by 2008) IPT 2, Forms C & D, 2002 (to be phased out if not renormed by 2008) IPT 3, Forms C & D, 2002 (to be phased out if not renormed by 2008) Language Assessment Scales Reading and Writing (LAS-R/W), Form A, 2004 LAS Links, Forms A & B, 2005 Stanford English Language Proficiency Test, (Stanford ELP) Form A, 2003 & 2006; Form B, 2003; Form C, 2004 Texas English Language Proficiency Assessment System (TELPAS) Writing Reading Writing Reading Writing Reading Writing Reading Writing Reading Writing Reading Writing Reading Writing K-1 Pre-Reader Beginning Reader K-1 Pre-Writer Beginning Writer 2 Below 45 3 Below 50 2-3 Limited English Writer 4 Below 42 5-6 Below 46 4-6 Limited English Writer 7-8 Below 43 9-12 Below 48 7-12 Limited English Writer 2-3 Below Level 3 4-6 7-12 K-1 Below Level 4 2-3 4-5 6-8 9-12 PreK-12 Below Level 5 Writing 2,3,5,6,8,9 Below Advanced High Woodcock-Muñoz Language Survey, Revised, Age norms 2-90, Grade norms K.0 to 18.0 Forms A & B, 2005 Publisher Contact Information on pp. 17-19 Reading Writing PreK-12: Tests 1-4 Below Level 4 TEA 2007-2008 School Year List of Approved Tests for Assessment of Limited English Proficient Students Page 4 of 28

Reading and Writing Proficiency Tests in Spanish May be used for Program Placement [19 TAC 89.1220(g)]. Name of Test / Year Normed IPT 1 Spanish, Third Edition, 2004 IPT 2 Spanish, Third Edition, 2004 IPT 3 Spanish, Third Edition, 2004 Language Assessment Scales Lectura y Escritura, (LAS-L/E) Reading and Writing, Second Edition, Levels 1, 2, and 3, Form A, 2004 LAS Links Español, 2006 Stanford Spanish Language Proficiency Test, Form A, 2004 & 2006 Skills Measured Reading Writing Reading Writing Reading Writing Reading Writing Reading Writing Reading Writing Grade Levels Score Indicating Limited Spanish Proficiency 2 Below 40 3 Below 45 2-3 Limited Spanish Writer 4 Below 34 5 Below 38 6 Below 40 4-6 Limited Spanish Writer 7-8 Below 34 9-12 Below 43 7-12 Limited Spanish Writer 2-3 Below Level 3 4-6 7-12 K-1 2-3 4-5 6-8 9-12 Below Level 4 PreK-12 Below Level 5 Woodcock-Muñoz Language Survey, Revised 2005, Age norms 2-90, Grade norms K.0 to 18.0 Reading Writing PreK-1: Tests 1-2 2-12: Tests 1-4 Below Level 4 Publisher Contact Information on pp. 20-22 TEA 2007-2008 School Year List of Approved Tests for Assessment of Limited English Proficient Students Page 5 of 28

Standardized Achievement Tests in English To be used for Identification/Entry in Grades 2-12 [19 TAC 89.1225(a), (f), and (h)]. To be used for Exit in Grades 1-2 ONLY. May be used for Formative Assessments [19 TAC 89.1220(g)]. Name of Test / Year Normed Skills Measured Grade Levels Score Indicating Limited English Proficiency Iowa Test of Basic Skills (ITBS), Survey Battery, (Short Form), Forms A & B, 2005 Reading Language Mathematics K-9 Iowa Test of Basic Skills (ITBS), Complete Battery, Forms A & B, 2005 Reading Language Mathematics K-9 Iowa Tests of Educational Development (ITED), Complete Battery, Forms A & B, 2005 Iowa Tests of Educational Development (ITED), Core Battery, Forms A & B, 2005 Reading Language Mathematics Reading Language Mathematics 9-12 9-12 Below 40th Percentile On Both Reading And Language Arts Stanford Achievement Test Series, Complete Battery, Tenth Edition, (Stanford 10), Forms A & D, 2002 (to be phased out if not renormed by 2008) Reading Language Mathematics K-12 Stanford 10 Abbreviated, Forms A & D, 2002 (to be phased out if not renormed by 2008) Publisher Contact Information on pp. 23-24 Reading Language Mathematics K-12 TEA 2007-2008 School Year List of Approved Tests for Assessment of Limited English Proficient Students Page 6 of 28

Standardized Achievement Tests in English (continued) To be used for Identification/Entry/Exit in Grades 2-12 [19 TAC 89.1225(a), (f), and (h)]. To be used for Exit in Grades 1-2 ONLY. May be used for Formative Assessments [19 TAC 89.1220(g)]. Name of Test / Year Normed Skills Measured Grade Levels Score Indicating Limited English Proficiency Terra Nova CAT, Basic Battery, Second Edition, 2005 Reading Language Mathematics K-12 Terra Nova CAT, Complete Battery, Second Edition, 2005 Terra Nova CAT, Survey, Second Edition, 2005 Terra Nova CAT, Complete Battery, Second Edition, Form D, 2005 Terra Nova CTBS, Basic Battery, Form A, 2005 Reading Language Mathematics Science Social Studies Reading Language Mathematics Science Social Studies Reading Language Mathematics Science Social Studies Reading Language Mathematics K-12 2-12 2-10 K-12 Below 40th Percentile On Both Reading And Language Arts Terra Nova CTBS, Complete Battery, Form A, 2005 Terra Nova CTBS, Survey, Form A, 2005 Reading Language Mathematics Science Social Studies Reading Language Mathematics K-12 2-12 Publisher Contact Information on p. 25 TEA 2007-2008 School Year List of Approved Tests for Assessment of Limited English Proficient Students Page 7 of 28

Standardized Achievement Tests in Spanish May be used for Formative Assessments [19 TAC 89.1220(g)]. Name of Test / Year Normed Skills Measured Grade Levels Score Indicating Limited Spanish Proficiency Aprenda: La Prueba de Logros en Español, Tercera Edición, 2004 (Aprenda 3) Batería III Woodcock-Muñoz: Pruebas de aprovechamiento, 2005 (Individual administration) Logramos, 2 nd Edition, Achievement Test Battery in Spanish, 2005 Norms Terra Nova Supera, Form A, 2005 Evaluaciones Esenciales Terra Nova Supera, Form A, 2005 Evaluaciones Múltiples Reading Language Listening Mathematics Science Social Studies Reading Writing Mathematics Social Studies Science Reading Language Mathematics Reading Writing Mathematics Reading Writing Mathematics K-12 PreK-12 K-12 K-10 1-10 Below 40th Percentile On Both Reading And Language Arts Reading and Writing Below Level 4 Mathematics, Social Studies and Science Below RPI 82/90 Below 40th Percentile On Both Reading And Language Arts Publisher Contact Information on pp. 26-28 TEA 2007-2008 School Year List of Approved Tests for Assessment of Limited English Proficient Students Page 8 of 28

Ability Tests/Gifted and Talented Currently there are no tests mandated to identify gifted and talented students who are also Limited English Proficient (LEP). TEA 2007-2008 School Year List of Approved Tests for Assessment of Limited English Proficient Students Page 9 of 28

2007-2008 School Year List of Approved Tests with Publisher Contact Information Texas Education Agency Division of Curriculum Bilingual/English as a Second Language Education Program Unit 1701 N. Congress Avenue, WBT 3-121 Austin, Texas 78701-1494 (512) 463-9581 TEA 2007-2008 School Year List of Approved Tests for Assessment of Limited English Proficient Students Page 10 of 28

Oral Language Proficiency Tests in English Name of Test / Year Normed Publisher Contact Pre IPT, Third Edition, 2004 IPT 1, Second Edition, Forms E & F, 2004 Customer Relations Ballard & Tighe Publishers 480 Atlas Street Brea, CA 92821 Patricia Castillo Linn Vice President, Business Development (800) 321-4332 (800) 321-4332 plinn@ballard-tighe.com IPT 2, Second Edition, (714) 990-4332 Forms C & D, 2004 Fax: (714) 255-9828 Fonda Quinn www.ballard-tighe.com Educational Sales Consultant (866) 563-9595 (972) 563-5222 Cell: (214) 578-7963 fquinn@ballard-tighe.com Pre-LAS 2000, Forms C & D, 2004 Language Assessment Scales (LAS-O), Form C, Level I, 2004 Language Assessment Scales (LAS-O), Form C, Level II, 2004 Language Assessment Scales (LAS-O), Second Edition, Form C, Level I, 2004 Language Assessment Scales (LAS-O), Second Edition, Form C, Level II, 2004 LAS Links, 2005 Forms A & B Customer Relations CTB/McGraw-Hill 20 Ryan Ranch Road Monterey, CA 93940 (800) 538-9547 Fax: (800) 282-0266 www.ctb.com Chris Morrison Product Manager (630) 789-4520 chris_morrison@ctb.com Genevieve Olvera Strategic Accounts Manager/ELL Specialist (210) 865-9134 genevieve_olvera@ctb.com Bill Spiers Senior Evaluation Consultant South Texas (210) 481-1487 bill_spiers@ctb.com Dr. Elma Pineda-Raney Senior Evaluation Consultant El Paso Area (505) 797-9894 elma_pineda-raney@ctb.com Chad Green Evaluation Consultant North Texas (214) 208-3752 chad_green@ctb.com Nina Trigger Associate Evaluation Consultant (361) 452-0445 nina_trigger@ctb.com Dr. Luanna Bowen Vice President of Sales (512) 567-6216 luanna_bowen@ctb.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 11 of 28

Oral Language Proficiency Tests in English (continued) Name of Test / Year Normed Publisher Contact Stanford English Language Proficiency Test, (Stanford ELP), Form A, 2003 & 2006; Form B, 2003; Form C, 2004 Ordering Services Harcourt Assessment, Inc. 19500 Bulverde Rd. San Antonio, Texas 78259 (800) 211-8378 Fax: (800) 232-1223 www.harcourtassessment.com Morris Williams Measurement Consultant South Texas (210) 601-7558 morris.williams@harcourt.com Bret May Measurement Consultant North Texas (972) 877-9917 bret.may@harcourt.com Sean Galvan Inside Sales (210) 339-8447 sean.galvan@harcourt.com Cathy Speegle Research Director (210) 339-5474 cathy.speegle@harcourt.com Greg Rabchuk Sr. Product Line Manager (210) 339-5236 greg.rabchuk@harcourt.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 12 of 28

Oral Language Proficiency Tests in English (continued) Name of Test / Year Normed Publisher Contact Woodcock-Muñoz Language Survey, Revised 2005, Age norms 2-90, Grade norms K.0 to 18.0 Forms A & B Bilingual Verbal Ability Tests Normative Update (BVAT NU), 2005 Measures bilingual ability in 18 languages. Customer Relations Riverside Publishing Co. 3800 Golf Road, Suite 100 Rolling Meadows, IL 60008 (800) 323-9540 Fax: (630) 467-6069 www.riversidepublishing.com Al Esparza Senior Assessment Consultant Riverside Publishing P.M.B. 225, 11765 West Ave. San Antonio, TX 78216 (800) 323-9540, ext. 7712 (210) 492-0770 (fax) al_esparza@hmco.com Scott Dittner Senior Assessment Consultant North Texas and Panhandle (800) 323-9540, ext. 7709 scott_dittner@hmco.com Heather Queener, Ph.D., L.S.S.P. Assessment Consultant Dallas County and Houston Area (800) 323-9540, ext. 7737 heather_queener@hmco.com Dr. Michael Ward Assessment Consultant Ft. Worth and East Texas (800) 323-9540, ext. 6319 michael_ward@hmco.com Ellis Tesh Vice President, Regional Manager (800) 323-9540, ext. 7738 ellis_tesh@hmco.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 13 of 28

Oral Language Proficiency Tests in Spanish Name of Test / Year Normed Publisher Contact Pre IPT Spanish, Third Edition, 2004 IPT 1 Spanish, Third Edition, 2004 Customer Relations Ballard & Tighe Publishers 480 Atlas Street Brea, CA 92821 Patricia Castillo Linn Vice President, Business Development (800) 321-4332 IPT 2 Spanish, Third Edition, 2004 (800) 321-4332 plinn@ballard-tighe.com (714) 990-4332 Fax: (714) 255-9828 www.ballard-tighe.com Fonda Quinn Educational Sales Consultant (866) 563-9595 (972) 563-5222 Cell: (214) 578-7963 fquinn@ballard-tighe.com Pre-LAS 2000, Form C, 2004 LAS Links Español, 2006 Language Assessment Scales (LAS-O), Form B, Level I, 2004 Language Assessment Scales (LAS-O), Form B, Level II, 2004 Customer Relations CTB/McGraw-Hill 20 Ryan Ranch Road Monterey, CA 93940 (800) 538-9547 Fax: (800) 282-0266 www.ctb.com Chris Morrison Product Manager (630) 789-4520 chris_morrison@ctb.com Genevieve Olvera Strategic Accounts Manager/ELL Specialist (210) 865-9134 genevieve_olvera@ctb.com Bill Spiers Senior Evaluation Consultant South Texas (210) 481-1487 bill_spiers@ctb.com Dr. Elma Pineda-Raney Senior Evaluation Consultant El Paso Area (505) 797-9894 elma_pineda-raney@ctb.com Chad Green Evaluation Consultant North Texas (214) 208-3752 chad_green@ctb.com Nina Trigger Associate Evaluation Consultant (361) 452-0445 nina_trigger@ctb.com Dr. Luanna Bowen Vice President of Sales (512) 567-6216 luanna_bowen@ctb.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 14 of 28

Oral Language Proficiency Tests in Spanish (continued) Name of Test / Year Normed Publisher Contact Ordering Services Harcourt Assessment, Inc. 19500 Bulverde Rd. San Antonio, Texas 78259 (800) 211-8378 Fax: (800) 232-1223 www.harcourtassessment.com Stanford Spanish Language Proficiency Test, Form A, 2004 & 2006 Morris Williams Measurement Consultant South Texas (210) 601-7558 morris.williams@harcourt.com Bret May Measurement Consultant North Texas (972) 877-9917 bret.may@harcourt.com Sean Galvan Inside Sales (210) 339-8447 sean.galvan@harcourt.com Cathy Speegle Research Director (210) 339-5474 cathy.speegle@harcourt.com Greg Rabchuk Sr. Product Line Manager (210) 339-5236 greg.rabchuk@harcourt.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 15 of 28

Oral Language Proficiency Tests in Spanish (continued) Name of Test / Year Normed Publisher Contact Customer Relations Riverside Publishing Co. 3800 Golf Road, Suite 100 Rolling Meadows, IL 60008 (800) 323-9540 Fax: (630) 467-6069 www.riversidepublishing.com Woodcock-Muñoz Language Survey, Revised 2005, Age norms 2-90, Grade norms K.0 to 18.0 Forms A & B Al Esparza Senior Assessment Consultant Riverside Publishing P.M.B. 225, 11765 West Ave. San Antonio, TX 78216 (800) 323-9540, ext. 7712 (210) 492-0770 (fax) al_esparza@hmco.com Scott Dittner Senior Assessment Consultant North Texas and Panhandle (800) 323-9540, ext. 7709 scott_dittner@hmco.com Heather Queener, Ph.D., L.S.S.P. Assessment Consultant Dallas County and Houston Area (800) 323-9540, ext. 7737 heather_queener@hmco.com Dr. Michael Ward Assessment Consultant Ft. Worth and East Texas (800) 323-9540, ext. 6319 michael_ward@hmco.com Ellis Tesh Vice President, Regional Manager (800) 323-9540, ext. 7738 ellis_tesh@hmco.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 16 of 28

Reading and Writing Proficiency Tests in English Name of Test / Year Normed Publisher Contact IPT Early Literacy, Second Edition, 2004 IPT 1, Forms C & D, 2002 (to be phased out if not renormed by 2008) IPT 2, Forms C & D, 2002 (to be phased out if not renormed by 2008) IPT 3, Forms C & D, 2002 (to be phased out if not renormed by 2008) Language Assessment Scales Reading and Writing (LAS-R/W), Form A, 2004 LAS Links, Forms A & B, 2005 Customer Relations Ballard & Tighe Publishers 480 Atlas Street Brea, CA 92821 (800) 321-4332 (714) 990-4332 Fax: (714) 255-9828 www.ballard-tighe.com Customer Relations CTB/McGraw-Hill 20 Ryan Ranch Road Monterey, CA 93940 (800) 538-9547 Fax: (800) 282-0266 www.ctb.com Patricia Castillo Linn Vice President, Business Development (800) 321-4332 plinn@ballard-tighe.com Fonda Quinn Educational Sales Consultant (866) 563-9595 (972) 563-5222 Cell: (214) 578-7963 fquinn@ballard-tighe.com Chris Morrison Product Manager (630) 789-4520 chris_morrison@ctb.com Genevieve Olvera Strategic Accounts Manager/ELL Specialist (210) 865-9134 genevieve_olvera@ctb.com Bill Spiers Senior Evaluation Consultant South Texas (210) 481-1487 bill_spiers@ctb.com Dr. Elma Pineda-Raney Senior Evaluation Consultant El Paso Area (505) 797-9894 elma_pineda-raney@ctb.com Chad Green Evaluation Consultant North Texas (214) 208-3752 chad_green@ctb.com Nina Trigger Associate Evaluation Consultant (361) 452-0445 nina_trigger@ctb.com Dr. Luanna Bowen Vice President of Sales (512) 567-6216 luanna_bowen@ctb.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 17 of 28

Reading and Writing Proficiency Tests in English (continued) Name of Test / Year Normed Publisher Contact Stanford English Language Proficiency Test, (Stanford ELP) Form A, 2003 & 2006; Form B, 2003; Form C, 2004 Ordering Services Harcourt Assessment, Inc. 19500 Bulverde Rd. San Antonio, Texas 78259 (800) 211-8378 Fax: (800) 232-1223 www.harcourtassessment.com Morris Williams Measurement Consultant South Texas (210) 601-7558 morris.williams@harcourt.com Bret May Measurement Consultant North Texas (972) 877-9917 bret.may@harcourt.com Sean Galvan Inside Sales (210) 339-8447 sean.galvan@harcourt.com Cathy Speegle Research Director (210) 339-5474 cathy.speegle@harcourt.com Greg Rabchuk Sr. Product Line Manager (210) 339-5236 greg.rabchuk@harcourt.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 18 of 28

Reading and Writing Proficiency Tests in English (continued) Name of Test / Year Normed Publisher Contact Texas English Language Proficiency Assessment System (TELPAS) Writing Texas Education Agency Student Assessment Division 1701 N. Congress Avenue Austin, Texas 78701 (512) 463-9536 Fax: (512) 463-9302 Student Assessment Division (512) 463-9536 Website: http://www.tea.state.tx.us/student. assessment/admin/rpte/index.html Woodcock-Muñoz Language Survey, Revised, Age norms 2-90, Grade norms K.0 to 18.0 Forms A & B, 2005 Customer Relations Riverside Publishing Co. 3800 Golf Road, Suite 100 Rolling Meadows, IL 60008 (800) 323-9540 Fax: (630) 467-6069 www.riversidepublishing.com Al Esparza Senior Assessment Consultant Riverside Publishing P.M.B. 225, 11765 West Ave. San Antonio, TX 78216 (800) 323-9540, ext. 7712 (210) 492-0770 (fax) al_esparza@hmco.com Scott Dittner Senior Assessment Consultant North Texas and Panhandle (800) 323-9540, ext. 7709 scott_dittner@hmco.com Heather Queener, Ph.D., L.S.S.P. Assessment Consultant Dallas County and Houston Area (800) 323-9540, ext. 7737 heather_queener@hmco.com Dr. Michael Ward Assessment Consultant Ft. Worth and East Texas (800) 323-9540, ext. 6319 michael_ward@hmco.com Ellis Tesh Vice President, Regional Manager (800) 323-9540, ext. 7738 ellis_tesh@hmco.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 19 of 28

Reading and Writing Proficiency Tests in Spanish Name of Test / Year Normed Publisher Contact IPT 1 Spanish, Third Edition, 2004 IPT 2 Spanish, Third Edition, 2004 IPT 3 Spanish, Third Edition, 2004 Customer Relations Ballard & Tighe Publishers 480 Atlas Street Brea, CA 92821 (800) 321-4332 (714) 990-4332 Fax: (714) 255-9828 www.ballard-tighe.com Patricia Castillo Linn Vice President, Business Development (800) 321-4332 plinn@ballard-tighe.com Fonda Quinn Educational Sales Consultant (866) 563-9595 (972) 563-5222 Cell: (214) 578-7963 fquinn@ballard-tighe.com Language Assessment Scales Lectura y Escritura (LAS-L/E) Reading and Writing, Second Edition, Levels 1, 2, and 3, Form A, 2004 LAS Links Español, 2006 Customer Relations CTB/McGraw-Hill 20 Ryan Ranch Road Monterey, CA 93940 (800) 538-9547 Fax: (800) 282-0266 www.ctb.com Chris Morrison Product Manager (630) 789-4520 chris_morrison@ctb.com Genevieve Olvera Strategic Accounts Manager/ELL Specialist (210) 865-9134 genevieve_olvera@ctb.com Bill Spiers Senior Evaluation Consultant South Texas (210) 481-1487 bill_spiers@ctb.com Dr. Elma Pineda-Raney Senior Evaluation Consultant El Paso Area (505) 797-9894 elma_pineda-raney@ctb.com Chad Green Evaluation Consultant North Texas (214) 208-3752 chad_green@ctb.com Nina Trigger Associate Evaluation Consultant (361) 452-0445 nina_trigger@ctb.com Dr. Luanna Bowen Vice President of Sales (512) 567-6216 luanna_bowen@ctb.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 20 of 28

Reading and Writing Proficiency Tests in Spanish (continued) Name of Test / Year Normed Publisher Contact Stanford Spanish Language Proficiency Test, Form A, 2004 & 2006 Ordering Services Harcourt Assessment, Inc. 19500 Bulverde Rd. San Antonio, Texas 78259 (800) 211-8378 Fax: (800) 232-1223 www.harcourtassessment.com Morris Williams Measurement Consultant South Texas (210) 601-7558 morris.williams@harcourt.com Bret May Measurement Consultant North Texas (972) 877-9917 bret.may@harcourt.com Sean Galvan Inside Sales (210) 339-8447 sean.galvan@harcourt.com Cathy Speegle Research Director (210) 339-5474 cathy.speegle@harcourt.com Greg Rabchuk Sr. Product Line Manager (210) 339-5236 greg.rabchuk@harcourt.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 21 of 28

Reading and Writing Proficiency Tests in Spanish (continued) Name of Test / Year Normed Publisher Contact Woodcock-Muñoz Language Survey, Revised 2005, Age norms 2-90, Grade norms K.0 to 18.0 Customer Relations Riverside Publishing Co. 3800 Golf Road, Suite 100 Rolling Meadows, IL 60008 (800) 323-9540 Fax: (630) 467-6069 www.riversidepublishing.com Al Esparza Senior Assessment Consultant Riverside Publishing P.M.B. 225, 11765 West Ave. San Antonio, TX 78216 (800) 323-9540, ext. 7712 (210) 492-0770 (fax) al_esparza@hmco.com Scott Dittner Senior Assessment Consultant North Texas and Panhandle (800) 323-9540, ext. 7709 scott_dittner@hmco.com Heather Queener, Ph.D., L.S.S.P. Assessment Consultant Dallas County and Houston Area (800) 323-9540, ext. 7737 heather_queener@hmco.com Dr. Michael Ward Assessment Consultant Ft. Worth and East Texas (800) 323-9540, ext. 6319 michael_ward@hmco.com Ellis Tesh Vice President, Regional Manager (800) 323-9540, ext. 7738 ellis_tesh@hmco.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 22 of 28

Standardized Achievement Tests in English Name of Test / Year Normed Publisher Contact Customer Relations Riverside Publishing Co. 3800 Golf Road, Suite 100 Rolling Meadows, IL 60008 (800) 323-9540 Fax: (630) 467-6069 www.riversidepublishing.com Iowa Test of Basic Skills (ITBS), Survey Battery, (Short Form), Forms A & B, 2005 Iowa Test of Basic Skills (ITBS), Complete Battery, Forms A & B, 2005 Iowa Tests of Educational Development (ITED), Complete Battery, Forms A & B, 2005 Iowa Tests of Educational Development (ITED), Core Battery, Forms A & B, 2005 Al Esparza Senior Assessment Consultant Riverside Publishing P.M.B. 225, 11765 West Ave. San Antonio, TX 78216 (800) 323-9540, ext. 7712 Fax: (210) 492-0770 al_esparza@hmco.com Scott Dittner Senior Assessment Consultant North Texas and Panhandle (800) 323-9540, ext. 7709 scott_dittner@hmco.com Heather Queener, Ph.D., L.S.S.P. Assessment Consultant Dallas County and Houston Area (800) 323-9540, ext. 7737 heather_queener@hmco.com Dr. Michael Ward Assessment Consultant Ft. Worth and East Texas (800) 323-9540, ext. 6319 michael_ward@hmco.com Ellis Tesh Vice President, Regional Manager (800) 323-9540, ext. 7738 ellis_tesh@hmco.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 23 of 28

Standardized Achievement Tests in English (continued) Name of Test / Year Normed Publisher Contact Ordering Services Harcourt Assessment, Inc. 19500 Bulverde Rd. San Antonio, Texas 78259 (800) 211-8378 Fax: (800) 232-1223 www.harcourtassessment.com Stanford Achievement Test Series, Complete Battery, Tenth Edition, (Stanford 10), Forms A & D, 2002 (to be phased out if not renormed by 2008) Stanford 10 Abbreviated, Forms A & D, 2002 (to be phased out if not renormed by 2008) Morris Williams Measurement Consultant South Texas (210) 601-7558 morris.williams@harcourt.com Bret May Measurement Consultant North Texas (972) 877-9917 bret.may@harcourt.com Sean Galvan Inside Sales (210) 339-8447 sean.galvan@harcourt.com Cathy Speegle Research Director (210) 339-5474 cathy.speegle@harcourt.com Greg Rabchuk Sr. Product Line Manager (210) 339-5236 greg.rabchuk@harcourt.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 24 of 28

Standardized Achievement Tests in English (continued) Name of Test / Year Normed Publisher Contact Customer Relations CTB/McGraw-Hill 20 Ryan Ranch Road Monterey, CA 93940 (800) 538-9547 Fax: (800) 282-0266 www.ctb.com Terra Nova CAT, Basic Battery, Second Edition, 2005 Terra Nova CAT, Complete Battery, Second Edition, 2005 Terra Nova CAT, Survey, Second Edition, 2005 Terra Nova CAT, Complete Battery, Second Edition, Form D, 2005 Terra Nova CTBS, Basic Battery, Form A, 2005 Terra Nova CTBS, Complete Battery, Form A, 2005 Terra Nova CTBS, Survey, Form A, 2005 Shannon Puente Senior Product Manager (415) 357-8014 shannon_puente@ctb.com Genevieve Olvera Strategic Accounts Manager/ELL Specialist (210) 865-9134 genevieve_olvera@ctb.com Bill Spiers Senior Evaluation Consultant South Texas (210) 481-1487 bill_spiers@ctb.com Dr. Elma Pineda-Raney Senior Evaluation Consultant El Paso Area (505) 797-9894 elma_pineda-raney@ctb.com Chad Green Evaluation Consultant North Texas (214) 208-3752 chad_green@ctb.com Nina Trigger Associate Evaluation Consultant (361) 452-0445 nina_trigger@ctb.com Dr. Luanna Bowen Vice President of Sales (512) 567-6216 luanna_bowen@ctb.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 25 of 28

Standardized Achievement Tests in Spanish Name of Test Publisher Contact Aprenda: La Prueba de Logros en Español, Tercera Edición, 2004 (Aprenda 3) Ordering Services Harcourt Assessment, Inc. 19500 Bulverde Rd. San Antonio, Texas 78259 (800) 211-8378 (210) 339-8188 Fax: (800) 232-1223 www.harcourtassessment.com Morris Williams Measurement Consultant South Texas (210) 601-7558 morris.williams@harcourt.com Bret May Measurement Consultant North Texas (972) 877-9917 bret.may@harcourt.com Sean Galvan Inside Sales (210) 339-8447 sean.galvan@harcourt.com Cathy Speegle Research Director (210) 339-5474 cathy.speegle@harcourt.com Greg Rabchuk Sr. Product Line Manager (210) 339-5236 greg.rabchuk@harcourt.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 26 of 28

Standardized Achievement Tests in Spanish (continued) Batería III Woodcock-Muñoz: Pruebas de aprovechamiento, 2005 (Individual administration) Name of Test Publisher Contact Logramos, 2 nd Edition, Achievement Test Battery in Spanish, 2005 Norms Customer Relations Riverside Publishing Co. 3800 Golf Road, Suite 100 Rolling Meadows, IL 60008 (800) 323-9540 Fax: (630) 467-6069 www.riversidepublishing.com Al Esparza Senior Assessment Consultant Riverside Publishing P.M.B. 225, 11765 West Ave. San Antonio, TX 78216 (800) 323-9540, ext. 7712 Fax: (210) 492-0770 al_esparza@hmco.com Scott Dittner Senior Assessment Consultant North Texas and Panhandle (800) 323-9540, ext. 7709 scott_dittner@hmco.com Heather Queener, Ph.D., L.S.S.P. Assessment Consultant Dallas County and Houston Area (800) 323-9540, ext. 7737 heather_queener@hmco.com Dr. Michael Ward Assessment Consultant Ft. Worth and East Texas (800) 323-9540, ext. 6319 michael_ward@hmco.com Ellis Tesh Vice President, Regional Manager (800) 323-9540, ext. 7738 ellis_tesh@hmco.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 27 of 28

Standardized Achievement Tests in Spanish (continued) Terra Nova Supera, Form A, 2005 Evaluaciones Esenciales Terra Nova Supera, Form A, 2005 Evaluaciones Múltiples Name of Test Publisher Contact Customer Relations CTB/McGraw-Hill 20 Ryan Ranch Road Monterey, CA 93940 (800) 538-9547 Fax: (800) 282-0266 www.ctb.com Shannon Puente Senior Product Manager (415) 357-8014 shannon_puente@ctb.com Genevieve Olvera Strategic Accounts Manager/ELL Specialist (210) 865-9134 genevieve_olvera@ctb.com Bill Spiers Senior Evaluation Consultant South Texas (210) 481-1487 bill_spiers@ctb.com Dr. Elma Pineda-Raney Senior Evaluation Consultant El Paso Area (505) 797-9894 elma_pineda-raney@ctb.com Chad Green Evaluation Consultant North Texas (214) 208-3752 chad_green@ctb.com Nina Trigger Associate Evaluation Consultant (361) 452-0445 nina_trigger@ctb.com Dr. Luanna Bowen Vice President of Sales (512) 567-6216 luanna_bowen@ctb.com TEA 2007 List of Approved Tests for Assessment of Limited English Proficient Students Page 28 of 28

Directories of Education Service Center and District Personnel

Directory of Education Service Centers September 2007 1 2 3 4 5 6 7 8 9 10 12 13 14 16 17 18 21 22 23 24 26 27 30 31 32 33 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 52 53 54 55 56 57 58 A B C D E F G I ESC Name Address City Zip Phone # Fax # E-Mail 1 Concepción D. Guerra 1900 W. Schunior Edinburg 78541 (956)984-6182 (956)984-6249 cguerra@esconett.org 1 Amy Mares 1900 W. Schunior Edinburg 78541 (956)984-6191 (956)984-6249 amares@esconett.org 1 Janie G. Coronado 1900 W. Schunior Edinburg 78541 (956)984-6184 (956)984-6189 jcoronado@esconett.org 2 Velma Salazar-Escamilla 209 N. Water St. Corpus Christi 78401 (361)561-8612 (361)561-8649 vescamilla@esc2.net 3 Rosie Hale 1905 Leary Lane Victoria 77901 (361)573-0731 (361)576-4804 rhale@esc3.net 4 Sonja Hollan 7145 W. Tidwell Houston 77092 (713)744-6340 (713)939-7720 shollan@esc4.net 4 Ana Llamo 7145 W. Tidwell Houston 77092 (713)744-6883 (713)939-7720 allamo@esc4.net 5 Brenda Thompson 3545 Hwy 96 Bypass Silsbee 77656 (409)923-5425 (409)813-3218 brendat@esc5.net 5 Dorothy Gray 3545 Hwy 96 Bypass Silsbee 77656 (409)923-5417 (409)923-5471 dgray@esc5.net 5 Terri Richard 3545 Hwy 96 Bypass Silsbee 77656 (409)923-5408 (409)923-5471 richardt@esc5.net 6 Cristina Woods 3332 Montgomery Rd. Huntsville 77340 (936)435-8237 (936)295-1447 cwoods@esc6.net 6 Sandra Cammarata-Garcia 3332 Montgomery Rd. Huntsville 77340 (936)435-8235 (936)295-1447 sgarcia@esc6.net 6 Consuelo Ermita Malecek 3332 Montgomery Rd. Huntsville 77340 (936)435-8235 (936)295-1447 cmalecek@esc6.net 7 Pam Bybee 1909 N. Longview St. Kilgore 75662 (903) 988-6717 (903)988-6800 pbybee@esc7.net 7 Marianella Moore 1909 N. Longview St. Kilgore 75662 (903) 988-6781 (903)988-6800 mmoore@esc7.net 7 Debbie Sikes 1909 N. Longview St. Kilgore 75662 (903)988-6767 (903)988-6800 dsikes@esc7.net 8 Michelle Reeves P O Box 1894 Mt. Pleasant 75455 (903) 572-8551 (903)575-2610 mreeves@reg8.net 8 Jean Carrell P O Box 1894 Mt. Pleasant 75455 (903)572-8551 (903)575-2610 jcarrell@reg8.net 9 Miriam Mas 301 Loop 11 Wichita Falls 76306 (940)322-6928 (940)767-3836 miriam.mas@esc9.net 10 Diana Madrigal-Hopes 400 E. Spring Valley Rd. Richardson 75083 (972) 348-1400 (972) 348-1401 diana.madrigal@region10.org 10 Rose McCluer 400 E. Spring Valley Rd. Richardson 75083 (972)348-1530 (972)348-1531 rose.mccluer@region10.org 11 Kathy Wright-Chapman 3001 N. Freeway Fort Worth 76106 (817) 740-7546 (817) 740-3684 kwc@esc11.net 11 Janet Trump 3001 N. Freeway Fort Worth 76106 (817)740-7547 (817)740-3684 jtrump@esc11.net 11 Debbie Enger-Key 3001 N. Freeway Fort Worth 76106 (817)740-7547 (817) 740-3627 dkey@esc11.net 12 Lou Ann Olson 2101 West Loop 340 Waco 76702 (254)297-1116 (254)666-0823 lolson@esc12.net 12 Betsy King 2101 West Loop 340 Waco 76702 (254) 297-1140 (254)666-0823 bking@esc12.net 13 Janet O-Keeffe 5701 Springdale Rd Austin 78723 (512)919-5333 (512)919-5215 janet.okeeffe@esc13.txed.net 13 Adela Mancias 5701 Springdale Rd Austin 78723 (512)919-5223 (512)919-5215 Adela.Mancias@esc13.txed.net 13 Meredith Roddy 5701 Springdale Rd Austin 78723 (512)919-5223 (512)919-5215 meredith.roddy@esc13.txed.net 14 Christina Garza 1850 Highway 351 Abilene 79601 (325)675-7001 (325)675-8659 cgarza@esc14.net 14 Randy Deming 1850 Highway 351 Abilene 79601 (325)675-8643 (325)675-8659 rdeming@esc14.net 15 Mary T. Castanuela 612 South Irene St. San Angelo 76902 (325)658-6571x200 (325)655-4823 mary.castanuela@netxv.net 15 June Harris 612 South Irene St. San Angelo 76902 (325)658-6571x325 (325)655-4823 june.harris@netxv.net 16 Salvador Martínez 5800 Bell Amarillo 79109 (806)677-5162 (806)677-5001 sal.martinez@esc16.net 16 Laura Zavala 5800 Bell Amarillo 79109 (806)677-5074 (806)677-5152 laura.zavala@esc16.net 16 Frances Pipkin 5800 Bell Amarillo 79109 (806)677-5074 (806)677-5152 frances.pipkin@esc16.net 16 Susan Nevad 5800 Bell Amarillo 79109 (806)677-5150 (806)677-5152 susan.nevad@esc16.net 17 Peggy Klenclo 1111 W. Loop 289 Lubbock 79416 (806)281-5874 (806)792-4545 pklenclo@esc17.net 17 Larry Williams 1111 W. Loop 289 Lubbock 79416 (806)281-5808 (806)792-1523 lbwilliams@esc17.net 17 Yolanda G. Sánchez 1111 W. Loop 289 Lubbock 79416 (806)281-5888 (806)687-5526 ysanchez@esc17.net 17 Antonio Q.Saldaña 1111 W. Loop 289 Lubbock 79416 (806)281-5893 (806)687-5526 asaldana@esc17.net 18 Lupe Garza 2811 LaForce Blvd. Midland 79711 (432)567-3235 (432)567-3290 lgarza@esc18.net 18 Martha Alexander 2811 LaForce Blvd. Midland 79711 (432)567-3274 (432)567-3290 malexander@esc18.net 19 Liliana Jaurrieta 6611 Boeing Dr. El Paso 79925 (915)780-5033 (915)780-5077 ljaurrieta@esc19.net 19 Liz V. Lozano 6611 Boeing Dr. El Paso 79925 (915)780-5035 (915)780-5077 llozano@esc19.net 19 Marta G. Rivera 6611 Boeing Dr. El Paso 79925 (915)780-5099 (915)780-5077 mrivera@esc19,net 20 Yvette Gomez 1314 Hines Ave. San Antonio 78208 (210)370-5483 (210)370-5754 yvette.gomez@esc20.net 20 Mónica Lara 1314 Hines Ave. San Antonio 78208 (210)370-5440 (210)370-5754 monica.lara@esc20.net

The Directory of District Bilingual/ESL Personnel can be found at the Texas Education Agency Bilingual/ESL Unit website at: http://www.tea.state.tx.us/curriculum/biling/05066bilingeslcontactst0307 06.xls