Post-Exit ELL Monitoring Form (Elementary)

Pages 1 and 3 to be completed by the appropriate ESL/Bilingual Education Staff

Student Name

Grade in 1^st year of monitoring

Academic Year

Name of classroom teacher

(1^st year of monitoring)

The classroom teacher is responsible for completing this form at quarterly intervals and returning it to the ESL/Bilingual Education teacher for review. 

Name of classroom teacher

(2^nd  year of monitoring)

Name of ESL/Bilingual Ed  teacher

(1^st year of monitoring)

The ESL teacher is responsible for reviewing this form each time that it is completed by the classroom teacher.

Name of ESL/Bilingual Ed  teacher

(2^nd year of monitoring)

ESL Coordinator

(Responsible for ensuring that this form is completed each quarter

 and maintained in the student’s academic record)

Exiting ACCESS for ELLs^® Results:

Composite

Listening

Speaking

Reading

Writing

Literacy

Comprehension

Oral Language

PSSA Results (Below basic, Basic, Proficient, Advanced):

Reading

Mathematics

Writing

1^st Year of monitoring

2^nd year of monitoring

1^st year of monitoring

2^nd year of monitoring

Is the student receiving any special services?

(any academic services/programs in addition to the standard academic program)

NO

YES

NO

YES

If yes, describe the services (1^st year):

If yes, describe the services (2^nd year):

Report Card Results:

1^st year of monitoring

2^nd year of monitoring

1^st

2^nd

3^rd

4^th

1^st

2^nd

3^rd

4^th

LA

Math

Science

Social Studies

Student Name: ______________________________

1^st Year of Monitoring

Teacher’s

Initials:

^1st

______

^2nd

______

^3rd

_____

^4th

______

Quarter

Rate the student’s performance in each of the following areas          

(1 = never      2 = seldom      3 = sometimes     4 = often     5 = always)

1^st

2^nd

3^rd

4^th

1.     The student completes assignments on-time. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

2.     The student communicates effectively with teacher. - - - - - - - - - - - - - - - - - - - - - - - - - - - -

3.     The student participates effectively in class projects.- - - - - - - - - - - - - - - - - - - - - - - - - - - -

4.     The student participates effectively in class discussions. - - - - - - - - - - - - - - - - - - - - - - - -

5.     The student is able to work independently. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

6.     The student attends class regularly. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

7.     The student displays effort and enthusiasm in class. - - - - - - - - - - - - - - - - - - - - - - - - - - -

8.     The student requires additional assistance with assignments. - - - - - - - - - - - - - - - - - - - - -

9.     The student shows evidence of difficulty with language. - - - - - - - - - - - - - - - - - - - - - - - - -

10.   The student has discipline problems that interfere with his/her academic progress. - - - - - -

1^st

2^nd

3^rd

4^th

Have ESL strategies been implemented to respond to the language needs of the former ELL?

Do you recommend that this student be considered for reclassification as an ELL?

If you have additional comments, attach them to this form when you return it into the ESL teacher. Make sure you identify which monitoring year and quarter you are commenting on.

2^nd Year of Monitoring

Teacher’s

Initials:

^1st

______

^2nd

______

^3rd

_____

^4th

______

Quarter

Rate the student’s performance in each of the following areas          

(1 = never      2 = seldom      3 = sometimes     4 = often     5 = always)

1^st

2^nd

3^rd

4^th

1.     The student completes assignments on-time. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

2.     The student communicates effectively with teacher. - - - - - - - - - - - - - - - - - - - - - - - - - - - -

3.     The student participates effectively in class projects.- - - - - - - - - - - - - - - - - - - - - - - - - - - -

4.     The student participates effectively in class discussions. - - - - - - - - - - - - - - - - - - - - - - - -

5.     The student is able to work independently. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

6.     The student attends class regularly. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

7.     The student displays effort and enthusiasm in class. - - - - - - - - - - - - - - - - - - - - - - - - - - -

8.     The student requires additional assistance with assignments. - - - - - - - - - - - - - - - - - - - - -

9.     The student shows evidence of difficulty with language. - - - - - - - - - - - - - - - - - - - - - - - - -

10.   The student has discipline problems that interfere with his/her academic progress.  - - - - - -

1^st

2^nd

3^rd

4^th

Have ESL strategies been implemented to respond to the language needs of the former ELL?

Do you recommend that this student be considered for reclassification as an ELL?

If you have additional comments, attach them to this form when you return it into the ESL teacher. Make sure you identify which monitoring year and quarter you are commenting on.

To be completed by appropriate ESL staff

1^st year of monitoring

1^st

2^nd

3^rd

4^th

I received and reviewed this form.

(ESL staff member initials)

__________

__________

__________

__________

I have collaborated with the classroom teacher to incorporate instructional strategies to respond to the language needs of the former ELL. (if the answer is “Yes”, describe the collaboration in the comments section)

1^st

Yes      No

Comments:

2^nd

Yes      No

Comments:

3^rd

Yes      No

Comments:

4^th

Yes      No

Comments: requirement

1^st

2^nd

3^rd

4^th

I recommend that this student be reclassified as an ELL.

If a recommendation is made to reclassify, have the parents been notified?

YES

NO

2^nd year of monitoring

1^st

2^nd

3^rd

4^th

I received and reviewed this form.

(ESL staff member initials)

__________

__________

__________

__________

I have collaborated with the classroom teacher to incorporate instructional strategies to respond to the language needs of the former ELL. (if the answer is “Yes”, describe the collaboration in the comments section)

1^st

Yes      No

Comments:

2^nd

Yes      No

Comments:

3^rd

Yes      No

Comments:

4^th

Yes      No

Comments:

1^st

2^nd

3^rd

4^th

I recommend that this student be reclassified as an ELL.

If a recommendation is made to reclassify, have the parents been notified?

YES

NO