Suggested Forms
The forms included in the LPAC Framework 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.
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Introduction
The Introduction section addresses the purpose, membership, and responsibilities of the language proficiency assessment committee (LPAC) and the organization of the framework and resources that support it.

Introduction Suggested Forms

English Learner Cumulative Folder Documentation Checklist

LPAC Confidentiality Statement - English / Spanish / Vietnamese

LPAC Meeting Minutes Form

LPAC Member Roster

LPAC Parent Membership Request Letter - English / Spanish / Vietnamese

Identification
The Identification section addresses timelines, procedures, assessment practices, and decision-making processes for identifying English learners.

Identification Suggested Forms (PDF)

LPAC Initial Review (PDF)

Home Language Surveys (Multiple Language)(PDF)

The Process for serving English Learners-English Video

The Process for serving English Learners-Spanish Video

Placement
The Placement section addresses the rights of parents regarding the process of identification and placement, benefits of program services, and approval for program participation.

Placement Suggested Forms

Denial of Bilingual Education Program-English / Spanish / Vietnamese

Denial of ESL Program-English / Spanish/ Vietnamese

Parental Notification of Identification and Approval of Placement-BE Program-English / Spanish / Vietnamese

Parental Notification of Identification and Approval of Placement-ESL Program-English / Spanish / Vietnamese

English Learner Services
The English Learner Services section addresses the four state-approved bilingual program models and the two state-approved ESL program models, staffing requirements, and procedures for filing a bilingual exception or an ESL waiver.

English Learner Services Suggested Forms

Bilingual Summer School Program K-1 - English / Spanish / Vietnamese

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

ESL Summer School Program K-1 - English / Spanish / Vietnamese

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

Review and Reclassification
The Review and Reclassification section addresses the requirements for conducting ongoing and annual review of English learner progress and the criteria for reclassification of students as English proficient.

Review and Reclassification Suggested Forms(PDF)

LPAC Annual Review(PDF)

EB Student/English Learner Reclassification Criteria

Parent Notification of Reclassification and Approval of BE Program Exit-English/Spanish/Vietnamese(PDF)

Parent Notification of Reclassification and Approval of ESL Program Exit - English / Spanish / Vietnamese(PDF)

Parent Notification of Reclassification and Continuation of DLI Program - English / Spanish / Vietnamese(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)

Monitoring and Evaluation
The Monitoring and Evaluation section addresses the differences between state and federal monitoring requirements for reclassified students and outlines key elements of the annual program evaluation.

LPAC Monitoring of Reclassified Students