NISD Off-Campus Physical Education Program

Northside Independent School District
Off-Campus Physical Education Program
Vendor Application 2025-2026

Agency Request for Review

NISD only participates in Category I of the TEA OCPE program.

Category I - Olympic/National Level - Participation and/or competition includes a minimum of 15 hours per week of highly intensive, professional, supervised training. The training facility, instructors, and the program’s activities must be certified by the superintendent to be of exceptional quality. Students qualifying and participating at this level may be dismissed from school one hour per day. Students dismissed may not miss any class other than physical education. PLEASE NOTE: Students who leave for instruction during the school day cannot participate in UIL activities in the same sport.

OCPE Agency applications are closed on May 15th each year to ensure time for application processing and training. If all of the requirements and deadlines have been fulfilled, and the requesting agency is certified by the District to be of high quality, the agency will be added to the published approved list.

The approval process includes evidence of Agency Insurance, CPR / AED / First Aid Certification and Criminal History Background Check.
Grade and Attendance Due Dates - Each Agency Coordinator must submit attendance and grading within a given deadline per school year.
Each Agency Coordinator must submit attendance and grading within a given deadline per school year.
Agencies may contact OCPE@nisd.net to get additional information regarding the approval process

Address / Contact Verification

Agency Name:

Owner Name:

Owner 2 Name :

Address:

Address line 2:

City:

ZIP Code:

Office Phone #:

Mobile Phone #:

Email Address: Invalid Email Address

Website:

Instructor 1:

Instructor 2:

Instructor 3:

Insurance Verification

As a participant in the School’s Off-Campus Physical Education Program, you agree to indemnify and hold the School and Northside Independent School District harmless from any and all claims which may be brought against the School or District, or any employee, trustee, or agent thereof, which are connected with the death or injury of the student while on your premises or under your supervision.

Please indicate your insurance company below, as well as the limits of your insurance policies, for our records. We look forward to a safe and productive year, and are pleased that you are part of our off-campus program.

Is your agency insured?

Yes

Insurance Company:

Limit on Death Claim:

Limit on Limit on Personal Injury Claim:

Requirements

1.) Will the program meet the 15-hour requirement and align with the student's schedule according to the Texas Education Agency (TEA) and Northside ISD Off-Campus Physical Education guidelines?

Yes

2.) The agency agrees to provide the District with the student's schedule and update it as needed.

Yes

3.) The agency agrees to provide an accurate attendance report and a recommended grade for the student every nine (9) weeks by the District's designated due date on the reporting form.

Yes

* Accurate attendance report: I understand that failure to provide an accurate attendance report and a recommended grade by the District's designated due date may result in removal as a designated agency at the District's descretion.

I acknowledge and agree to the above statement.

Yes

4.) Will the program be open for regular visitation by school officials?

Yes

5.) Will the program provide adult supervision at all times?

Yes

6.) Will the program meet the time requirements and criteria as specified in the Northside ISD PE guideines?

Yes

7.) The agency agrees to notify the school counselor and/ or the P.E. Department if the student drops out of the program.

Yes

Please Acknowledge:

By providing your First and Last Name (as principal contact and Application Signature) and submitting this application for review you are acknowledging that the information provided above is true and factual to the best of your knowledge.

Signer First Name:

Signer Last Name:

***Attention***
Before submitting your request, please ensure you have checked and filled out all information above