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This form is to help us evaluate the progress of your student, who is not in an ESL class, but is still being monitored by the ESL program. Please offer your observations in the following areas using the included guidelines. If you would like to make any additional comments, please do so. Thanks for your help!
 
 
 
Student Name:
   
 
 
ESL Code:
 
LX
 
T1 (Transitional year 1)
 
T2 (Transitional year 2)
 
W (Waived services)
 
 
School
   
 
 
Teacher name:
   
 
 
 
Please evaluate the student's performance in the following areas:

Speaking:
 
1-Poor
 
2-Fair
 
3-Good
 
4-Excellent
 
 
Listening:
 
1-Poor
 
2-Fair
 
3-Good
 
4-Excellent
 
 
 
Reading:
 
1-Poor
 
2-Fair
 
3-Good
 
4-Excellent
 
 
Writing:
 
1-Poor
 
2-Fair
 
3-Good
 
4-Excellent
 
 
Attendance:
 
1-Poor
 
2-Fair
 
3-Good
 
4-Excellent
 
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