OUR PE PROGRAM
1. The following statement best describes the climate in our district toward improving PE:
A. Our PE department is in agreement about the direction we want to move in and what we would like to accomplish. We have spoken with both building- and district-level administrators and have full support from both. We have the community, student, and/or classroom teacher support, as well.
B. Our PE department is in agreement about the direction we want to move in and what we would like to accomplish. We have spoken with both building- and district-level administrators and have some support.
C. Our PE department is in agreement about the direction we want to move in and what we would like to accomplish. We have spoken with both building- and district-level administrators but have no support.
D. The majority of our PE department is in agreement about the direction we want to move in and what we would like to accomplish, but we have not yet approached the administration.
E. I am the only member of my department that is interested in making changes at this time.
2. The following statement best describes our current PE program design:
A. Our program has remained unchanged for many years. Our equipment is severely limited and/or damaged. Our space is also limited and/or our classes are overcrowded.
B. Our program has remained unchanged for many years. Our space is somewhat limited and/or our classes are overcrowded.
C. We have made curriculum changes to our program consistent with the “New PE”. Our equipment and space are limited.
D. We have made curriculum changes to our program consistent with the “New PE. Our equipment is in good condition, but our space is limited and/or our classes are overcrowded.
E. Our program has been entirely restructured and we are looking to continue to enhance and expand it.
3. The following statement best describes our PE program’s current ability to meet the needs of our students related to:
physical fitness
weight maintenance
classroom accommodation
A. There are no students for which we are meeting all of the needs above.
B. We meet all of the needs above for less than 25% of our students .
C. We meet all of the needs above for less than 50% of our students.
D. We meet all of the needs above for less than 75% of our students
E. We are currently able to meet all of these needs for all of our students.
4. The following statement best describes our program’s current assessment strategy:
A. No formal PE assessment strategies are used in our district at this time.
B. Some formal PE assessment strategies are currently used in our district; however the strategies used are varied, inconsistent, and largely subjective.
C. Consistent, formal PE assessment strategies are currently used throughout our district; however, the strategies used are largely subjective.
D. Some formal PE assessment strategies are currently used in our district, and of those, some are objective, based on standardized testing models and/or technology-based data
E. Consistent, formal PE assessment strategies are currently used throughout our district, and all are objective, based on standardized testing models and/or technology-based data.
5. The following statement best describes the data related to health and PE that our district currently collects at least annually on students:
A. We currently assess and record data on BMI, fitness testing scores, and health choices/risk behaviors for all students.
B. We currently assess and record data for all students on two of the three subjects listed in Answer A.
C. We currently assess and record data for all students on one of the three subjects listed in Answer A.
D. No data is collected annually on students.
6. The following best describes our students with regard to race/ethnicity:
A. 95% or more of our students are white
B. 90-94% or our students are white
C. 80-89% of our students are white
D. 20-40% of our students are minorities
E. More than 40% of our students are minorities
7. The following best describes our students with regard to economic background:
A. 10% or less qualify for free or reduced price lunches.
B. 11-24% qualify for free or reduced price lunches
C. 24-35% qualify for free or reduced price lunches
D. 35-49% qualify for free or reduced price lunches
E. 50-74% qualify for free or reduced price lunches
F. 75% or more qualify for free or reduced price lunches
DISTRICT WELLNESS EFFORTS
8. Regarding establishment of a wellness committee, the following statement best describes our district:
A. We have an established wellness committee.
B. We are in the process of establishing a wellness committee now, and that process should be completed before June 2008.
C. We are in the process of establishing a wellness committee, but we anticipate the process will not be completed until December 2008.
D. We do not have a wellness committee and no plans are currently underway to establish one.
9. Regarding establishment of wellness committee objectives, the following statement best describes our district:
A. Our committee has clearly established objectives.
B. We are in the process of establishing objectives now, and that process should be completed before June 2008.
C. We are in the process of establishing objectives now, and that process should be completed by December 2008.
D. We do not have a wellness committee.
10. Regarding seeking funding in order to realize wellness committee objectives, the following statement best describes our district:
A. We are actively seeking funding, have designated an individual, organization, or sub-committee to lead this effort, have been successful in submitting some funding applications, and been approved for funding for one or more of those applications.
B. We are actively seeking funding, have designated an individual, organization, or sub-committee to lead this effort, have been successful in submitting some funding applications.
C. We are actively seeking funding and have designated an individual, organization, or sub-committee to lead this effort but no funding applications have been submitted to date.
D. We are actively seeking funding, but our efforts have been uncoordinated to date and we have not submitted any funding applications.
E. We are not actively seeking funding and/or we do no have a wellness committee.
11. Our PE department is able to partner with:
A. Other departments within our district
B. Organizations outside of the district
C. A and B
D. Neither A nor B
12. Our school district has an education foundation associated with it.
A. True
B. False
13. Our school district has a PTA, boosters group, or other supportive organization associated with it (aside from and education foundation) that has an official 501 c (3) IRS designation.
A. True
B. False
14. We have purchased Polar products in the past
A. True
B. False
C. N/A
15. Does your school district have a grant writer?
A. Yes
B. No
16. What assessment technology do you currently use in your PE programming?
(75 max char.)
17. How does Polar fit into the grant(s) you’re applying for?
(200 max char.)
18. If you are awarded the grant(s), will you share data of all student improvements which are directly or indirectly related to winning the grant money?
A. Yes
B. No
C. Yes, but I need to obtain administrator approvals
19. Have you applied for or received funding for a similar grant in the past? If yes, please state which grants you’ve applied or received funding for.
A. Yes
B. No
Explanation:
(75 max char.)
I understand that this is NOT an application for grant funding sponsored by Polar, however this application may qualify my school, if chosen, for free grant writing services to be sponsored by Polar. If my school is chosen by Polar, we will be work with a third party agency, Insight Grants Development, LLC. Insight Grants will help me choose which grants my school will be most eligible to apply for and will work with me to submit a grant application on behalf of my school’s PE department or Wellness Center.
