Student Name: Student ID:
For students completing their 2nd non-activity-based competency credit for PE.
Application for Competency-Based Program to Meet
Non-Activity-Based Physical Education Credit Requirement
Student Information
Name Student # |
School Grade 9 10 11 12 |
Address |
(Street, City, Zip)
|
Phone |
Reason applying for program: ___________________________________________________________________
___________________________________________________________________________________________ |
I wish to meet the PE requirement through non-activity-based competency credit. I understand that if I do not complete the documentation or reflection, I will either need to repeat the process or take a PE course for credit. I understand this process will fulfill a .5 PE credit requirement for graduation. I understand that per the Washington State Board of Education: The physical education requirement is a core subject area requirement that may not be waived. Individual students may be excused locally from participating in the fitness portion of physical education "on account of physical disability, employment, religious belief, or because of participation in directed athletics or military science and tactics or for other good cause.” (
RCW 28A.230.050
). WAC 180-51-067, WAC 180-51-068, and WAC 180-51-210, clarify that such excused students shall be required to demonstrate proficiency/competency in the knowledge portion of the physical education requirement.
Student Signature Date Parent/Guardian Signature Date |
The non-activity-based competency credit for physical education may only be completed with prior approval by principal. Principal Signature Date |
|
To be completed upon submission of this packet
|
· The student has successfully completed the knowledge portion to earn .5 credit of the PE requirement. |
Principal Signature Date |
The goal of this assignment is to broaden your knowledge of other exercise opportunities aside from the sport or activity you are participating in currently. You will be evaluating three self-selected local exercise programs that you think you would enjoy beyond your high school experience. If you will be living in a different location in the near future, do your research around that location. This search can be broad in nature. Maybe you want to learn karate, yoga, or dance. This can be any type of gym or exercise program that you think you would enjoy and want to continue with as a regular form of exercise.
Exercise Program 1:
Name of Gym or Exercise Program:
Location:
How far is it from you in miles?:
What is the monthly cost?
Web Address:
What type of barriers do you see with this exercise program that you think may prevent you from attending?
What are the characteristics of the exercise program that you think would be enjoyable to you?
If your exercise opportunity is a multi-purpose gym what classes are offered there that you think you would enjoy aside from simply weight training?
Does the fitness activity provide opportunities for social interaction? Describe the type of social interaction you think would be at the location. Do you think this is an important element when evaluating and exercise program and why ?
Exercise Program 2:
Name of Gym or Exercise Program:
Location:
How far is it from you in miles?:
What is the monthly cost?
Web Address:
What type of barriers do you see with this exercise program that you think may prevent you from attending?
What are the characteristics of the exercise program that you think would be enjoyable to you?
If your exercise opportunity is a multi-purpose gym what classes are offered there that you think you would enjoy aside from simply weight training?
Does the fitness activity provide opportunities for social interaction? Describe the type of social interaction you think would be at the location.
Exercise Program 3:
Name of Gym or Exercise Program:
Location:
How far is it from you in miles?:
What is the monthly cost?
Web Address:
What type of barriers do you see with this exercise program that you think may prevent you from attendin g?
What are the characteristics of the exercise program that you think would be enjoyable to you?
If your exercise opportunity is a multi-purpose gym what classes are offered there that you think you would enjoy aside from simply weight training?
Does the fitness activity provide opportunities for social interaction? Describe the type of social interaction you think would be at the location.
Exercise Program Evaluation Continued:
Option A Practical Application : Call or stop by one of the exercise facilities you are interested in and see if they would be willing to let you come and observe or take a class. Introduce yourself and let them know you are doing an Everett School District Physical Education community outreach assignment. Communicate to them that one of your assignments is to find a fitness opportunity in your local area that you would like to take part in . In a typed written response describe your experience as a whole.
Option B Self-Reflection : In a typed written response, reflect on your high school athletic experience and how it will continue to be a part of your lifetime of physical activity . Give examples of ways you can participate in your activity or sport when leaving high school. Consider community exercise events as an option to continue your participation in your sport. If you are playing your sport in college include other ways you could find this activity if you were not a collegiate athlete.