Wisconsin Adapted Physical Education
Professionals Directory Survey

Please indicate if this is a new entry or an update of an existing entry.

  Name:  
  Work Email:  
  Work Phone:   Area Code:   Number: 
  Employing School District/Agency:  
  City:  

What percent of your teaching is in APE with students who have IEPs?

At what level(s) do you teach APE? Check all that apply.

Early childhood/preschool
Elementary
Middle
High School
Higher Education (College/University)  

What is your caseload in APE (number of students with IEPs that you teach)?

Do you hold the Wisconsin 860 add-on teaching license for APE?     Yes     No

If yes, from which Wisconsin university/college did you complete your APE course work to earn the 860 teaching license?

At what other higher education institutions did you complete APE course work?

Check your highest degree:     Bachelors     Masters     Ed Specialist     Doctoral

How many years have you been teaching APE?