Fillable Decisions Regarding Assessment Participation and Designated Supports (Grades (Texas Real Estate Contracts)

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Decisions Regarding Assessment Participation and Designated Supports (Grades (Texas Real Estate Contracts)

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The Texas Real Estate Commission (TREC) is an agency that governs real estate practices in the state of Texas USA. I its headquarters are located in Ausin Texas at 1700 North Congress.

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Decisions Regarding Assessment Participation and Designated Supports (Grades K–5)
NOTE: If student is enrolled in K, grade 1 or grade 2, skip to Part II
PART I: STAAR Participation and Designated Supports Decisions
Participation
Designated Supports
1
Justification
(Attach additional information if more room is
required.)
Assessment English Spanish
Content and
Language
Supports
2
Extra Time
Oral/Signed
Administration
2
None
State of
Texas
Assessments
of Academic
Readiness
(STAAR®)
Mathema
tics
☐
☐
☐
☐
☐
Reading
☐
☐
☐
☐
☐
Writing
(grade 4 only)
☐
☐
☐
☐
☐
Science
(grade 5 only)
☐
☐
☐
☐
☐
STAAR
Alternate 2
☐
The admission, review, and dismissal (ARD) committee, in conjunction with the language proficiency assessment committee (LPAC),
has determined that the student is eligible and will participate in STAAR Alternate 2.
Signature of Student’s Teacher for Subject Area
For STAAR designated supports decisions the signature of
the student’s teacher affirms that the supports marked
are based both on the student’s need and the student’s
routine use of the designated support in classroom
instruction and testing.
Math:
Reading:
Writing:
Science:
1
Students for whom the LPAC recommends Content and Language Supports, Extra Time, or Oral Administration for any English reading assessment, may not be considered
for reclassification at the end of the school year.
2
Students eligible for an Oral Administration and Content and Language Supports should take STAAR online since these supports are only offered online.
Academic Year: LPAC Date:
School District/Charter School: Campus:
Student Name: Grade:
PART II: TELPAS Participation* and Designated Supports Decisions
Assessment Participation
TELPAS
☐
The student will take the general Texas English Language Proficiency System (TELPAS) in all four language domains.
☐
The ARD committee, in conjunction with the LPAC, has determined that the student will not be assessed in one or more of the four
language domains, as noted in student’s individualized education program (IEP).
☐
The ARD committee, Section 504 committee, or appropriate team of people at the campus level, in conjunction with the LPAC,
has determined that the student will receive designated supports, and noted accordingly.
☐
The ARD committee, Section 504 committee, or appropriate team of people at the campus level, in conjunction with the LPAC, has
determined that the student will have a special administration of an online TELPAS assessment pending TEA approval.
TELPAS
Alternate
☐
The ARD committee, in conjunction with the LPAC, has determined that the student meets the TELPAS Alternate eligibility and will
be assessed with TELPAS Alternate, as noted in the student’s IEP.
* For English Learners (ELs) in kindergarten through grade 2 who do not have ARD or Section 504 committees, the LPAC is not required to meet to determine participation
decisions regarding unmodified English language proficiency assessments.
PART III: LPAC Notes
You can use the section below to record any other information pertinent to the assessment administration, including designated supports requiring Texas Education
Agency (TEA) approval or designated supports requested by a committee other than the LPAC.
PART IV: Signatures of Designated LPAC Members
These signatures affirm that the decisions recorded have been made by the LPAC in full accordance with the state policies and
procedures. NOTE: Digital signatures (signatures ensuring authentication meet the Family Education Rights and Privacy Act (FERPA) and
are allowable.
________________________________________________________ _______________________________________________
________________________________________________________ _______________________________________________
________________________________________________________ _______________________________________________
________________________________________________________ _______________________________________________
LPAC Date(s) ____________________________________________________________________________________________________________
In addition to keeping this form in the student’s permanent record file, the LPAC may provide a copy of Parts I and II of the form to the testing coordinator to
ensure that the student is administered the correct test and provided the correct designated supports.
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Decisions Regarding Assessment Participation and Designated Supports (Grades (Texas Real Estate Contracts)

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Completed 31 March 2021

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