2021 ESSA Physical Activity Student Showcase Application

To promote the amazing work that teachers and students are doing in physical education, the Arizona Department of Education would like to invite you to submit your student physical activity performance videos to be showcased at our 2021 ESSA Conference. The videos will be shown as part of our Mindful Movement breaks throughout the two-day event.

2021 ESSA Physical Activity Student Showcase Form

* required field

About

Student physical activity performance videos to be showcased during the Mindful Movement breaks at the 2021 Virtual ESSA Conference February 23-24. Project submissions are due Friday, December 18th by 11:59 pm. Selected participants notified Friday, January 15th by 5 pm.

School Information

District or Charter Name *

School Name *

School Address *

Country *

Address 1 *

Address 2

City *

State *

ZIP code *

Instructor Information

Instructor's Name *

Instructor's Email *

Instructor's Work Phone

Instructor's Cell Phone *

Supporting Administrator Information

Administrator's Name *

Administrator's Email *

Submission Information

Student(s) Name(s) *

Student Project Description (200 Word Maximum) *

Project File (7 Minutes Maximum)

Project Video Link

Please include a downloadable project link (Google Drive, Ect...) if the file size is greater than 100MB or the system won't accept your file format.

Image/Photograph/Video/Media Release Form *

Please upload the signed Photograph/Image/Video/Media Release Assurance verifying all participating students have permission to showcase submitted work at the 2021 Virtual ESSA Conference. Use Required Template: https://www.azed.gov/sites/default/files/2020/09/Image%20Release%20Assurance%202021%20ESSA%20Conference_0.pdf

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