Texas English Language Proficiency
Assessment System (TELPAS)
WRITING COLLECTION COVER SHEET
SPRING 2022
The writing collection should be kept in the student’s permanent record file for two years from the time of
rating.
Student Name
Campus Name
Enrolled Grade Level
Number of Writing Samples
Printed Name of TELPAS Rater
Signature of TELPAS Rater
Printed Name of Additional Rater
Signature of Additional Rater
(if applicable)
Writing Rating
click to sign
signature
click to edit
click to sign
signature
click to edit