TWU INDEPENDENT SCHOOL DISTRICT

Adapted Physical Education FIE Report

X

Initial Evaluation
Re-evaluation
Special Request by the ARD/IEP
Committee

Name:
Examiner:

Adam Sandler
Todd Denman

Sources of Data (Formal and Informal Measures)

1. APEAS Elementary Level (Los Angeles, CA 2008)
X
Yes

No

ARD/IEP Date:

ID:

12345
School:

DOB:
TWU Elementary

01/01/2004

Evaluation Dates
11/12

Based on the evaluation, the student demonstrates a need for adapted physical education in order to
make appropriate education progress.

LEARNING COMPETENCIES: Strengths and Weaknesses

Physical and Motor Fitness:
-Attempts the Agility Run (25%)
-Attempts to perform 31 bent knee curl-ups with a maximum of 75 (53%)
-Attempts to perform 86 seconds of Push Up Position for 90 seconds (84%)
-Attempts to perform 0 push ups with a maximum of 75 (14%)
-His BMI is a 16.91 (Within BMI healthy zone)
-His flexibility is at 0 inches (79%)
Fundamental Motor Skills and Patterns:
-Able to do Ocular Control with a score of 0 out of 15 (73%)
-Able to Imitate postures with 15 out of 15 (73%)
-Attempts to balance on left foot with eyes open (23%)
-Attempts to balance on right foot with eyes open (16%)
-Attempts to balance on left foot with eyes closed (32%)
-Attempts to balance on right foot with eyes closed (39%)
-Able to alternate hop for 10 seconds (79%)
-Able to throw a ball a distance of 15. (88%) His throwing quality is a 4 out of 4 points (75%)
-Attempts to catch a ball at a distance of 10. (6%) His catching quality is a 3 out of 4 points (6%)
-Attempts to kick a stationary ball at a distance of 15 (1%)
-Attempts to kick a rolling ball at a distance of 15 (19%)
-Able to run a distance of 20 yards with a mature pattern (73%)
-Able to hop a distance of 15 with a mature pattern (77%)
-Attempts to jump a distance of 6 (25%)
-Attempts to gallop a distance of 20 yards (19%)
-Able to skip a distance of 20 yards (75%)
Informal Observations:
Student is hyperactive, talks a lot, and does everything he is asked. He also enjoys playing football and baseball.
His hand preference is right and his foot preference is right.
Recommendation(s)/Modification(s):
Demonstrate activities. Use verbal prompting when needed.
Recommendations for Instructional Setting:
Adapted Physical Education Services 1x/week for 30 minutes in addition to General Physical Education

Signature of Evaluator

9/04

Adapted Physical Educator

Position

APE - 1