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English Learner (EL) Forms

 

The Office of English Language Acquisition Services for the Arizona Department of Education has developed the above forms for use by Local Education Agencies (LEAs).

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

Forms in English

Home Language Survey Revised

Parental Notification and Consent Form Revised

       2020-2021 Parental Notification and Consent Form Interim COVID-19

Parent Request for Student Withdrawal Revised

Bilingual Parental Waiver Request Application Revised

AZELLA Placement Test Referral Form - EL Status Undetermined Revised

AZELLA Placement Test Referral Form - EL to Mainstream Revised

AZELLA Placement Test Referral Form - Mainstream to EL

English Language Proficiency Assessment Administrator Attestation

 

Forms in Spanish

Home Language Survey - Spanish Revised

Parental Notification and Consent Form - Spanish Revised

     2020-2021 Parental Notification and Consent Form Interim COVID-19 - Spanish

Parent Request for Student Withdrawal - Spanish Revised

Bilingual Program Waiver Request Form - Spanish Revised

The Arizona Department of Education, Office of English Language Acquisition Services has 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 Revised

Sample Notification of Reclassification Letter - English - PDF Version Revised

Sample Notification of Reclassification Letter - Spanish - Word Version Revised

Sample Notification of Reclassification Letter - Spanish - PDF Version Revised

Sample Two-Year Monitoring Form for Fluent English Proficient Students - Word Version Revised

Sample Two-Year Monitoring Form for Fluent English Proficient Students - PDF Version Revised

Written Individualized Compensatory Plan (WICP) - Word Version

Written Individualized Compensatory Plan (WICP) - PDF Version

Required EL Forms and Documentation

  • AZELLA
  • EL Data
  • EL Forms
  • EL Funding
    • Title III
    • SEI Budget
  • ELP Standards
  • Professional Learning
  • SEI Endorsement
  • SEI Models

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