INSTRUCTIONAL MATERIALS SURVEY
(C.2.1)
ELEMENTARY SCHOOL LEVEL RLA/ELD WORKSHEET
DISTRICT: ____________________________________
SCHOOL:_____________________________________
DATE:__________________________
Complete for each grade level at the school site.
SBE-adopted Basic Programs (Program 1) for RLA/ELD include:
q Glencoe/McGraw-Hill, Glencoe Literature, California Treasures, 2010, Gr. 6-8
q Holt McDougal (formerly Holt, Rinehart and Winston), Holt Literature and Language Arts, 2010, Gr. 6-8
q Holt McDougal (formerly McDougal Littell), McDougal Littell California Literature, 2009, Gr. 6-8
q Houghton Mifflin, Houghton Mifflin California Reading: Medallion Edition, 2003, Gr. K-6
q Houghton Mifflin Harcourt School Publishers, California Excursions, 2010, Gr. K-6
q Macmillan/McGraw-Hill, California Treasures, 2010, Gr. K-6
q Pearson Scott Foresman and Prentice Hall, Pearson California Reading and Language Arts, 2010, Gr. K-8
q SRA/McGraw-Hill, Imagine It!, 2009, Gr. K-6
LOCALLY
APPROVED
RLA/ELD
PROGRAMS
SBE-adopted Basic Programs with English Language Development (Program 2) for RLA/ELD include:
q Glencoe/McGraw-Hill, Glencoe Literature, California Treasures, 2010, Gr. 6-8
q Holt McDougal (formerly Holt, Rinehart and Winston), Holt Literature and Language Arts, 2010, Gr. 6-8
q Holt McDougal (formerly McDougal Littell), McDougal Littell California Literature, 2009, Gr. 6-8
q Houghton Mifflin Harcourt School Publishers, California Excursions, 2010, Gr. K-6
q Macmillan/McGraw-Hill, California Treasures English Language Development, 2010, Gr. K-6
q Pearson Scott Foresman and Prentice Hall, Pearson California Language Central 2010, Gr. K-8
q SRA/McGraw-Hill, Imagine It! English Language Development, 2009, Gr. K-6
SBE-adopted Primary Language Programs with English Language Development (Program 3) for RLA/ELD
include:
q Macmillan/McGraw-Hill, Tesoros de lectura, 2010, Gr. K-6
q Pearson Scott Foresman, Pearson Calle de Lectura para California, 2010, Gr. K-3
q SRA/McGraw-Hill, Imaginalo!, 2009, Gr. K-6
Note: The 2002 adoption list (http://www.cde.ca.gov/ci/ma/im/) expired November 2008. Though those programs are no
longer state adopted, districts may continue to use them as appropriate to meet the sufficiency requirements of EC
Section 60119.
q Houghton Mifflin Reading: A Legacy of Literacy, 2003* K-6
q
SRA/Open Court Reading, 2000 & 2002* (K-6)
q
Alternative Current Materials
{* In Spanish as alternative format}
Number of
Number
PROGRAM COMPONENTS PURCHASED FOR ALL ENROLLED STUDENTS
students
of purchased
enrolled
materials
This section to be completed
by County Office
Sufficient Materials
To Use
YES/NO
To Take Home
YES/NO
K
1
2
3
© 2014 California County Superintendents Educational Services Association
Page 1
4
5
6
OR
SBE-adopted Intervention Programs (Program 4) for RLA/ELD include:
q Houghton Mifflin Company, Houghton Mifflin California Portals, 2010, Gr. 4-8
q National Geographic/Hampton Brown, Inside Language, Literacy and Content, 2009, Gr. 4-8
q Pearson Longman ELT, Longman Keystone, 2010, Gr. 4-8
q Scholastic Inc., Scholastic Read 180 California Enterprise Edition, 2009, Gr. 4-8
th
q Sopris West Educational Services, Language! The Comprehensive Literacy Curriculum, 4
Edition, 2009, Gr. 4-8
q Steck-Vaughn, California Gateways, 2010, Gr. 4-8
LOCALLY
APPROVED
INTENSIVE
INTERVENTION
PROGRAMS
SBE-adopted Intervention Programs for English Learners (Program 5) for RLA/ELD include:
q Heinle/Cengage Learning, Milestones, 2009, Gr. 4-8
q Houghton Mifflin Company, Houghton Mifflin California Portals, 2010, Gr. 4-8
q National Geographic/Hampton Brown, Inside Language, Literacy and Content, 2009, Gr. 4-8
q Pearson Longman ELT, Longman Keystone, 2010, Gr. 4-8
q Scholastic Inc., Scholastic Read 180 California Enterprise Edition, 2009, Gr. 4-8
th
q Sopris West Educational Services, Language! Focus on English Learning, 4 Edition, 2009, Gr. 48
q Steck-Vaughn, California Gateways, 2010, Gr. 4-8
This section to be completed
by County Office
Sufficient Materials
Note: The 2002 adoption list (http://www.cde.ca.gov/ci/ma/im/) expired November 2008. Though those programs are
no longer state adopted, districts may continue to use them as appropriate to meet the sufficiency requirements of EC
Section 60119.
q
q
q
q
q
q
q
q
q
q
Glencoe/McGraw-Hill (Sopris West), Language! A Literacy Intervention Curriculum, 2002, Gr. 4-8
Hampton Brown, High Point, 2001, Gr. 4-8
Hampton Brown, High Point (for English learners), 2001, Gr. 4-8
Pearson Longman, The Shining Star Program, 2004/05, Gr. 4-8**
Scholastic, Read 180, 2002, Gr. 4-8
rd
Sopris West, Language! 3 Edition, 2004, Gr. 4-8**
rd
Sopris West, Language! 3 Edition (for English Learners), 2004, Gr. 4-8**
SRA/McGraw-Hill, SRA/Reach Program, 2002, Gr. 4-8
Voyager Expanded Learning, Voyager Passport, 2004/2005, Gr. 4-8**
Wright Group/McGraw-Hill, Fast Track Reading Program, 2002/2003, Gr. 4-8
[**Programs added by 2005 Follow-up Adoption]
© 2014 California County Superintendents Educational Services Association
Page 2
PROGRAM COMPONENTS PURCHASED FOR ALL ENROLLED STUDENTS
Number of
students
enrolled
Number
of purchased
materials
To Use
To Take Home
YES/NO
YES/NO
4
5
6
LOCALLY
APPROVED
MATERIALS FOR
ENGLISH
LEARNERS
q
q
q
This section to be completed
by County Office
_______________________________________________
_______________________________________________
_______________________________________________
PROGRAM COMPONENTS PURCHASED FOR ALL ENROLLED STUDENTS
Sufficient Materials
Number of
students
enrolled
Number
of purchased
materials
To Use
YES/NO
To Take Home
YES/NO
K
1
2
3
4
5
6
© 2014 California County Superintendents Educational Services Association
Page 3
INSTRUCTIONAL MATERIALS SURVEY
ELEMENTARY SCHOOL LEVEL MATHEMATICS WORKSHEET
LOCALLY
APPROVED
MATH
PROGRAMS
(C.2.1)
State Board Adopted on January 15, 2014:
q Agile Mind, Common Core Middle School Mathematics; Gr. 6–8
q Big Ideas Learning, Big Ideas Math; Gr. 6–8
q Center for Mathematics and Teaching, Math Links; Gr. 8
q College Preparatory Mathematics, Core Connections, Courses 1-3; Gr. 6–8
q Edgenuity, Inc., Edgenuity California Common Core Mathematics; Gr. 6–8
q Houghton Mifflin Harcourt, Go Math!; Gr.K–6
q Houghton Mifflin Harcourt, Go Math!; Gr. 6–8
q Houghton Mifflin Harcourt, Math Expressions; Gr.K–6
q Houghton Mifflin Harcourt, Math in Focus; Gr.K–8
q McGraw-Hill, California Math, Courses 1–3; Gr. 6–8
q McGraw-Hill, Glencoe Math Accelerated; Gr. 7
q McGraw-Hill, McGraw-Hill My Math; Gr. K–5
q Pearson, Common Core System of Courses; Gr.K–8
q Pearson, CA Digits; Gr. 6–8
q Pearson Scott Foresman, enVision Math; Gr.K–6
q Perfection Learning, Kinetic Pre-Algebra; Gr. 8
q Reasoning Mind, Reasoning Mind Algebra Readiness Program; Gr. 2–6
q The College Board, SpringBoard Mathematics; Gr. 6–8
q TPS Publishing, Inc., Creative Core Curriculum for Mathematics with STEM, Literacy and Arts; Gr.K–8
q Triumph Learning, Common Core Math Curriculum; Gr. 6–8
q Alternative Current Materials
PROGRAM COMPONENTS PURCHASED FOR ALL ENROLLED STUDENTS
Number of
students
enrolled
This section to be completed
by
County Office
Sufficient Materials
Number of
purchased
materials
To Use
YES/NO
To Take Home
YES/NO
K
1
2
3
4
5
6
© 2014 California County Superintendents Educational Services Association
Page 4
LOCALLY
APPROVED
MATERIALS
FOR
ENGLISH
LEARNERS
q
q
q
This section to be completed
by
County Office
_______________________________________________
_______________________________________________
_______________________________________________
PROGRAM COMPONENTS PURCHASED FOR ALL ENROLLED STUDENTS
Sufficient Materials
Number of
students
enrolled
Number of
purchased
materials
To Use
YES/NO
To Take Home
YES/NO
K
1
2
3
4
5
6
© 2014 California County Superintendents Educational Services Association
Page 5
INSTRUCTIONAL MATERIALS SURVEY
ELEMENTARY SCHOOL LEVEL HISTORY/SOCIAL SCIENCE WORKSHEET
LOCALLY
APPROVED
HISTORYSOCIAL
SCIENCE
PROGRAMS
q
q
q
q
q
q
q
q
q
q
q
Glencoe/McGraw-Hill, Glencoe Discovering Our Past, 2006, Gr. 6-8
Harcourt School Publishers, Reflections: California Series*, 2007, Gr. K-6
Holt, Rinehart & Winston, Holt California Social Studies, 2006, Gr. 6-8
Houghton Mifflin, Houghton Mifflin Social Science, 2007, Gr. K-6
Macmillan/McGraw-Hill, California Vistas, 2007, Gr. K-6
McDougal Littell, McDougal Littell California Middle School Social Studies Series*, 2006, Gr. 6-8
Oxford University Press, Oxford History-Social Science Program for California, 2005, Gr. 5-8
Pearson Prentice Hall, Prentice Hall Social Studies, 2006, Gr. 6-8
Pearson Scott Foresman, Scott Foresman History-Social Science for California, 2006, Gr. K-5
Teachers’ Curriculum Institute, History Alive! California Middle Schools Program, 2005 Gr. 6-8
Alternative Current Materials
(C.2.1)
This section to be completed
by
County Office
Sufficient Materials
[*Note: In Spanish as alternate format)
PROGRAM COMPONENTS PURCHASED FOR ALL ENROLLED STUDENTS
Number of
students
enrolled
Number of
purchased
materials
To Use
YES/NO
To Take Home
YES/NO
K
1
2
3
4
5
6
© 2014 California County Superintendents Educational Services Association
Page 6
WAIVERED
PROGRAM
MATERIALS FOR
ENGLISH
LEARNERS
This section to be completed
by County Office
Sufficient Materials
PROGRAM COMPONENTS PURCHASED FOR ALL ENROLLED STUDENTS
Number of
students enrolled
# of
purchased
materials
To Use
To Take Home
YES/NO
YES/NO
K
1
2
3
4
5
6
© 2014 California County Superintendents Educational Services Association
Page 7
INSTRUCTIONAL MATERIALS SURVEY
ELEMENTARY SCHOOL LEVEL SCIENCE WORKSHEET
SBEAPPROVED
SCIENCE
PROGRAMS
(C.2.1)
q CPO Science, Focus on Earth Life, and Physical Science, Gr. 6-8, 2007
q Delta Education Publishers, Foss Full Option Science System (Gr.K-5) 2007
q Glencoe/McGraw-Hill, Glencoe Science Focus on Series, Gr. 6-8, 2007
q Harcourt Brace School Publishers, California Science, (Gr.K-6) 2008
q Holt, Rinehart & Winston, Holt California Science, Earth, Life and Physical Science, Gr. 6-8, 2007
q Houghton-Mifflin, Houghton-Mifflin California Science (Gr.K-6) 2007
q It’s About Time, Investigating Earth Systems, Inter-Actions in Physical Science, Gr. 6, 8, 2007
q Macmillan/McGraw-Hill, McGraw-Hill California Science (Gr.K-6) 2008
q McDougal Littell, McDougal Littell California Middle School Science Series, Gr. 6-8, 2007
q Pearson Prentice Hall, Prentice Hall California Science Explorer, Focus on Earth, Life and
Physical Science, Gr. 6-8, 2008
q Pearson Scott Foresman, Scott Foresman California Science (Gr.K-5) 2008
q Alternative Current Materials
This section to be
completed by County
Office
Sufficient Materials
[*Note: In Spanish as alternate format)
PROGRAM COMPONENTS PURCHASED FOR ALL ENROLLED STUDENTS
Number of
students
enrolled
Number of
purchased
materials
To Use
YES/NO
To Take Home
YES/NO
K
1
2
3
4
5
6
© 2014 California County Superintendents Educational Services Association
Page 8
WAIVERED
PROGRAM
MATERIALS
FOR
ENGLISH
LEARNERS
q
This section to be completed
by
County Office
_______________________________________
PROGRAM COMPONENTS PURCHASED FOR ALL ENROLLED STUDENTS
Number of
students enrolled
Number of
purchased
materials
Sufficient Materials
To Use
To Take Home
YES/NO
YES/NO
K
1
2
3
4
5
6
*A waiver from the State Board is required to use non State Board adopted instructional materials in lieu of a State Board Adopted program for Grades K-8.
© 2014 California County Superintendents Educational Services Association
Page 9
Elementary Enrollment and Classroom Information (C.2.4)
(to be completed by the school/district)
School_________________________________________ District __________________________________________
Name and Title of Person Completing Form ___________________________________________________________
Principal Signature and Date ______________________________Phone Number _____________________________
List All K-8
Classrooms
List
Student Enrollment
Room Numbers for Each Each Classroom
Classroom
in
**Designate Special
Services Classrooms
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
BI = bilingual, LH= Learning Handicapped; SE+ =Special Ed; GATE= gifted and Talented;
C=Combination Classes, etc.
© 2014 California County Superintendents Educational Services Association
Page 10
Elementary Visitation Worksheet
(For county offices to document classroom visitations.)
School: __________________
District _________________ Date of Visitation_____
Visitation Team Members: _______________________________________________________________________
List all K-8
Classrooms
to be
visited
Room #
Enrollment
Sufficient Materials in the Classroom
To Use and to Take Home
*Special
Class
Yes/No
RLA/ELD
Yes/No
Mathematics
Yes/No
Social
Science
Yes/No
Science
K
K
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
* BI = Bilingual, LH= Learning Handicapped; SE =+ Special Ed; GATE= Gifted and Talented, C=Combination Classes, etc.
Note: Using the documentation received in C.2.4 the COE can cut and paste in the first four columns of this visitation template.
© 2014 California County Superintendents Educational Services Association
Page 11