Marian High School
Verification of Credit for Independent Physical Education
Student Name: _______________________ Grade: _____________
Season/Year: Fall/Winter/Spring _________ Activity/Sport: _________________
PE Standards mastered: Teacher must initial each standard mastered by student.
All standards must be met in order to obtain a PE credit.
1. Motor Skills and Movement Patterns: Student demonstrates competency in motor skills
and movement patterns needed to perform a variety of physical activities.
Teacher initials ______
2. Movement Concepts: Student demonstrates an understanding of movement concepts,
principles, strategies, and tactics as they apply to learning and performance of physical
activities. Teacher initials ______
3. Physical Activity: Students participates regularly in physical activity.
Teacher initials ______
4. Health-enhancing Physical Fitness: Student achieves and maintains a health-enhancing
level of physical fitness.
Teacher initials ______
5. Responsible Personal and Social Behavior: Student exhibits responsible personal and
social behavior that respects self and others in physical activity settings.
Teacher initials ______
6. Value of Physical Activity: Student values physical activity for health, enjoyment,
challenge, self-expression, and/or social interaction.
Teacher initials ______
Approximate total number of hours of participation for season: _______
Student Signature: _________________________________________
PE Teacher Signature: ______________________________________
Coach Signature: __________________________________________
Guidance Department Signature: ______________________________