Multiple measures exit G1-2.doc.docx - New Jersey



SAMPLE School District

English as a Second Language

Multiple Measures Exit Criteria for Grades 1-12

School Year: ____________ Date:_______________

Last Name:_______________________________ First Name:___________________________________

Current Grade:____

ESL Teacher:____________________________________________

Classroom Teacher: ________________________________________

I. English Language Proficiency Scores

Test Name:________________

| |Raw Score |Domain Proficiency |

|Oral | | |

|Reading | | |

|Writing | | |

Overall Proficiency Level: _______________ Date: ________________

ACCESS for ELLs English Language Proficiency Test

| |Scale Score |Proficiency |

|Listening | | |

|Speaking | | |

|Reading | | |

|Writing | | |

|Comprehension | | |

Overall Score: _______________ Date: ________________

II. Classroom Grades

_______________________

___________________

___________________

___________________

Date: ______________________

III. ESL Teacher Recommendation

Teacher:_____________________________________ Date: ___________

Observations: ___________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

I recommend that this student ____ remain in ESL

____ exit ESL

Signature:_______________ Date:____________________

IV. Classroom Teacher Recommendation

Teacher:_____________________________________ Date: ___________

Observations: ___________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

I recommend that this student ____ remain in ESL

____ exit ESL

Signature:_______________ Date:____________________

V. IEP or basic skills concerns, if applicable: ___________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

VI. Achievement test scores:

Math:________________ Rating:___________

Language Arts:_________________ Rating:____________

Reading level score:_____________________

VII. Other Considerations

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

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