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English Learner Forms

Samples of commonly used English Learner program document templates that may be used by a local educational agency.
Clearinghouse for Multilingual Documents

A repository of translated documents contributed by local educational agencies and those published by the California Department of Education.

Home Language Survey

California Education Code, Section 52164.1 (a) contains legal requirements which direct schools to determine the language(s) spoken in the home of each student. This sample form is designed to assist with the identification process.

Informal Primary Language Assessment

Tool that may be used, along with the results of the California English Language Development Test, to design appropriate instruction and support services for English learners.

Semiannual Certification and Personnel Activity Report

The Office of Management and Budget (OMB), is a policy directive affecting which costs are allowable charges to federal programs, which costs are not allowable, and how costs must be documented. OMB Circular A-87 applies to all local educational agencies receiving federal funds, including certification of salaries and wages cost charged to federally funded programs. Sample certifications may be found on page 15 and 16 from the January 10-11, 2007, State Board of Education Agenda, Item 20, Attachment 15 (DOC).

Questions:   Technical Assistance and Monitoring Office | 916-319-0938
Last Reviewed: Monday, August 10, 2020
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