ESOL Permission / Waiver

New Enrollment

Student Name _________________________

ID _________________________

School / Grade _______________________

Dear Parent / Guardian:

Your student’s enrollment

form indicated that another language is spoken in your home. For this reason

your student was tested to determine their proficiency in English. Upon completing the

Idea English

Proficiency Test (IPT)

for Early Childhood students or the

Kansas English Language Proficiency

Assessment/Placement (KELPA/P)

for K-5

th

grade students, it was determined that your student is not

proficient in either oral and/or written English and qualifies for ESOL (English Speakers of Other

Languages) services in USD 261.

The ESOL program is designed to help your student become proficient in English throughout their school

subjects. A learning plan will

be written to accommodate your student’s needs, and services

are

available in one or more of the following ways:

_____ * ESOL Newcomer Class: providing English/Language assistance for non-English speakers

_____ * ESOL Pull-Out: providing small group English/Language assistance away from the classroom

_____ * ESOL Inclusion: providing ESOL personnel in the classroom for English/Language assistance

_____ * ESOL Computer Assistance: providing technology to increase English/Language proficiency

_____ * ESOL Modified Instruction: providing ESOL endorsed teachers making content understandable

When your student becomes proficient in English, as determined by their annual Kansas English

Language Proficiency Assessment, they will be exited from the ESOL program. Following their exit from

the program, a two year period of monitoring will occur in order to check their maintained proficiency.

It is your right as a parent/guardian to

permit

or to

waive

ESOL services for your student.



I have been informed of the procedures used to identify my child for ESOL services.



I understand that my child qualifies to receive ESOL services.



I understand that my child’s

English proficiency will be tested annually as federal law requires.

With this understanding:

_____

I give permission

for my child to receive ESOL services.

_____

I waive ESOL services

for my child, understanding that

the annual KELPA will be administered

.

______________________

____________________

_____________________

Parent/Guardian

date

ESOL Teacher

date

Building Principal

date