VUSD Document Locker / Retention forms

Promotion-Retention Procedure (updated 1/25/12)


Name

Description

Promotion/Retention Worksheets:
Grade 1 English / Spanish
Grade 2 English / Spanish

Grade 3 English / Spanish

Grades 4-6 English / Spanish

Kindergarten Case Study

Use to record student assessment data and information to identify students at risk of retention. Completed by classroom teacher. Requires parent/guardian signature. Used by teacher and Site Retention Committee to make final determination for promotion/retention. Distribution: Original to cumulative file with Site Retention Committee recommendation attached, copies to parents/guardians at each trimester,

VUSD English Learner Student Profile -End of the Year

Worksheet to gather performance data of English Language Learners

Adequate Annual Progress for EL students

Guidelines and chart for monitoring progress of English Language Learners.

Teacher Recommendation/Committee Decision to Promote or Retain - English / Spanish

Use to record teacher recommendation and Site Committee decision to promote or retain. Requires signatures from classroom teacher and Site Committee members. Distribution: Original to cumulative file, copy to Site Retention Committee & next year's teacher.

Agreement to Retain Pupil in Kindergarten (Anniversary Letter) STATE FORM - English / Spanish

State approved form used for the retention of a kindergarten student. Requires parent signature. Distribution: Original to Cum file, copy to Ed Services, parent/guardian.

K-6 Retention Plan

Completed by current classroom teacher and/or Site Retention Committee. Distribution: Original to cumulative file, copies to parents/guardians, Site Retention Committee, classroom teacher in retained year

Parent/Guardian

Notification of Promotion/Retention - English / Spanish

Use to notify parents of Site Retention Committee's decision to promote or retain a student. Completed by a representative of the Site Retention Committee or school personnel assigned by principal. Distribution: Original to parents/guardians, copies to cumulative file, principal/Site Retention Committee.

Notification of Appeal Decision
8a - Promote (Eng. and Spa.)
8b - Retain(Eng. and Spa.)

8a – Principal uses to notify parents/guardians that student will be promoted. Distribution: Original to parent/guardian. Copies to cum file, principal/designee.

8b – Principal uses to notify parents/guardians that student will NOT be promoted. Distribution: Original to cum file, copy to parent/guardian, principal/designee.

K-8 Retained Students Year End Report

Used to report disaggregated retention data

Distribution: Original to Ed Services, copy to site retention committee.

K-2 Teacher Referral/ Summer School

2-4 Teacher Referral/Summer School

5-6 Teacher Referral/Summer School

Use to refer students to summer school. Completed by classroom teacher. Distribution: Original to Summer School Office, copies to cumulative file, principal/designee.

Parent Permission for Supplementary Instruction

Use to notify parents/guardians of opportunity for student to participate in a supplemental instructional program including extended day or intersession. Completed by school personnel. Requires parent response and signature. Distribution: Original to cumulative file, copies to parents/guardians, principal/designee, supplemental intervention teacher.