Teacher Worksheet - OSPI



Name FORMTEXT ????? School FORMTEXT ????? District FORMTEXT ?????Elementary School Health and Physical Education Instruction and AssessmentsWe designed this worksheet form for optional use only as an efficient way to capture data about Health and Physical Education assessments.State law requires school districts to report whether or not the district administered assessments in the areas of The Arts, Health and Physical Education, and Social Studies at the elementary, middle, and high school levels, per RCW 28A.230.095. Please note that specific information for individual teachers and schools will not be collected by OSPI.Although not compulsory on the report, we also hope to gather information about what assessments or if other strategies are used by school districts to measure student learning in these subjects. If you decide to use this form, please share it with the person in your district who handles reporting for OSPI.To complete this worksheet:Fill in the total (non-duplicated) number of students who completed one or more assessment for Health and Physical Education.Fill in the number of assessments completed for specific OSPI-developed assessments for Health and Physical Education.List any alternative assessment(s) you used to assess Health and Physical Education.Elementary School Physical Education Instruction and Assessments Adherence to laws and policies specifically related to Physical Education, per RCW 28A.230.055In 2019-20, did your school provide regular class time for student instruction in PHYSICAL EDUCATION??Yes ?NoIf yes, average number of PHYSICAL EDUCATION minutes of instruction per week: FORMTEXT ????? (note: if students have one semester of PE and one semester without PE, divide by 2)How many students were excused from participation (formerly known as a waiver) in PHYSICAL EDUCATION in 2019-20: FORMTEXT ?????Does your building lack sufficient dedicated gym space to support every student reaching 100 minutes of minimum physical education instructional time??Yes ?NoPhysical Education AssessmentsAll Elementary GradesTotal (non-duplicated) number of students FORMTEXT Physical EducationAssessments or Other StrategiesGrade 3Grade 4Grade 5Grade 6Concepts of Health and Fitness FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Get Fit Summer FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Other strategies to assure that students have an opportunity to learn the Washington State K–12 Learning Standards. Explain: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Elementary School Health Instruction and AssessmentsWho taught Health subject material (check all that apply)??General classroom teacher?Physical Educator?Health Educator?Integrated into other content areas?Nurse or health services?Other (describe): FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Is Sexual Health Education taught in your elementary school? ? K-5 (elementary) FORMTEXT ????? hours per year or ? not sure? The school does not offer Sexual Health EducationHealth AssessmentsAll Elementary GradesTotal (non-duplicated) number of students FORMTEXT ?????Health Assessments or Other StrategiesGrade 3Grade 4Grade 5Grade 6A Cartoon Role Model FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Mrs. Trimble's Muffins FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????New Kid on the Block FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Stomp Out Second-Hand Smoke FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Welcome to Our School FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Other strategies to assure that students have an opportunity to learn the Washington State K–12 Learning Standards. Explain: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Middle/Junior High School Health and Physical Education AssessmentsWe designed this worksheet form for optional use only as an efficient way to capture data about Health and Physical Education assessments.State law requires school districts to report whether or not the district administered assessments in the areas of The Arts, Health and Physical Education, and Social Studies at the elementary, middle, and high school levels, per RCW 28A.230.095. Please note that specific information for individual teachers and schools will not be collected by OSPI.Although not compulsory on the report, we also hope to gather information about what assessments or if other strategies are used by school districts to measure student learning in these subjects. If you decide to use this form, please share it with the person in your district who handles reporting for OSPI.To complete this worksheet:Fill in the total (non-duplicated) number of students who completed one or more assessment for Health and Physical Education.Fill in the number of assessments completed for specific OSPI-developed assessments for Health and Physical Education.List any alternative assessment(s) you used to assess Health and Physical Education.Middle/Junior High School Physical Education Instruction and AssessmentsAdherence to laws and policies specifically related to Physical Education, per RCW 28A.230.055In 2019-20, did your school provide regular class time for student instruction in PHYSICAL EDUCATION??Yes ?NoIf yes, average number of PHYSICAL EDUCATION minutes of instruction per week: FORMTEXT ????? (note: if students have one semester of PE and one semester without PE, divide by 2)How many students were excused from participation (formerly known as a waiver) in PHYSICAL EDUCATION in 2019-20: FORMTEXT ?????Does your building lack sufficient dedicated gym space to support every student reaching 100 minutes of minimum physical education instructional time??Yes ?NoPhysical Education AssessmentsAll Middle/Junior High GradesTotal (non-duplicated) number of students FORMTEXT ?????Physical Education Assessments or Other StrategiesGrade 6Grade 7Grade 8Grade 9Concepts of Health and Fitness FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Fitness Plan for Pat FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Shop, Eat, Move! (May be used for either Physical Education or Health – not both) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Other strategies to assure that students have an opportunity to learn the Washington State K–12 Learning Standards. Explain: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Middle/Junior High School Health Instruction and AssessmentsWho taught Health subject material (check all that apply)??General classroom teacher?Physical Educator?Health Educator?Other (describe): FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Is Sexual Health Education taught in your middle school? ? 6-8 (middle) FORMTEXT ????? hours per year or ? not sure? The school does not offer Sexual Health EducationHealth AssessmentsAll Middle/Junior High GradesTotal (non-duplicated) number of students FORMTEXT ?????Health Assessments or Other StrategiesGrade 6Grade 7Grade 8Grade 9Acme Advertising FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????My Friend Morgan FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Sara's Story FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Shop, Eat, Move! (May be used for either Physical Education or Health – not both) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Tobacco Times FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Touring the Systems FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????True Media Message FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Other strategies to assure that students have an opportunity to learn the Washington State K–12 Learning Standards. Explain: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????High School Health and Physical Education AssessmentsWe designed this worksheet form for optional use only as an efficient way to capture data about Health and Physical Education assessments.State law requires school districts to report whether or not the district administered assessments in the areas of The Arts, Health and Physical Education, and Social Studies at the elementary, middle, and high school levels, per RCW 28A.230.095. Please note that specific information for individual teachers and schools will not be collected by OSPI.Although not compulsory on the report, we also hope to gather information about what assessments or if other strategies are used by school districts to measure student learning in these subjects. If you decide to use this form, please share it with the person in your district who handles reporting for OSPI.To complete this worksheet:Fill in the total (non-duplicated) number of students who completed one or more assessment for Health and Physical Education.Fill in the number of assessments completed for specific OSPI-developed assessments for Health and Physical Education.List any alternative assessment(s) you used to assess Health and Physical Education.High School Physical Education Instruction and AssessmentsAdherence to laws and policies specifically related to Physical Education, per RCW 28A.230.055How many students were excused from participation (formerly known as a waiver) in PHYSICAL EDUCATION under RCW 28A.230.050 in 2019-20: FORMTEXT ?????Does your building lack sufficient dedicated gym space to reach minimum physical education requirements??Yes ?NoPhysical Education AssessmentsAll High School GradesTotal (non-duplicated) number of students FORMTEXT ?????Physical Education Assessments or Other StrategiesGrade 9Grade 10Grade 11Grade 12Concepts of Health and Fitness FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Fitness Planning FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Other strategies to assure that students have an opportunity to learn the Washington State K–12 Learning Standards. Explain: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????High School Health AssessmentsIs Sexual Health Education taught in your high school? ? 9-12 (high) FORMTEXT ????? hours per year or ? not sure? The school does not offer Sexual Health EducationHealth AssessmentsAll High School GradesTotal (non-duplicated) number of students FORMTEXT ?????Health Assessments or Other StrategiesGrade 9Grade 10Grade 11Grade 12A Letter to the Publisher FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Cafeteria Choices FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Cut Out Conflict FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Dear “Stressed and Depressed” FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Defending Jamie (KNOW Curriculum) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????New Student Orientation FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Other strategies to assure that students have an opportunity to learn the Washington State K–12 Learning Standards. Explain: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? ................
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