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Adapted Physical Education Lesson Plan Form
Lesson Plans Created for the 2018-2019 School Year
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Lesson Start Date
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MM
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DD
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YYYY
Teacher's Name
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Your answer
Lesson Plan Title / Name
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Your answer
Lesson End Date
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MM
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DD
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YYYY
District and School Where Lesson is being Taught
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CO - Teacher's Name
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If Applicable
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Total Number of Contact Dates in Lesson
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List the number of times this lesson was taught to the group of students aver the course of the unit.
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4 days
5 days
6 days
7 days
8 days
9 days
10 days
11 days
12 days
13 days
14 days
15 days
APENS Standard of Teaching
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http://www.apens.org/15standards.html
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Human Development
Measurement and Evaluation
Exercise Science
Measurement and Evaluation
History and Philosophy
Unique Attributes of Learningers
Curriculum Theory and Development
Assessment
Instructional Design and Planning
Teaching
Consultation and Staff Development
Student and Program Evaluation
Continuing Education
Ethics
Communication
Grade Level
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List the grade Level that this Lesson is Approrpriate for
Pre-K
Elementary
Middle School
High School
Adult
Combination of Grade Levels
Other:
Danielson Expectation for Teaching
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List the component(s) that this lesson is addressing
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Illinois Professional Learning Standard
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http://www.isbe.net/peac/pdf/il_prof_teaching_stds.pdf
Your answer
National Board Certification Teaching Standard - IF APPLICABLE - IF NOT - TYPE N/A
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http://www.nbpts.org/sites/default/files/documents/certificates/NB-Standards/PE_NB_Standards.pdf
Your answer
National PE Standard
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www.shapeamerica.org
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Standard 1. The physically literate individual demonstrates competency in a variety of motor skills and movement patterns.
Standard 2. The physically literate individual applies knowledge of concepts, principles, strategies and tactics related to movement and performance
Standard 3. The physically literate individual demonstrates the knowledge and skills to achieve and maintain a health-enhancing level of physical activity and fitness.
Standard 4. The physically literate individual exhibits responsible personal and social behavior that respects self and others.
Standard 5. The physically literate individual recognizes the value of physical activity for health, enjoyment, challenge, self-expression and / or social interaction.
National Grade Level Outcome for k-12 PE
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http://www.shapeamerica.org/standards/pe/upload/GradeLevelOutcomes_K12PE.pdf
Your answer
Illinois State Goal
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Choose the exact goal as found on the Illinois ISBE site -
http://www.isbe.state.il.us/ils/pdh/standards.htm#goals
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Illinois State Goal 19: Acquire movement skills and understand concepts needed to engage in health-enhancing physical activity.
Illinois State Goal 20 – Achieve and maintain a health-enhancing level of physical fitness based upon continual self-assessment
Illinois State Goal 21 Develop team-building skills by working with others through physical activity.
Illinois State Goal 22 – Understand principles of health promotion and the prevention and treatment of illness and injury
Illinois State Goal 23 – Understand human body systems and factors that influence growth and development
Illinois State Goal 24: Promote and enhance health and well-being through the use of effective communication and decision-making skills.
School District Grade Level Objective
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List what is expected at your specific School District for this lesson
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Social and Emotional Learning Objective
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List the Social and Emotional Learning Objective (IF APPLICABLE) If NOT NEEDED - TYPE N/A -
http://www.isbe.state.il.us/ils/social_emotional/standards.htm
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Materials Needed
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List any materials needed to teach this lesson effectively
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Warm Up Activity
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List the Activity that will begin the lesson and prepare the students for activities.
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Main Lesson Activity
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List the activity that is the main focus for this lesson
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Closing Activity
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List the Activity that will calm the students and prepare them to return to classroom learning
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Accomodations
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List any special accomodations needs for students with special needs or other special considerations.
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Check for Understanding
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List how the students were impacted by this lesson
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Evaluation
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List how the teacher will measure the progress of the students within this lesson
Skill Rubric - Written Assessment
Skill Performance Assessment - Teacher Observation
Unit Written Test
Student Video Assessment
Standards Based Assessment
Other:
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Teacher Reflection(s)
To be filled out after the lesson completion
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