OFF-CAMPUS PHYSICAL EDUCATION PROGRAM PROCEDURES

Transcription

1 OFF-CAMPUS PHYSICAL EDUCATION PROGRAM PROCEDURES 1. The student receives an Off-Campus Physical Education packet from the OCPE Coordinator, school counselor, or from the AISD website. 2. The student and parent(s) read all information in the packet and fill out the appropriate portion of the application form. 3. The Agency instructor will fill out and sign the appropriate portions of the application form. 4. The application form and payment must be turned in to the OCPE Coordinator at least two weeks prior to the beginning of the semester for which they are applying. 5. The OCPE Coordinator will review the application thoroughly and Category I or Category II qualification will be determined. The student s counselor will then be notified of the approval status. Counselor will then notify the student and make appropriate schedule change. 6. The OCPE Coordinator will monitor the agency during the semester to stay in compliance with the TEA regulations. 7. Grades will be given by the agency instructor to the school designee, who is responsible for the grade reporting. 8. Any changes in schedule must be reported immediately to the OCPE Coordinator. The OCPE Coordinator/Designee shall make unannounced visits to the Agency during each semester. 9. A fee of $75 per semester will be paid to the Allen Independent School District. Checks should be made payable to: AISD. 10. OCPE Agencies must be located within twenty-five miles of the Allen Independent School District boundaries. 11. We do not offer OFPE opportunities for sports/activities that are offered as part of the school s curriculum. 12. OCPE programs are offered to students in grades 7-12 only. ***Payment should be submitted with the application. 1

2 For Office Use Only: Rec d Status: Cat I or II ALLEN INDEPENDENT SCHOOL DISTRICT OFF-CAMPUS PHYSICAL EDUCATION APPLICATION Fall Spring Both Early or Late Pmt $ Ck# This form must be completed and signed before approval will be considered to acknowledge the understanding of the OCPE Program criteria and requirements. Please Print: Student Name: I.D. #(if known) Male: Female: Type of Activity: Parent(s) or Guardian(s) Name: Address: City: Zip Code: Home Phone: Work: Cell: Campus: Grade Level: School Year: Counselor: Please Choose: Category I OR Category II Fall Semester Spring Semester Both Semesters If Category I is selected: Late Arrival OR Early Release Note: OCPE program can only take the place of the physical education class. No more than ONE class period may be missed under Category I and NO class periods can be missed for a Category II activity. The Category status will be determined by the OCPE Coordinator. Agency Name: Agency Phone #: Agency Address: City: Zip Code: Agency Contact/Coordinator: Fax# Agency Coordinator s Instructor s Name: Phone # This OCPE Program Application is for a waiver program that will allow the applying student to receive AISD course credit for the activities described in the Individual Training Plan at the Agency named in this Application. Student, Parent, and OCPE Agency Coordinator, by signing this Application, acknowledge their understanding that this Program will substitute for a course that may be required for graduation, and that failure to complete any of the Program requirements or submit information in a timely manner may result in the Student receiving a failing grade. Student Signature Parent/Guardian Signature OCPE Agency Coordinator Signature 2

3 TO BE COMPLETED BY PARENT AND STUDENT: I have carefully read the guidelines for the Off-Campus Physical Education Program, and I agree to comply with those regulations. I hereby release the Allen Independent School District, its employees, agents, and its Board of Trustees, from all claims or liability in any way attributable to this program, including all travel to, and from, and during the program. I also understand that all liability in case of accident or hospitalization is the responsibility of the parent or of the private or commercial school. The Allen Independent School District is not responsible for accident or hospitalization insurance. I understand that the Allen Independent School District is not responsible for the daily activities of the program, quality of the program, or qualification of the instructor in the program. My son/daughter, has permission to participate in the Off-Campus Physical Education program for at (Off-Campus Sport) (Off-Campus Agency) Parent/Guardian Signature If you have any questions completing this application form, please contact the Off-Campus PE Coordinator. 3

4 OFF-CAMPUS PHYSICAL EDUCATION AGENCY/INSTRUCTOR AGREEMENT Agency: Agency Coordinator: Address: Telephone: Instructor: As a professional instructor, I am aware of the emphasis on program objectives, grading based on performance and attendance established by public education and the Allen Independent School District. I understand the problems inherent in a program such as Off-Campus Physical Education and the importance of maintaining program integrity. Therefore, I will support the following conditions to my certification as an Off-Campus Physical Education instructor. 1. The instructor will adhere to the district s guidelines for attendance by the student: (Check the appropriate Category that applies to this student s participation level) o o Category I - The student must participate in his/her activity, under professional supervision, a minimum of fifteen (15) hours each week at one agency. At least 10 of these 15 hours must be completed Monday through Friday. These 15 hors must be spread over at least 4 days and include at least 90 minutes of instruction by one approved instructor. A maximum of 2 of the 10 hours each week may be accounted for in competitive meets/tournaments. OR Category II - The student must participate in his/her activity, and be supervised by one appropriately trained instructor, a minimum of (10) hours each week at one agency. 2. The instructor will keep an accurate record of student attendance. 3. The instructor will forward a grade recommendation based on student performance and attendance as requested. 4. The instructor will submit a written outline of program objectives and activities when requested. 5. The instructor will contact the Off-Campus Physical Education Staff if a student s attendance becomes irregular or in the event of an injury, in which case an alternative assignment should be provided until they can return to regular participation. I understand that the Allen Independent School District is accountable for the participation of each student in Off-Campus Physical Education. I will make every effort to cooperate with the district in their accounting procedures. Instructor s Signature Please answer the questions on the next page. Please be specific. This is a vital part of the approved process for your program. 4

5 Agency Questionnaire 1. Generally describe your program. Include the level of intensity and training. 2. In what daily activities will the student be involved? 3. Please list qualifications of the instructors. (For Category I instructors are to be professionally trained and of exceptional quality. For Category II instructors are to be of high quality and appropriately trained.) 4. As the qualified professional instructor, are you willing to strongly recommend that this student possesses the skill/talent to compete at the Olympic/National level? 5

6 TRAINING SCHEDULE TO BE COMPLETED BY THE AGENCY INSTRUCTOR: Category I - The student must participate in his/her activity, under professional supervision, a minimum of fifteen hours each week at an approved agency. The majority of the required fifteen hours each week must be acquired Monday-Friday by one approved instructor. A maximum of two hours each week may be accounted for in competitive meets/tournaments. Category II - The student must participate in his/her activity, and be supervised by appropriately trained instructors, a minimum of (10) hours each week at one agency. TENTATIVE SCHEDULE: Indicate the beginning time, ending time, and the nature of the activity. It is imperative that this schedule be kept current at all times. In case of a change in schedule, please notify the Off-Campus Physical Education Coordinator. BEGINNING TIME ENDING TIME ACTIVITY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Signature of Agency Instructor 6