SAN ANTONIO INDEPENDENT SCHOOL DISTRICT
STUDENT PROFILE DATA FOR BILINGUAL EDUCATION
Elementary Grades 3rd to 5th
Student Name______ID #______School Name______Must complete the following from the Home Language Survey Response
#1______#2______#3______#4______#5______
(Language) (Language) (Language) (Lived outside U.S. more than 2 consecutive yrs/When?) (Attended school regularly?)
THIRD GRADE FALL 20___ - 20___
WMLS (ENG): CALP Level______RPI______Date: ______Years in U.S____WMLS (SPN): CALP Level______RPI______Date: ______
LPAC Classification aone: LEP__ NON-LEP ___
LPAC Program Recommendation: ______
______Initial of LPAC Coordinator/Principal
Campus______Date of LPAC ______
Other Assessment Data (as applicable):
ITBS______Date______/
THIRD GRADE SPRING 20___ - 20___
WMLS (ENG): CALP Level______RPI______Date: ______Years in U.S____WMLS (SPN): CALP Level______RPI______Date: ______
LPAC Classification aone: LEP__ NON-LEP ___
RECOMMENDATION 20______( R , M )
STAAR / STAAR SP. / STAAR L / STAAR MOD / STAAR ALT
TELPAS Date: ______Level: Rdg ______Wrtg ______Comp______
LPAC Program Recommendation 4TH Grade ______
______Initial of LPAC Coordinator/Principal
Campus______Date of LPAC ______
Program Exit Date______/______
Initials LPAC Coordinator
Other Assessment Data (as applicable):
ITBS______Date______
FOURTH GRADE FALL 20___ - 20___
WMLS (ENG): CALP Level______RPI______Date: ______Years in U.S____WMLS (SPN): CALP Level______RPI______Date: ______
LPAC Classification aone: LEP__ NON-LEP ___
LPAC Program Recommendation:______
______Initial of LPAC Coordinator/Principal
Campus______Date of LPAC ______
Other Assessment Data (as applicable):
ITBS______Date______/
FOURTH GRADE SPRING 20___ - 20___
WMLS (ENG): CALP Level______RPI______Date: ______Years in U.S____WMLS (SPN): CALP Level______RPI______Date: ______
LPAC Classification aone: LEP__ NON-LEP ___
RECOMMENDATION 20______( R, W, M)
STAAR / STAAR SP. / STAAR L / STAAR MOD / STAAR ALT
TELPAS Date: ______Level: Rdg ______Wrtg ______Comp______
LPAC Program Recommendation 5TH Grade ______
Check the appropriate: o1st yr follow-up o 2nd yr follow-up
______Initial of LPAC Coordinator/Principal
Campus______Date of LPAC ______
Program Exit Date______/______
Initials LPAC Coordinator
Other Assessment Data (as applicable):
ITBS______Date______
FIFTH GRADE FALL 20___ - 20___
WMLS (ENG): CALP Level______RPI______Date: ______Years in U.S____WMLS (SPN): CALP Level______RPI______Date: ______
LPAC Classification aone: LEP__ NON-LEP ___
LPAC Program Recommendation: ______
______Initial of LPAC Coordinator/Principal
Campus______Date of LPAC ______
Other Assessment Data (as applicable):
ITBS______Date______/
FIFTH GRADE SPRING 20___ - 20___
WMLS (ENG): CALP Level______RPI______Date: ______Years in U.S____WMLS (SPN): CALP Level______RPI______Date: ______
LPAC Classification aone: LEP__ NON-LEP ___
RECOMMENDATION 20______( R, M, Sc)
STAAR / STAAR SP. / STAAR L / STAAR MOD / STAAR ALT
TELPAS Date: ______Level: Rdg ______Wrtg ______Comp______
LPAC Program Recommendation 6TH Grade ______
Check the appropriate: o1st yr follow-up o 2nd yr follow-up
______Initial of LPAC Coordinator/Principal
Campus______Date of LPAC ______
Program Exit Date______/______
Initials LPAC Coordinator
Other Assessment Data (as applicable):
ITBS______Date______
San Antonio Independent School District Bilingual / ESL Revised February 2012