As an amateur, Paul Acoose was the champion of western Canada in the three and five mile running events. On July 1, 1908 he won a 10.5 mile race in Regina 8 minutes ahead of the other runners.
Paul Acoose turned professional in April 1909 and won an indoor 15 mile race in Winnipeg in world record time. In March of the following year, he came second in a 20 mile race at Madison Square Gardens.
On March 30, 1910 Paul defeated the celebrated runner Tom Longboat in a 12 mile race in Toronto.
Installed in the Saskatchewan Sports Hall of Fame on June 11, 1983.