Bilingual Education
Bureau of Bilingual/ESL Education
» Bilingual Home «

Multiple Indicators Samples

Documentation of multiple indicators should be used to exit a student.  Some examples of forms* used to capture this information can be seen below.

  • Multiple Indicators Form Grades 1-12 (Word | PDF)
  • Multiple Indicators Form High School (Word | PDF)

* These forms are only samples.  See 6A:15-1.10 of the Bilingual Education Code for the list of multiple indicators that need to be used when exiting a student.