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
AZELLA Placement Test Referral Form - Mainstream to EL
AZELLA Stage I Reassessment Test Referral Form - Mainstream to EL Revised
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
