ESOL Permission / Waiver
Student Name _________________________
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
Proficiency Test (IPT)
for Early Childhood students or the
Kansas English Language Proficiency
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
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
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