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The forms below are samples for districts to use for the implementation of a bilingual/ESL program. Suggested forms are provided in fillable PDF only. Please check with your district with regards to these suggested forms prior to use. To ensure your data is saved, download the form to your desktop before entering information.

LPAC Procedure Forms


  •  LPAC Confidentiality Statement - English / Spanish / Vietnamese
  •  LPAC Meeting Minutes Form
  •  LPAC Member Roster
  •  LPAC Parent Membership Request Letter - English / Spanish / Vietnamese
  •  Emergent Bilingual Cumulative Folder Documentation Checklist
  •  Initial Review (PDF)
  •  LPAC Annual Review (PDF)
  •  LPAC Monitoring of Reclassified Students

Student Progress Forms


  •  Instructional Accommodations Checklist (PDF)
  •  Parent Notification of Student Progress - BE Program - Multiple Languages (PDF)
  •  Parent Notification of Student Progress - ESL Program - Multiple Languages (PDF)
  •  Parent Notification of Student Progress - Parent Denial - Multiple Languages (PDF)
  •  Parent Notification on Student Progress and Monitoring - Multiple Languages (PDF)

Summer School Forms


  •  Bilingual Summer School K-1 - Initial Parent Survey - English / Spanish / Vietnamese
  •  Bilingual Summer School Program K-1 - English / Spanish / Vietnamese
  •  ESL Summer School K-1 - Initial Parent Survey - English / Spanish / Vietnamese
  •  ESL Summer School Program K-1 - English / Spanish / Vietnamese
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