Suggested Forms
The forms included in the LPAC Framework Manual are samples for districts to use for the implementation of a bilingual/ESL program. Suggested forms are provided in fillable PDF only. Please check with your district with regards to these suggested forms prior to use.
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LPAC Procedure Forms
LPAC Confidentiality Statement - English / Spanish / Vietnamese
LPAC Meeting Minutes Form
LPAC Member Roster
LPAC Parent Membership Request Letter - English / Spanish / Vietnamese
English Learner Cumulative Folder Documentation Checklist
Initial Review (PDF)
LPAC Annual Review (PDF)
LPAC Monitoring of Reclassified Students
LPAC Meeting Minutes Form
LPAC Member Roster
LPAC Parent Membership Request Letter - English / Spanish / Vietnamese
English Learner Cumulative Folder Documentation Checklist
Initial Review (PDF)
LPAC Annual Review (PDF)
LPAC Monitoring of Reclassified Students
Student Progress Forms
Parent Notification of Student Progress - BE Program - Multiple Languages(PDF)
Parent Notification of Student Progress - ESL Program - Multiple Languages (PDF)
Parent Notification of Student Progress - Parent Denial - Multiple Languages (PDF)
Parent Notification on Student Progress and Monitoring - Multiple Languages (PDF)
Parent Notification of Student Progress - ESL Program - Multiple Languages (PDF)
Parent Notification of Student Progress - Parent Denial - Multiple Languages (PDF)
Parent Notification on Student Progress and Monitoring - Multiple Languages (PDF)
Summer School Forms
Identification, Placement, & Reclassification Forms
The letters below will be replaced with standardized letters according to the changes made in the Commissioners Rules in Chapter 89 Subchapter BB which became effective August 9, 2023.
Parental Notification of Identification and Approval of Placement - BE Program - English / Spanish / Vietnamese (PDF)Parental Notification of Identification and Approval of Placement - ESL Program - English / Spanish / Vietnamese
Denial of Bilingual Education Program - English / Spanish / Vietnamese (PDF)
Denial of ESL Program - English / Spanish / Vietnamese (PDF)
Parent Notification of Reclassification and Approval of BE Program Exit - English / Spanish / Vietnamese (PDF)
Parent Notification of Reclassification and Approval of ESL Program Exit - English / Spanish / Vietnamese (PDF)
Parent Notification of Reclassification and Continuation of DLI Program - English / Spanish / Vietnamese(PDF)
