English Language Learner (ell) Information Form Counselors: Please complete the form below and hit the submit button. Direct questions to Trudy Ngo-Brown at (616) 365-2350. * = Required Field *Student Name: *Sending School: *Current Grade Level: *Home School Contact: *Email Address: *Phone: *Primary Languagel: *Country of Origin: Date of Entry Into US, if known (mm/yyyy): *Date of of Most Recent ELPA Test (mm/yyyy): *ELPA Score: Behaviors/Social Concerns: List behaviors that you feel could present problems (e.g., attendance, peer relationships, authority figures, etc.) Please list any other information that would be helpful for us to know about this student. Confirmation code: Enter the code exactly as it appears in the colored box. All letters are case sensitive.