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The table below contains links to sample forms and letters that districts may use for the required and optional notification and progress-monitoring activities of the Student Success Initiative (SSI). To view a list of all sample forms and letters, visit the SSI webpage.
The links below open Microsoft Word documents. A free Word Viewer is available for download from the TEA Downloads webpage for users that do not have access to Microsoft Word.
| Form# | Form Name |
| 5M.1 | Parent Notification of Texas Student Success Initiative (SSI) |
| 5M.2 | Parent Notification of Child’s Progress in Mathematics, End of Grade 4 (updated 05/05/11) |
| 5M.4 | Parent Notification of Child’s Progress in Mathematics, Beginning of Year |
| 5M.5 | Mathematics Progress Report, Beginning of Year/Middle of Year/CSR Supplement |
| 5M.6 | Parent Notification of Child’s Progress in Mathematics, Middle of Year |
| 5M.7 | Parent Notification of Student Performance (Met Standard), First Administration/Second Administration/Third Administration |
| 5M.8 | Parent Notification of Student Performance (Did Not Meet Standard), First Administration |
| 5M.9 | Parent Notification of Student Performance (Did Not Meet Standard), Second Administration |
| 5M.10 | Confirmation of Participation in the Grade Placement Committee Meeting after the Second Test Administration |
| 5M.11 | Grade Placement Committee Meeting Minutes, Second Administration |
| 5M.12 | Parent Notification of Grade Placement Committee Decisions |
| 5M.13 | Parent Waives Right to the Third Administration of TAKS/TAKS–M |
| 5M.14 | Accelerated Instruction Plan (AIP) |
| 5M.15 | Accelerated Instruction Plan (AIP) Example |
| 5M.16 | Parent Notification of Student Performance (Did Not Meet Standard), Third Administration |
| 5M.17 | Confirmation of Participation in the Grade Placement Committee Meeting after the Third Test Administration |
| 5M.18 | Grade Placement Committee Meeting Minutes, Third Administration |
| 5M.19 | Parent Notification of Grade Placement Committee Decisions |
For additional information, contact:
Student Assessment Division
1701 North Congress Avenue, Room 3-122A
Austin, Texas 78701
512/463-9536
student.assessment@tea.state.tx.us
Last updated: May 05, 2011