Instructional Materials Survey

WILLIAMS Legislation – Instructional Materials INSTRUCTIONAL MATERIALS SURVEY – Elementary/Self-Contained GRADE 5 This section to be completed by District or School Administrator This section to be completed by County Office of Education NAME OF DISTRICT/LOCAL DISTRICT NAME OF SCHOOL LOCATION CODE ROOM REVIEW DATE TEAM LEAD NUMBER

DATE NAME OF PRINCIPAL STUDENT REVIEWER ENROLLMENT

COMMENTS RELATED TO INSUFFICIENCIES l a i

District Approved Instructional Materials (Write ONE Comment # in appropriate row below) t Number of i

1.Student(s) without Instructional Material n Students I (

for all Students in Each Defined Course Without 2.Instructional Material not assigned to student(s) d

3.Instructional Material not on District list e

Instructional r

Materials 4.Course not on District list a e

(Title, Author, Publisher, Year, ISBN) l

5. Other: Specify Comments C RLA/ELD PROGRAMS: COMPONENTS California Treasures:

California Treasures/CA Student Edition – Bear et al. – Macmillan/McGraw-Hill – © 2010 - 9780021999712 California Treasures/CA Wonders Content Readers – Bear et al. – Macmillan/McGraw-Hill – © 2010 – 9780022019280 California Treasures/California Practice Book – Bear et al. – Macmillan/McGraw-Hill – © 2010 – 9780022018627 California Treasures/California ELD Practice Book - Bear et al. – Macmillan/McGraw-Hill – © 2010 – 9780022042080 one per EL student

RLA/ELD: SPANISH COMPONENTS For Dual Language or Waiver to Basic self contained classrooms: California Tesoros California Tesoros/California Libro del Estudiantes - Bear et al. – Macmillan/McGraw-Hill – © 2010 – 9780022015121 California Tesoros/A Explorar Content Reader - Bear et al. – Macmillan/McGraw-Hill – © 2010 – 9780022045364 California Tesoros/ELD Practice Book - Bear et al. – Macmillan/McGraw-Hill – © 2010 – 9780022042080

RETURN TO: WILLIAMS Legislation – Instructional Materials, Los Angeles County Office of Education, c/o Yolanda M. Benitez, 9300 Imperial Highway, EC 279, Downey, CA 90242, Page 1 of 2 FAX: (562) 803-8325; TELEPHONE: (562) 803-8382; E-MAIL: [email protected] Website: http://williams.lacoe.edu FORM NO. 601-107-1 Rev 07-12-2011 (MS WORD) WILLIAMS Legislation – Instructional Materials INSTRUCTIONAL MATERIALS SURVEY – Elementary/Self-Contained GRADE 5

This section to be completed by District or School Administrator This section to be completed by County Office of Education NAME OF DISTRICT/LOCAL DISTRICT NAME OF SCHOOL LOCATION CODE ROOM REVIEW DATE TEAM LEAD NUMBER

DATE NAME OF PRINCIPAL STUDENT REVIEWER ENROLLMENT

COMMENTS RELATED TO INSUFFICIENCIES l a i

District Approved Instructional Materials (Write ONE Comment # in appropriate row below) t Number of i n

Students 1. Student(s) without Instructional Material I (

for all Students in Each Defined Course Without 2. Instructional Material not assigned to student(s) d e

Instructional 3. Instructional Material not on District list r Materials a 4. Course not on District list e (Title, Author, Publisher, Year, ISBN) l

5. Other: Specify Comments C MATHEMATICS PROGRAMS: SPANISH COMPONENTS Scott Foresman-Addison Wesley enVisionMATH California (Spanish), © 2009 – CA Student Edition – (hardcover), Charles et al, 9780328289806 or 0328289809

SCIENCE PROGRAMS FOSS Kits (Delta Education’s Full Option Science System) - FOSS is a ratio of 1:3 (one Kit per three classrooms) © 2007 – 5th Grade Kit contains 3 Modules: Living Systems, Water Planet, Mixtures & Solutions

HISTORY/SOCIAL SCIENCE One of the following programs  Scott Foresman History-Social Science for California, Student Textbook (consumable), White, © 2006, 9780328166732 or 0328166731  Harcourt Reflections: California: The United States: Making a New Nation (CA Pupil Edition), (English), Porter, et at, © 2007, 9780153385032 or 0153385030  Harcourt Reflections: California: The United States: Making a New Nation (Spanish), Porter, et at, © 2007, 9780153416699 or 0153416696  Houghton Mifflin History-Social Science – United States History: The Early Years, Level 5 (CA Pupil Edition), Viola, et al, © 2007, 9780618423934 or 0618423931

HEALTH [For District Certification Only] Macmillan/McGraw-Hill Health & Wellness (English), Meeks, Heit, © 2006, 9780022806040 or 0022806040 Macmillan/McGraw-Hill Health & Wellness (Spanish), Meeks, Heit, © 2006, 9780022833213 or 0022833218

RETURN TO: WILLIAMS Legislation – Instructional Materials, Los Angeles County Office of Education, c/o Yolanda M. Benitez, 9300 Imperial Highway, EC 279, Downey, CA 90242, Page 2 of 2 FAX: (562) 803-8325; TELEPHONE: (562) 803-8382; E-MAIL: [email protected] Website: http://williams.lacoe.edu FORM NO. 601-107-1 Rev 07-12-2011 (MS WORD)