(TRACK). Dear APE Student,

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APE Program ~ TRACK Grant Dear APE Student, Thank you for your interest in the Adapted Physical Education (APE) grant program at CSU, Chico. Students pursuing an APE Authorization or a Master s degree in Adapted Physical Activity may apply for funding under the federal grant Training & Research for Autism & Collaboration in Kinesiology (TRACK). The grant program is funded from the U.S. Department of Education, Office of Special Education Programs. In accordance with this project s requirements, you will be required to perform work related to adapted physical education upon completion of the program. Applicants pursuing the APE Authorization must hold either a current credential that authorizes the teaching of physical education, such as a Single Subject credential in Physical Education or a Multiple Subjects credential, or a current Preliminary Education Specialist credential. Enclosed you will find the following items: 1. Application for APE TRACK Grant for Spring 2016. 2. Student Objectives and Responsibilities for the APE TRACK Grant. Please submit the Application for the APE TRACK Grant with the appropriate documentation as soon as possible. Please contact me if you have questions or to determine specific course requirements at (530) 898-4298/6324. Sincerely, A. Josephine Blagrave Program Director California State University, Chico Josephine Blagrave, Program Director Phone: 530-898-4298/6324

APE TRACK Grant The CSU, Chico is pleased to announce the availability of grant funding to help students in the area of adapted physical education. Students may apply for funding for the academic year program or the summer program under the federal grant Training & Research for Autism & Collaboration in Kinesiology (TRACK). The TRACK grant is a federal grant to train students to work with children with disabilities in the field of adapted physical education. Academic year grant recipients receive funding for stipend awards, books, and travel to conferences. If selected as a participant in the academic year grant program, you may receive a maximum of $15,815 funding over a maximum of four semesters. To apply for the Spring 2016 APE Track Grant, submit a complete application package as soon as possible. Checklist for a complete Spring 2016 application Form A: Application for APE TRACK Grant for Spring 2016 Form B: Applicant Data Survey A typed letter of application (2 pages maximum) which addresses your career goals, including your experience working with individuals with disabilities. One official transcript of all college work Information for three references (Name, Job Title, Phone, Email Address) Two letters of recommendation, from two of the three references above Deliver or mail complete application materials to: Josephine Blagrave Phone: (530) 898-4298/6324 APE Program, Kinesiology Department Email: ablagrave@csuchico.edu California State University, Chico Chico, CA 95929-0330 Please keep this page for your records.

California State University, Chico Chico, CA 95929-0330 A. Josephine Blagrave, Project Director Phone: 530-898-4298/6324 Application for APE TRACK Grant Spring 2016 Name _ Street Address _ City State Zip Code Home Phone Work Phone Cell Phone SSN Date of Birth _ Email address Employment Place of Employment Employment Address Position Supervisor Course of study at CSU, Chico APE Authorization or Master s degree in P.E. with a course of study in APE Enrollment: FT or PT Expected completion date of program: _ Do you currently have a credential to teach in California? Yes No If yes, name of credential(s): Are you currently working as a teacher? Yes No If yes, please describe): Are you bilingual? Yes No If so, which language(s) Will you apply for financial aid funds for Spring 2016 at CSU, Chico? Yes No Education College/University Course of Study Completed Units GPA Degree Earned Form A

Applicant Data Survey We consider all applicants without regard to race, color, religion, creed, gender, national origin, age, mental or physical disability, marital or veteran status, sexual orientation, or any other legally protected status. For non-u.s. citizens, please refer to the Office of Special Education Programs for eligibility. This survey is not a part of your official application for the grant program and will not be used in any decision regarding the award. The purpose of the Applicant Data Survey is to comply with government record-keeping, reporting, and other legal requirements. Completing this survey is strictly voluntary. Your cooperation is appreciated. Position(s) applied for Grant funding in APE TRACK Grant Date Name Last First Middle Telephone Address Number, Street, Apt City State Zip Code Referral Source(s) Advertisement in (name) Referred by (name) Conference Other Web site Equal Employment Opportunity Identification Groups Date of Birth: Please check one: Male Female (Month/Day/Year) Please check one: Caucasian African Hispanic Asian/Pacific Islander American Indian/Alaskan Native Other Please check if any of the following are applicable: Vietnam Era Veteran Veteran with a Disability Individual with a disability Re-entry student I understand that I m providing this information voluntarily and it will be kept strictly confidential. Signature _ Date Form B

California State University, Chico Chico, CA 95929-0330 A. Josephine Blagrave, Project Director Phone: 530-898-4298/6324 Adapted Physical Education TRACK Grant Academic Year Program Training & Research for Autism & Collaboration in Kinesiology Student Objectives 1. Complete a teaching credential and/or master s degree in adapted physical education. 2. Participate in early field experience with the Chico State KIDS PLAY program, the BE:WEL program, and the Sensory and Motor Autism Clinic, in addition to other services which will further the availability of quality physical education programs for children with disabilities. 3. Develop the necessary skills to become an expert teacher of multicultural students with disabilities, with a particular focus on Autism. 4. Address the needs of children with disabilities, including early intervention, school-aged population, and transition programs. 5. Facilitate the development of successful and mutually beneficial partnerships with children s families to support effective service delivery. Student Responsibilities 1. Notify Josephine Blagrave, program director of the APE TRACK Grant, of all changes in address and employment status until the service obligation has been satisfied. ablagrave@csuchico.edu 2. Students are expected to participate in 10-15 hours per week in field experience placements per semester. Contracts for field experience hours are to be completed at the beginning of each semester in collaboration with the program advisor. 3. Maintain satisfactory progress toward the credential or degree. GPA requirements: Masters GPA 3.0 in each graduate course. Undergrads GPA 3.0 overall in APE classes 4. Attend all mandatory grant recipient meetings, typically 1-2 per semester. 5. All grant-funded students are expected to attend all classes, demonstrate model academic behavior, be independent thinkers and learners, and be punctual and professional in all interactions with parents, children, peers, and community programs. 6. Take and pass the Adapted Physical Education National Standards (APENS) exam during your final semester of funding. View complete details at apens.org/apensexam.html. Josie Blagrave will offer the exam twice a year at CSU, Chico. The exam costs $150. Your book funds may be used to reimburse you for the APE National Standards ($35) and the APENS Study Guide ($28).

THE APENS EXAM Adapted Physical Education National Standards Exam APE TRACK Grant Participants Must Take the APENS Exam One of the student responsibilities for accepting TRACK grant funds is that you are required to take and pass the APENS exam, a national certification exam which allows you to become a Nationally Certified Adapted Physical Educator (CAPE). Information about the APENS exam: apens.org/apensexam.html Josie Blagrave is administering the APENS exam at CSU, Chico twice a year. To Take the Exam 1. Notify Josie Blagrave that you would like to be scheduled for the exam. You must take it during your final semester of funding. 2. Submit a completed application and the $150 application fee to APENS by the deadline for your test date. The application is available at apens.org/certification.html under "How to Become Certified." 3. To sit for the exam you must have completed a credential and all coursework in APE. (Exceptions may be made only with prior approval.) Please contact Josie Blagrave with any questions. California State University, Chico Josephine Blagrave, Program Director Phone: 530-898-4298/6324