Valerio ES- Remote Testing of Initial/Summative ELPAC Parent Consent Form
Your child is scheduled to take the Initial/SummativeEnglish Language Proficiency Assessments for California (ELPAC). Because of health concerns and local and state health restrictions, the California Department of Education (CDE) will allow students to take the test remotely this fall. However, before our school can administer the test to your child, you must agree to the terms and conditions of the remote testing procedure, including consenting to video monitoring of your child, and his or her surroundings, during the remote test administration. This letter provides additional information necessary to obtain your informed consent.
Your child will take the test from the safety of your child’s home. The test examiner will connect with your child by computer. So that your child receives the most accurate score, we ask that all parents/guardians follow these guidelines:

1. The purpose of this test is to determine how well your child communicates in English and what language skills we still need to teach your child. Please do not allow your child’s brothers, sisters, friends or parents to help answer questions. This will allow us to provide the instructional services and support that best meets your child’s needs.

2. You may assist your child setting up the technology used to enter the video meeting with the test examiner.

3. To keep the test fair for all students, we ask that you do not talk about the questions on the test or any materials of the test with anyone before, during, or after the test.

4. No one may record the test, takes a picture of any of the questions either by camera or tools on the computer, or even take a picture of your child taking the test. This helps to keep the questions confidential.

5. We need to know that the test is being completed by your child without any help or assistance. In order to verify compliance, a web camera will be used to observe your child while taking the test. The camera is only used to observe your child and the surroundings during the test and will not record the session.

6. Please follow all instructions given by the test examiner to place the camera where your child and immediate surroundings can be observed.

Please complete and sign this form to acknowledge that you have received this information and understand what is needed. Once we receive this completed form, a school staff member will contact you to schedule a time and date to administer the test to your child.  If you have questions or concerns, please reach out to Mrs. Jennifer Zuniga at (jam5482@lausd.net or 818-570-0501) for more information.
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Name of Student *
Grade *
Name of Parent/Legal Guardian *
Relationship to Student *
I give permission for my child to take the test remotely. *
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