BILINGUAL/ESL THREE-YEAR PROGRAM PLAN
SCHOOL YEARS 2014-2017
NEW JERSEY DEPARTMENT OF EDUCATION
Division of Student and Field Services
Office of Title I
Bureau of Bilingual/ESL Education
P.O. Box 500
Trenton, NJ 08625-0500
Email completed plan to: ellreports@doe.state.nj.us
Save the plan using the following file name format:
countycode-districtcode-districtname (e.g. 00-0000-sampledistrict.docx)
NOTE: Districts that are requesting a waiver from a full-time bilingual
education program must submit a bilingual waiver on
http://homeroom.state.nj.us/ under “Bilingual” in addition to completing
this plan.
District Information
___________________/______ County Name/Code

_________________________
Name and Title of Person Completing
(_____)__________________
Telephone Number of Person Completing Plan
_________________________
Email Address
_________________________ Street Address of District
_____________________/____
District Name/Code
_________________________ Name and Title of Contact Person
(_____)___________________ Telephone Number of Contact Person
__________________________ Email Address

_____________________________________
City State Zip 
_____________________/____ _____________________/____
District Name/Code County Name/Code
BILINGUAL/ESL THREE-YEAR PROGRAM PLAN
SCHOOL YEARS 2014-2017
SECTION I: GENERAL ASSURANCES
A. General Assurances Based on N.J.A.C. 6A:15 [Mark “X” for each if in compliance]
1. ___ The bilingual and/or ESL program is operated in compliance with New Jersey statutes and
regulations.
2. ____ The ESL curriculum has been developed, aligned to the WIDA English Language
Proficiency Standards for English Language Learners, and adopted by the local board of
education.
3. ___ The parents/guardians of ELLs are notified annually by mail in their dominant language
that their child has been identified as eligible for enrollment in a bilingual, ESL or English
language services program and of their right to decline program services in accordance with New
Jersey regulations. In addition, parents are notified by mail in their dominant language when a
determination has been made to exit a student from a program. Parents/guardians also receive
individual student progress reports as indicated in N.J.A.C.6A:15-1.13.
4. ___ A budget for the bilingual and/or ESL program is developed that specifies how state/local
funds are directly related to the bilingual/ESL program instructional services and materials.
5. ___ The district uses a screening process, initiated by a home-language survey, to determine
which students must be tested for English proficiency.
6. ___ All ELLs are identified for services and tested annually with one of the following
assessments:
• Maculaitis Test of English Language Proficiency (MACII)
• Language Assessment Scale (LAS)
• Language Assessment Scale Links
• Comprehensive ELL Assessment (CELLA)
• IDEA Proficiency Test (IPT)
• WIDA-ACCESS Placement Test (W-APT)
• WIDA ACCESS for ELLs
• WIDA MODEL
7. ___ The district uses the following multiple measures to determine which students are ready to
exit a language assistance program:
• Department-established standard on an English language proficiency test:
• Classroom performance and the student’s reading level in English:
• Judgment of the teaching staff member(s): and
• Performance on achievement tests in English.
____________________________ __________________________ __________ Chief School Administrator Signature Date Signed
____________________________ Date of Board Approval
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_____________________/____ _____________________/____ District Name/Code County Name/Code

BILINGUAL/ESL THREE-YEAR PROGRAM PLAN
SCHOOL YEARS 2014-2017
SECTION II: GENERAL PROGRAM INFORMATION
A. PROGRAM STAFF
Indicate the number of certified teachers in the chart. Teachers counted in 1 and 2 should not be duplicated in 3.
TEACHER CERTIFICATION NUMBER OF TEACHERS
1. Bilingual-certified
2. ESL-certified
3. Bilingual/ESL (dual certification)
B. PROGRAM TYPE
For each program type, indicate the number of students in bilingual and/or ESL programs, and language(s) used for
instruction in bilingual programs (if applicable). If any of the program types are not applicable, leave the section blank.
Please refer to N.J.A.C. 6A:15 -1.2 located at: http://www.state.nj.us/education/code/current/title6a/chap15.pdf for definitions of
program types.
Program Type Number of
Students
Language(s)
Full-Time Bilingual
(self-contained or departmentalized)
(list by language)
Alternative programs that use students’
native-language for instruction
( Bilingual Part-time, Bilingual Tutorial,
Bilingual Resource)
Dual-Language (Two Way Immersion)
Alternative programs that are Englishbased
( High-Intensity ESL, Sheltered English
Instruction)
ESL-Only Programs
Other (Please specify)
NOTE: ESL-ONLY PROGRAMS SHOULD CONTINUE TO SECTION V
ON PAGE 7.
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_____________________/____ _____________________/____
District Name/Code County Name/Code
BILINGUAL/ESL THREE-YEAR PROGRAM PLAN
SCHOOL YEARS 2014-2017
SECTION III: FULL-TIME BILINGUAL AND ALTERNATIVE PROGRAM DESCRIPTION
A. Full-Time Bilingual and Alternative* Program Information
*Alternative programs are implemented as a result of a district requesting a waiver from the requirement to
implement a full-time bilingual education program.
Name of language
Mark “X” in the appropriate box indicating the program(s) implemented in each school. Complete one
SECTION III Part A form for each language for which you provide full-time bilingual and/or alternative
programs.
SCHOOL
NAME
Full-time bilingual
program(s) Alternative bilingual program(s) Alternative Englishbased
programs(s)
SCHOOL
GRADE
SPAN
FROM -
TO
(one grade
per box)
Bilingual
FullTime
Dual
Language
Bilingual
PartTime
Bilingual
Tutorial
Bilingual
Resource
High
Intensity
ESL
Sheltered
English
Instruction
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_____________________/____ _____________________/____
District Name/Code County Name/Code
B. Full-Time Bilingual and Alternative* Program Assurances [Mark (X) each if applicable]
1. ___ A parent advisory committee has been established in the district consisting primarily of the
parents of the ELL students.
2. ___ District staff receives professional development in strategies to meet the needs of ELL
students.
3. ___ ELLs are instructed by teachers who have appropriate certifications/training that
corresponds to their program type as follows:
• All ELLs are provided at least one full period of ESL instruction per day from a certified
ESL teacher. A period is the time allocated in the school schedule for instruction in core
subjects.
• Students in High-Intensity ESL programs receive at least 2 periods of ESL per day from a
certified ESL teacher.
• Students enrolled in a bilingual program receive instruction from bilingual teachers who
are certified in bilingual education and the applicable content area(s) (unless otherwise
noted in a bilingual waiver approved by the NJDOE).
• Teachers in Sheltered English classes are regular classroom teachers who have received
training on strategies to make subject-area content comprehensible for ELL students.
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_____________________/____ _____________________/____
District Name/Code County Name/Code
BILINGUAL/ESL THREE-YEAR PROGRAM PLAN
SCHOOL YEARS 2014-2017
SECTION IV: FULL-TIME BILINGUAL AND ALTERNATIVE PROGRAM PARENT
ADVISORY COMITTEE
Pursuant to N.J.A.C. 6A:15-1.15, “ each district board of education implementing a bilingual education
program shall establish a parent advisory committee on bilingual education on which majority will be
parent(s) of students of limited English proficiency.”
Note: Districts with an alternative program as the result of a bilingual
waiver must also have a bilingual parent advisory committee and
complete this section.
A. Please provide tentative meeting dates for the district’s bilingual parent advisory committee.
2014-15
B. Select which of the following groups participate in the bilingual parent advisory committee. [Mark
(X) each if applicable]
___ Bilingual/ESL teachers
___ Mainstream teachers
___ Special education teachers
___ Parents
___ Paraprofessionals
___ Community representatives
___ Other:_________________
___ Other:_________________
___ Other:_________________
C. Please succinctly provide examples of parental involvement in providing input and
feedback regarding the bilingual program.
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_____________________/____ _____________________/____
District Name/Code County Name/Code
BILINGUAL/ESL THREE-YEAR PROGRAM PLAN
SCHOOL YEARS 2014-2017
SECTION V: ENGLISH AS A SECOND LANGUAGE PROGRAM
DESCRIPTION
A. ESL-Only Program Information
Indicate the name of the school and the grade span in which an ESL-Only program is
provided. ESL-Only programs are for students who are not enrolled in a Full-Time Bilingual
or Alternative program in a school district with 10 or more ELLs.
SCHOOL NAME
SCHOOL
GRADE
SPAN
FROM -
TO
(one grade
per box)
7
_____________________/____ _____________________/____
District Name/Code County Name/Code
B. ESL-Only Program Assurances [Mark (X) each if applicable]
1. ___ Students are provided at least one full period of ESL instruction per day by a
certified ESL teacher. A period is the time allocated in the school schedule for
instruction in core subjects.
2. ___ Districtwide, there are less than 20 ELL students in any one language
classification enrolled in the ESL-Only program.
3. ___ District staff receives professional development in strategies to meet the
needs of ELL students.
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