Adapted Physical Education Student Scholarship
California State Council on Adapted Physical Education
$1000 Scholarship to be presented at the National Adapted Physical Education Conference
Due Date April 15th.
Specialize in the field of Adapted Physical Education
Pursuing adapted physical education authorization or graduate work in APE
Attending a California college/university
Criteria for Selection:
Experience/interest in working with individuals with disabilities
School, community and professional activities
Full Mailing Address
E-Mail Address (year-round)
University, Major, Minor, year status
Date of APE (anticipated)Authorization
Education Information (Universities, Degrees/Majors, credentials, authorizations), dates attended.
Professional Affiliations and dates of membership
Description of professional activities and conferences and dates attended.
Extracurricular activities and offices held or leadership roles (include dates):
Work experience. (Start with the most recent and indicate paid or volunteer):
Work or volunteer experience with individuals with disabilities (include dates):
Scholarship, awards, honors (include dates):
Please supply any additional information you believe is pertinent to this application and a statement of your professional goals and philosophy of physical education for individuals with disabilities: (not to exceed 300 words).
List the names, titles, email address, phone number of 3 authors of letters of recommendation. Submit the 3 letters of recommendation on letterhead to
. Letters of recommendation should acknowledge the following criteria: responsibility, enthusiasm, professional attitude, leadership activities, experience and desire to work with individuals with disabilities.
University Adapted Physical Education Coordinator must submit the following information to
This will verify that__________________________________________________________________
____ ____ 1. has completed ______ units of under graduate college work with an overall GPA of ________
____ ____ 2. has a specialization in Adapted Physical Education.
____ ____ 3. has completed ___________ units of graduate college work with an overall GPA of _________
____ ____ 4. will be doing his/her last semester of student teaching in the area of Adapted Physical Education
Starting date: __________________________
Ending date: ___________________________
University Adapted Physical Education Program Coordinator
University Adapted Physical Education Coordinator Name, university, email address, phone number
Form completed by name, email address, phone
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