JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2024-2025 POWER PE Mentor Application
Please complete this application in order to be considered for enrollment into the POWER PE class. Please complete by December 4th. You will be notified before winter break regarding whether or not you were accepted into the program. Let us know if you have any questions!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Last Name
*
Your answer
First Name
Your answer
ID Number
*
Your answer
Current Grade
*
Sophomore
Junior
Current PE/Driver Ed/JROTC Instructor:
*
Your answer
List the sports/activities/clubs that you are involved with currently at school or in the community:
*
Your answer
Describe what you think it means to be a good leader.
*
Your answer
What makes you a good candidate for POWER PE?
*
Your answer
Why do you want to take POWER PE?
*
Your answer
Do you have any experience working with students with disabilities? If so, explain.
*
Your answer
Do you have any experience coaching, lifeguarding, or working sports camps with other students? If so, explain.
*
Your answer
Attendance is extremely important, as you will have a partner depending on you each day. Do you have any issues with attendance or discipline?
*
Your answer
Do you have any questions about POWER PE?
*
Your answer
I understand that if I am accepted into the program that I am making a year-long commitment (unless you are an early graduate).
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Community High School District 218.
Report Abuse
Forms
