Student Reclassification Survey
Please complete this survey to assist in evaluating student eligibility for reclassification. Your input is valuable for supporting student progress.
Student Information
Please provide the student's basic information below.
Student Full Name
*
First Name
Last Name
Student ID Number
*
Grade Level
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Primary Language Spoken at Home
*
Academic Performance (Most Recent Report Card)
*
Rows
English Language Arts
Mathematics
Science
Performance Level
Below Basic
Basic
Proficient
Advanced
Below Basic
Basic
Proficient
Advanced
Below Basic
Basic
Proficient
Advanced
English Language Proficiency Skills Assessment
*
Rows
Listening
Speaking
Reading
Writing
Not Yet Proficient
1
2
3
4
Approaching Proficient
5
6
7
8
Proficient
9
10
11
12
Advanced
13
14
15
16
How confident are you in the student's ability to participate in mainstream classes without additional language support?
*
Not Confident
1
2
3
4
Very Confident
5
1 is Not Confident, 5 is Very Confident
Teacher Comments (optional)
Parent/Guardian Input
*
I support the reclassification of my child.
I do not support reclassification at this time.
I need more information before making a decision.
Other (please specify)
Additional Comments or Concerns (optional)
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