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English Learner (EL) Forms

 

Infographic: Arizona English Learner Determination and Services

 

Guidance for Digital Forms and Electronic Signatures (July 2022)

 

The Office of English Language Acquisition Services developed the following forms for use by Local Educational Agencies (LEAs).
 

The state-approved forms may not be altered in any way.
 

Forms in English

Home Language Survey 

Parental Notification and Consent Form 

Parent Request for Student Withdrawal 

Bilingual Parental Waiver Request Application 

 

AZELLA Placement Test Referral Forms

English Learner Status Undetermined or Missed Prior Reassessment Test  - FY 2023 (updated 6.14.22)

EL Program Services to Mainstream - FY 2023  (updated 6.14.22)

Mainstream to EL Program Services - FY 2023 (updated 6.14.22)
 

 

AZELLA Reassessment Test Referral Form

Stage I (KG) Reassessment Test Referral Form – Mainstream to EL  

 

English Language Proficiency Assessment Administrator Attestation (2022-2023 School Year)

 

 

 

Forms in Spanish

Home Language Survey - Spanish 

Parental Notification and Consent Form - Spanish 

Parent Request for Student Withdrawal - Spanish 

Bilingual Program Waiver Request Form - Spanish 

 

The Office of English Language Acquisition Services developed these forms for use by the LEAs. These were created as samples and can be used by the LEA, or the LEA can create one for their own use.

Sample Notification of Reclassification Letter - English - Word Version (7.7.21)

Sample Notification of Reclassification Letter - English - PDF Version (7.7.21)

Sample Notification of Reclassification Letter - Spanish - Word Version (7.7.21)

Sample Notification of Reclassification Letter - Spanish - PDF Version (7.7.21)

 

Sample Two-Year Monitoring Form for Fluent English Proficient Students - Word Version  (7.7.21)

Sample Two-Year Monitoring Form for Fluent English Proficient Students - PDF Version  (7.7.21)

 

Written Individualized Compensatory Plan (WICP) - English - Word Version

Written Individualized Compensatory Plan (WICP) - English - PDF Version

Written Individualized Compensatory Plan (WICP) - Spanish - Word Version

Written Individualized Compensatory Plan (WICP) - Spanish - PDF Version

 

 

Required EL Forms and Documentation (updated 8.10.22)

Guidance for Home Language Survey when completed in Preschool

 

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