Adapted Physical Education FIE Report

Initial Evaluation
IEP Date:
Re-evaluation
Special Request by the IEP 2/27
Committee

Name: Melissa
Examiner: Rachel Ball School: ETLA

Sources of Data (Formal and Informal Measures) Evaluation Dates

1. Pickleball skill assessment 1/30
2.

Based on the evaluation, the student demonstrates a need for adapted physical education in order to
Yes No make appropriate education progress.

LEARNING COMPETENCIES: ​Strengths and Weaknesses

Physical and Motor Fitness:

- Able to display proper handshake grip for the forehand and backhand with a score of 5 out of
5.
- Able to perform forward swing motion for the forehand and backhand with a score of 5 out of
5.
- Able to follow through after forehand striking the pickleball with a score out 5 out of 5.
- Attempted to make contact below the waist when serving with a score of 2 out of 5.
Fundamental Motor Skills and Patterns:

- Attempted to step with opposition when serving with a score of 0 out of 5.

- Attempted to strike to the back of the court using power with a score of 2 out of 5.
- Attempted to strike for accuracy by striking the pickleball to the left front section of the court
with a score of 1 out of 5.
- Attempted to strike for accuracy by striking the pickleball to the right front of the court with a
score of 0 out of 5.
Informal Observations:

- Very shy in large group

- Right hand dominant
- Has a cat
- Works well with other students
- Really good at striking above the waist
- Struggles to bend down and strike below the waist.

9/04 * Form modeled after from Denton Independent School District APE - 1
 Adapted Physical Education FIE Report
Recommendation(s)/Modification(s):

- Student would better understand directions with demonstrations.

- Student may feel uncomfortable when the attention is on her in a large group setting.
- Student would struggle with fast pace gameplay.
- Would benefit from lighter equipment that does not require a lot of force.
- Student would work best in a smaller environment to limit distractions
- Student is motivated by positive feedback.
Recommendations for Instructional Setting:

Adapted physical education services for 75 minutes per week for 4 weeks.

Rachel Ball  Adapted Physical Educator

Signature of Evaluator Position

9/04 * Form modeled after from Denton Independent School District APE - 2