Sharyland ISD - Student History Worksheet

Sharyland ISD - Student History Worksheet

Student Name:______Initial Date of Enrollment in U.S. Schools:______

Schooling Outside U.S. / Schooling in U.S.
School
Year / Grade / Where
(Campus,
District,
State) / Date Enrolled / Withdrawal Date / Total Days Enrolled
(NS = No schooling) / Where
(Campus,
District,
State) / Date Enrolled / Withdrawal Date / Total Days Enrolled / Program Participation / School Year of
Enrollment in U.S.*
(Designated LPACmember to sign and date each year) / TELPAS
Reading
Rating / Test
Decision

Student ID:______Date Identified as LEP:______

*If first school year of enrollment in U.S., indicate whether enrolled if the student enrolled in the first or second semester. In order to count 1 year of enrollment in U.S. schools, the student must be enrolled in U.S. schools for 60 consecutive days. (See Curriculum – Assessment, Research and Evaluation website for clarification)

This form can help

• keep track of a student’s LEP status, program participation, years in U.S. schools, and TELPAS reading rating;
• monitor extensive absences of schooling outside the U.S. and the schooling patterns of students who move in and out of the U.S.; and
• summarize a student’s test history.

Student History Worksheet

Student Name:_____Rosa García______Initial Date of enrollment in U.S. Schools:______Jan. 5, 2012_____

Student ID:_____999-99-999______Date Identified as LEP:______Jan. 12, 2012____

Schooling Outside U.S. / Schooling in U.S.
School
Year / Grade / Where
(Campus,
District,
State) / Date Enrolled / Withdrawal Date / Total Days Enrolled
(NS = No schooling) / Where
(Campus,
District,
State) / Date Enrolled / Withdrawal Date / Total Days Enrolled / Program Participation / School Year of
Enrollment in U.S.*
(Designated LPACmember to sign and date each year) / TELPAS
Reading
Rating / Test
Decision
2011-12 / 7 / Mexico / 8/24/2011 / 2/27/2012 / 83 / Johnson MS
Example ISD, TX / 3/4/2012 / 5/31/2012 / 91 / ESL / 1st School Year
(Enrolled in 2nd Semester)
Joe R. Smith 1/12/12 / Beginning / STAAR: R, W
STAAR L: M
2012-13 / 8 / Johnson MS
Example ISD, TX / 8/25/2012 / 5/31/2013 / 177 / ESL / 2nd School Year
Joe R. Smith 1/5/13 / Intermediate / STAAR: R
STAAR L: M, S, SS
2013-14 / 9 / Johnson MS
Example ISD, TX / 8/26/2013 / ESL / 3nd School Year
Joe R. Smith 1/7/13 / No score yet / STAAR: R
STAAR L: M, S, SS

*If first school year of enrollment in U.S., indicate whether enrolled if the student enrolled in the first or second semester. In order to count 1 year of enrollment in U.S. schools, the student must be enrolled in U.S. schools for 60 consecutive days. (See Curriculum – Assessment, Research and Evaluation website for clarification)

This form can help

• keep track of a student’s LEP status, program participation, years in U.S. schools, and TELPAS reading rating;
• monitor extensive absences of schooling outside the U.S. and the schooling patterns of students who move in and out of the U.S.; and
• summarize a student’s test history.

2/4/2014 eg