Alternative PE Leadership Application
Thank you for your interest in the Alternative Physical Education Leadership Program for the 2021-2022 & 2022-2023 school years. The Stevenson leader program is a 2-year program. Alternative PE is for students who need modifications in their physical education class. The students who take this class and these students that the Alternative PE leaders will be working with, may have a range of permanent or temporary disabilities and injuries. Theses problems may be physical, emotional, cognitive or a combination of these. The purpose of the Alternative PE leadership program is to prepare students in becoming effective teacher aides and strong leaders. Individuals applying must be willing to work one-to-one and or in small group environments with other students. Alternative PE is only offered 2nd, 3rd, 4th, 5th, and 6th periods. Leaders may need to rearrange their academic schedule to accommodate this class based on acceptance and period placement. The APE classes swim several days throughout the semester and leaders are required to be in the pool during these days.

Students receive a letter grade on their G.P.A. for this course.

The application process also includes a short 5-10 minute interview to assist us in making our selection.

The application should be submitted no later than 3:30 pm on Friday December 18th.

The accepted applicants will be e-mailed regarding their status of acceptance.

If you have any questions you can reach us by e-mail at or or
First Name *
Last Name *
ID Number *
Counselor's Name *
Email Address (Regularly Checked for notification purposes) *
Do you have any condition, which would prevent you from doing activities in the pool? *
If Yes, Please explain.
Why do you want to be Alternative PE Leader? *
Please List Previous Health and P.E. Teachers you have had at Stevenson. *
What qualities do you possess that would make you a good leader? *
What positive contributions would you bring to the class and the students. *
Leadership experiences *
Please List
Please List any previous experience working with students with disabilities. *
Please List
What kind of activities are you involved in, both inside and outside of school? *
Please list.
Every Applicant will need to come in for a 5-10 minute interview. Interview times will be determined in the near future. Please list your availability in the AM, and any of the lunch periods based on second semester schedule. *
Most years 45-50 highly qualified students apply for the approximate 10 open Alternative PE Leadership spots. Given the competitive and limited nature of this opportunity, if you were not selected for this program would you be interested in being considered for the Regular PE Leadership Program. *
You would not have to fill out another application - we would use this information.
Never submit passwords through Google Forms.
This form was created inside of Adlai E. Stevenson High School, District 125. Report Abuse