Fillable Form 1.: each domain assessed, indicate the student's

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Form 1.: each domain assessed, indicate the student's

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TELPAS Student Rating Roster
Spring 2022
Use the table below to list each student you rate, the student's grade level, the student's ratings, and the specified rater information. For
each domain assessed, indicate the student's English language proficiency rating: B=beginning, I=intermediate, A=advanced, and
H=advanced high. The listening and speaking ratings of a student in grades 2-12 will need to be included only if there was a TEA approval
for a special administration for listening and speaking. If, in consultation with your campus coordinator, it is determined that a student is
unable to be rated in a domain, mark "E" (Extenuating Circumstances) or "X" (ARD Decision) in accordance with the instructions in the Test
Information Distribution Engine (TIDE) User Guide. Sign and date the roster and return it to your campus coordinator.
A
(1-9)
B
(1-3)
Student Name
G
rade
Level
Rating R
ater Information
Listening Speaking Writing
Reading
(K-1 only)
Printed Name
A. What is the relationship of the rater to the student?
1. Bilingual Education Teacher
2. ESL Teacher
3. Elementary General Education Teacher
4. Middle or High School General Education
Teacher of Foundation (Core) Subject(s)
5. Special Education Teacher
6. Gifted and Talented Teacher
7. Teacher of Enrichment Subject(s)
8. Centralized Rater
9. No Domains Rated (E or X in every domain)
Signature
Date
TELPAS Rater of Above Students
Rater Information
Signature
Date
Additional Rater (if applicable)*
Printed Name
Campus Name
* Your district may require second or additional ratings as part of a rating verification process. This roster, the TELPAS writing collection cover
sheet, and the online submission should reflect final student ratings.
Campus Principal
B. Did the rater collaborate with others familiar with the student's
progress in learning English?
1. Yes
2. No
3. No Domain Rated (E or X in every domain)
Printed Name
Signature
Date
NOTE: If your rater information is the same for each student you rate,
you may fill in the information in the first row and dr
aw an arrow
downward through the rest of the rows.
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Validity and Reliability Rating
TELPAS Writing - 2022
Use the table below to list each student you rate, the student's grade level, the student's ratings, and the specified rater information. For each
domain assessed, indicate the student's English language proficiency rating: B=beginning, I=intermediate, A=advanced, and H=advanced high. Sign
and date the roster and return it to your campus coordinator. Districts are required to implement and document procedures for ensuring the
validity and reliability of TELPAS results. 1 in 4 writing samples, or 25% of all TELPAS participants, will be rated a second time, and if the ratings
differ, both raters must meet to discuss and come to a consensus rating. If no consensus can be reached, a third rater will be required. This
requirement supports the validity and reliability of the writing assessment by ensuring that students are assessed and evaluated on their ability to
write in English during content-area instruction.
Writing Writing Writing
1
st
Rating 2
nd
Rating
C
Rater
Info
3
rd
Rating
D
Rater
Info
Final
W
riting
Student Name
Grade
Level
Rater Information
Printed Name
C/D. What is the relationship of the rater to the student?
1. Bilingual Education Teacher
2. ESL Teacher
3. Elementary General Education Teacher
4. Middle or High School General Education
Teacher of Foundation (Core) Subject(s)
5. Special Education Teacher
6. Gifted and Talented Teacher
7. Teacher of Enrichment Subject(s)
8. Centralized Rater
9. No Domains Rated (E or X in every domain)
Signature
Date
2nd TELPAS Rater of Above Students
Signature
Date
3rd TELPAS Rater (if applicable)*
Printed Name
NOTE: If your rater information is the same for each student you rate,
you may fill in the information in the first row and draw an arrow
downward through the rest of the rows.
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Completed 7 March 2022

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