AZELLA (ELP) Record Change Request

* required field

This is a request to change an AZELLA (ELP) record that has reported out on the EL70 Report. 

When the request is due to a student with multiple SSID numbers, a formal merge of SSIDs request must have been submitted to School Finance prior to submitting this request.  When the request is due to a student sharing an SSID with another student, a formal split of SSID request must have been submitted to ADE's School Finance prior to submitting this request. When either of these issues is the reason for this request, the School Finance ticket number is required to complete this request form.

This is a secure submission that contains student identifiable information; therefore, the submission confirmation email will not include all of the information required in this request.

Full name of the person making this request.

STUDENT INFORMATION

Is this a request to move a private school ELP record to a student's EL70 Report now that the student is enrolled in an Arizona public school?
Does the SSID associated with the ELP record need to be changed due to the student having duplicate SSIDs or an SSID that is shared with another student? A request to merge SSIDs or split an SSID must have been submitted to ADE's School Finance prior to submitting this request to the Assessments Team at ADE. You will need the School Finance ticket number to complete this request form.
Enter the ticket number that the district received for the submission of the merge SSIDs or split an SSID request.
Does the ELP record belong to a different student?

TEST RECORD INFORMATION

Are there additional records for this student that need to be changed?
Are there more ELP records for this student that need to be changed?
When there are more than 2 records that are affected, please list the record date (other than the 2 previously identified) with the grade tested and the Overall Proficiency Level of the record. You may add as many records as needed in this area.

CHANGE REQUEST INFORMATION

Provide details about the change request including the reasons why and how the student's record needs to be changed.
List the changes your school/district will implement in the AZELLA testing procedures to guarantee fewer errors in the future.