Special Olympics North Dakota – Bismarck Volunteer Information

On behalf of our Area Management Team (“AMT”), thank you for your interest in volunteering with Special Olympics North Dakota in Bismarck. If you would like to know more about Special Olympics, please visit the State webpage at: http://www.specialolympicsnorthdakota.org. Regardless of your level of sport or coaching experience, you can act as a coach or partner for sports. However, you must be at least 18 years of age to coach and at least 8 years old to partner. Some forms are required to be turned into our State Office for Special Olympics. There are also less time intensive ways to volunteer! Any forms not completed online should be emailed to area10specialolympics@gmail.com. You can also print and hand-deliver your forms to the head coach, an AMT member, or volunteer coordinator. Coaching information can be reviewed at the State webpage at: http://www.specialolympicsnorthdakota.org/content/page/title/Coaches.org

Necessary Forms:

1. Volunteer Application enclosed or at: http://www.specialolympicsnorthdakota.org/files/shared/Class%20A%20application2015.pdf

2. Review General Orientation (enclosed or at http://www.specialolympicsnorthdakota.org/files/shared/General%20Orientation%20-%202016.pdf)

3. Complete the General Orientation Quiz online at: https://docs.google.com/forms/d/1dN-SOz_2iwKBk4NW-MWs4_6wd3eTAN-5GiEPIPSiBAI/viewform?c=0&w=1)

4. Complete Protective Behaviors Training online at: http://resources.specialolympics.org/protective_behaviors_training.aspx)

5. Complete concussion training at: http://nfhslearn.com/courses/38000 OR http://www.cdc.gov/headsup/youthsports/training/index.html 6. FOR PARTNERS ONLY: Complete the Partner Form. (enclosed or at http://specialolympicsnorthdakota.org/files/shared/partner_form.pdf)

*All forms need to be updated upon any change in information such as address, and the quizzes need to be re-taken periodically.

Revised 3/9/16

VOLUNTEER REGISTRATION FORM-CLASS A

Part I – General Information ALL INFORMATION IS REQUIRED UNLESS INDICATED AS OPTIONAL (Please Print)

Last Name: First Name: Middle Name:

Address:

City: County: State: Zip Code:

Social Security No:

Birth date (mm/dd/yy): Gender: Male Female

Daytime Phone: ( ) Evening Phone: ( ) Email:

Employer/School: Occupation:

Emergency contact: Emergency Phone: ( )

Part II – Background Information Please answer the following questions:

Do you use illegal drugs? Yes No

Have you ever been convicted of a criminal offense? Yes No

Have you ever been criminally charged with neglect, abuse or assault? Yes No

Has your driver's license ever been suspended or revoked? Yes* No

*If yes, please provide: Driver’s license number ________________ State issued___________

Have you ever been adjudged liable for civil penalties or damages involving sexual or physical abuse?

Yes No

Have you ever applied to, volunteered, participated as a Special Olympics athlete or been employed by any Special Olympics organization?

Yes No

If you answered YES to any of the above please explain (use additional sheets of paper if necessary):

Part III – Additional Information

Please list two references 18 years of age or older who are not related to you (for volunteers under 18 years of age):

1. Name:_______________________________________________________________________________

Complete Address: ___________________________________________________________________

Home Phone Number: (_____)________________ Work Phone Number: (____)________________

Email Address (optional)_____________________

2. Name: _______________________________________________________________________________

Complete Address: ___________________________________________________________________

Home Phone Number: ( ) ________________Work Phone Number: ( )__________________

Email Address (optional) ______________________

By providing the above references, I am authorizing Special Olympics to contact them in reference to my volunteer application.

(over)

Please read the following:

In the course of volunteering for Special Olympics, I may become aware of personal information, and I agree to keep said information in the strictest confidence.

I grant Special Olympics North Dakota permission to use my likeness, voice, and words in television, radio, film or any form to promote activities of Special Olympics.

I understand that the relationship between Special Olympics North Dakota and volunteers is an “at will” arrangement and that I may be terminated at any time, without cause, by Special Olympics North Dakota.

I will notify Special Olympics North Dakota of any change to the information I have provided on this application within 90 days of occurrence.

AUTHORIZATION AND RELEASE FOR CRIMINAL AND OTHER BACKGROUND RECORD CHECK

I certify that the information provided is true and complete to the best of my knowledge. I have not withheld any information that could affect my application unfavorably, if included. I understand that in connection with my application to provide services as a volunteer, and/or for continuous volunteer services for Special Olympics North Dakota (SOND), General Information Services, Inc., their agents, assigns or any other authorized third parties (collectively, “the Investigators”) and/or local and state law enforcement agencies may be performing, requesting, obtaining or conducting a background check on me. This background check may include an inquiry into my employment history, education, general character or reputation, work experience, driving, and/or criminal history (the “Information”). I understand that SOND may rely on any part or all of this information in determining whether to extend an offer of volunteer duties to me. I further understand that if any adverse action is taken by SOND or if SOND chooses not to extend an offer of volunteer duties to me based upon the Information, that I will be provided a copy of such information. I have read this ADULT CLASS A VOLUNTEER APPLICATION AND RELEASE FOR CRIMINAL AND OTHER BACKGROUND RECORD CHECK and by signing below, hereby authorize investigators to conduct a background check as described herein in conjunction with my application for volunteer duties. I further direct and authorize the investigators to conduct the background check and further authorize any third parties or agencies who may be the custodians of or in possession of the requested information, to disclose such information to investigators in connection with this background check. This form is intended to be, among other things, a criminal conviction release authorization, and I hereby authorize the investigators to receive my criminal record(s). I understand that the background check as described above will be conducted again on or after the cycle date of this application and every cycle period thereafter unless I am no longer seeking Adult Class A Volunteer status, in which case I will notify Special Olympics North Dakota. Special Olympics North Dakota may refuse to allow me to volunteer if I provided any incorrect information or omission. I WAIVE, RELEASE AND DISCHARGE Special Olympics North Dakota, its officers, directors, employees, volunteers, agents and representatives from any liability for all damages and losses of whatever kind or nature that may result in connection with Special Olympics North Dakota conducting a criminal history records check or motor vehicle driving records check on me. I understand that my volunteer service can be modified or terminated with or without notice or cause, at any time, at the option of Special Olympics North Dakota or at my option and that Special Olympics North Dakota may, in its sole discretion, decline to accept my application for volunteer with or without cause. Volunteer’s Signature: ______________________________________ Date: ___________________ Signature of Parent or Guardian if Volunteer is a Minor __________________________ Date ___________

Print Full Name of Parent or Guardian ___________________________________________________________

For office use only Protective Behaviors Training completed _____ yes _____ no Date _________ General Orientation completed _____ yes _____ no Date ________ ID check completed _____yes _____ no Initials ________________ Background check: _____ Declined ______ Approved Class A Date _______ Initials ______

North Dakota

Special Olympics General Orientation

1

Course Goals

• Describe Special Olympics Mission, Vision, and

Philosophy

• Describe history of Special Olympics and

importance of the program in North Dakota

• Identify Special Olympics opportunities for athletes

and volunteers

• Motivate you to become a dedicated, impassioned

volunteer

2

Special Olympics: Our Mission

To provide year-round sports training and athletic

competition in a variety of Olympic-type sports

for children and adults with intellectual

disabilities, giving them continuing opportunities

to develop physical fitness, demonstrate courage,

experience joy and participate in a sharing of

gifts, skills, and friendship with their families,

other Special Olympics athletes and the

community.

3

Athlete Oath

Let me win; But if I Cannot Win,

Let me be brave in the attempt

4

Special Olympics: Our Story

• Created by Eunice Kennedy

Shriver

• Idea started as a Sports

camp at the Kennedy Home

• 1968 - The first

International Summer

Games were held for more

than 1,000 athletes at

Soldier Field in Chicago.

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Eunice Kennedy Shriver

http://media.specialolympics.org/resources/video/Eunice-

Kennedy-Shriver-Biography-Championing-the-Cause.mp4

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Special Olympics North Dakota

• Founded by Dr. Roger Kerns

in 1972

• The first ND State Summer

Games were held in Fargo for

close to 100 athletes.

• That year, 15 athletes and 4

coaches from ND represented

SOND at the International

Games in Los Angeles.

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Special Olympics Reach

Worldwide-

‣ 4.2 million athletes in more than 170 countries

‣ 70,278 competitions

‣ 1.3 million coaches and volunteers

‣ 32 Olympic-type sports

‣ Dynamic sport and corporate sponsorships

In North Dakota-

‣ 1,500 athletes

‣ More than 4,700 coaches and volunteers

‣ 15 sports offered

‣ More than 70 competitions each year

Special Olympics Philosophy

All individuals with intellectual disabilities deserve:

• Appropriate instruction & encouragement

• Consistent training toward maximizing their

capabilities

• Frequent competition and among those of equal

abilities

If these are provided, result = personal growth

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• Focus on what the athletes can do

• Athletes benefit from participation in both

individual and team sports

• Consistent training is indispensable

• Competition with those of equal abilities is the

most appropriate method for Special Olympics

athletes enjoying success

Special Olympics Philosophy

Definition of Eligibility

Age

‣ 8 years of age and older to train and compete

Registration

‣ To participate in Special Olympics

Identification

‣ By their localities/agencies as having an intellectual disability

OR

‣ By their localities/agencies as having closely-related developmental disability

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Unique Sports Organization

1. Sports opportunities for all ability levels

2. Divisioning for equitable competition

3. Awards for all participants

4. Random draw for advancement to higher levels of competition

5. No fees charged to athletes or family members for participation

12

The Global Structure

Local Athletes & Coaches

Special Olympics Area/County Subprograms

Special Olympics, Inc.

Headquarters, Washington, DC

Special Olympics, Inc.

Board of Directors

Global

Regional

National 52 United States

Programs

Canada

National Program Caribbean

National Programs

Mexico

National Program

North

America

Region

Africa

Region

Asia-

Pacific

Region

Europe-

Eurasia

Region

Latin

America

Region

Middle East-

North Africa

Region

East Asia

Region

Year-round Sports Training

• Training and Competitions are held year-round

across the entire state of North Dakota.

• Athletes train for a minimum of 8-10 weeks prior to

competing at a State Competition

• Practices are conducted by well-trained coaches in

accordance with standard sport rules, formulated

and adopted by Special Olympics.

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Competition for All Ability Levels

Individual Sports

‣ Modified events

‣ Conducted by sport federation rules

Team Sports

‣ Individual skills competition

‣ Modified team competition

‣ Conducted by sport federation rules

Unified Sports®

State Sporting Events

Winter Games

‣ Alpine Skiing

‣ Cross Country Skiing

‣ Figure Skating

‣ Snow Shoeing

‣ Speed Skating

State Basketball Tournament

Summer Games

‣ Aquatics

‣ Bocce

‣ Gymnastics

‣ Powerlifting

‣ Track & Field

‣ Volleyball

State Soccer & Bocce Tournament

State Bowling Tournament

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Competition Experience

• Provide realistic experience to

improve confidence

• Encourage performance under

pressure of real competition.

• Break down small aspects of

competition to provide feedback

• Enforce Official competition rules

Proven Benefits of Special Olympics

Physical: Physical fitness along with increased coordination, cardiovascular

fitness, and endurance.

Mental: Knowledge of rules and strategy along with increased self

esteem, self- confidence, and pride.

Social: Teamwork, interaction with peers and people without intellectual

disabilities opportunity to travel and learn about other places and

interests, family pride, and increased community awareness and

acceptance.

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Unified Sports®

Definition: Unified Sports® is a program that combines

approximately equal numbers of Special Olympics athletes with individuals without intellectual disabilities (partners) on sports teams for athletic training and competition

Age and ability matching of athletes and partners is specifically defined on a sport-by-sport basis

21

Unified Sports®

Further Meeting the Mission

• Expanding challenging sports opportunities

• Increasing inclusion with the community

• Breaking barriers

• Providing another choice to athletes

Unified Sports®

Offered in North Dakota:

• Bocce

• Football (Soccer)

• Volleyball

• Pilot- Youth Flag

Football

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Competition at All Levels

World Games

World Regional Games National Games

Regional Games State or Provincial Games

Area or Local Games • Multi-National Games

• Single-Sport Competitions

• Unified Sports® Competitions

• Sport Federation Sanctioned Competitions

• Athlete Demonstrations

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Goals of Competition

• Safe environment

• Each athlete highlighted

• Enjoyable, high-quality experience

• Olympic atmosphere

• Increased public awareness

• Positive experience for all

• Measurement of skill & development

25

Divisioning

No more than 3-8 athletes/teams per division

Grouped by age and gender

Further separated by ABILITY:

For individual sports,

– 10-15% guideline & preliminaries

For team sports,

– Skills Assessments and

– Classification rounds of competition

Provide all competitors a chance to excel

26

Why Enforce Rules

• Reinforcing correct sports behavior

• Protect rights

• Uphold integrity

• Enable highest skill in athletes

• Easier to involve the NGBs

• Facilitate access into community sports

• Promote SAFETY

Benefits of Special Olympics

Individuals competing in Special Olympics develop:

‣ Improved physical fitness and motor skills.

‣ Gain greater self-confidence

‣ Build lasting friendships

‣ Enhanced life skills and their ability to live normal

productive lives.

More than ever, Special Olympics athletes hold jobs,

own homes, go to school and successfully confront

life challenges on a daily basis.

27

SO Healthy Athletes

• Program provides free health screenings in a fun,

welcoming environment that removes the anxiety

and trepidation people with intellectual disabilities

often experience when faced with a visit to a doctor.

• Provides valuable experience to healthcare

professionals; with increased knowledge and

compassion for people with intellectual disabilities.

• Special Olympics is the leading healthcare provider to

people with intellectual disability in the world.

28

Other Initiatives

Spread the Word to End the Word

‣ Grassroots effort to encourage people around the

world, including the entertainment industry, to

stop using the “R-word”

Young Athlete Program (YAP)

‣ An inclusive sports play program for children (ages

2-7) with intellectual disabilities and their non-

disabled peers designed to introduce them to the

world of sports.

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Project UNIFY

Project UNIFY is a program for creating school climates of inclusion, acceptance,

respect, and human dignity for all students with and without intellectual

disabilities.

• Builds on the core Special Olympics values, principles, practices, and experiences.

• Incorporates sports and social activities to build acceptance for all.

Middle and High School Partners’ Clubs / SO College

• School-aged, student-led programs in middle school, high school and college.

• Nationwide network of highly engaged and motivated students working to bring

inclusion and acceptance to their school.

• Components include: Unified Sports, Youth Leadership and Whole-School

Activities.

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Different Roles for a Volunteer

Partners Club

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Coaching

Training

Officiating

Event Volunteer

Games Management Team

Unified Partner

Chaperone

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Medical Considerations

Down Syndrome

‣ Atlanto-axial instability ‣ up to 15% of individuals with Down syndrome have a mal-alignment of the

cervical vertebrae C-1 and C-2 in the neck known as Atlanto-axial instability, exposing such individuals to possible injury if they participate in activities that hyper-extend or radically flex the neck or upper spine.

‣ Prohibited sports

Medications

‣ Physical side effects

‣ Knowing what medications athletes are taking

Seizures

‣ Incidence

‣ Athlete safety

Physical Disabilities

‣ Non-ambulatory

‣ Muscle strength

Fetal Alcohol Syndrome

‣ Consistently functions better on concrete performance tasks

33

Social Considerations

Social Skills

‣ Communication

‣ Interaction with others

Recreation at Home

‣ Lack of activity

‣ Lack of encouragement

Economic Status

‣ Financial means

‣ Independent transportation

Appropriate Levels of Assistance

• Assess what an athlete is ready to do; and build on

those strengths.

• Each athlete may need a varied level of assistance • Verbal

• Visual

• Physical Prompt

• Physical Assistance

• Use drills that involve many athletes at all times. • Keeps athletes participating and engaged throughout practice.

34

Register as a Volunteer

Visit Special Olympics ND webpage:

‣ http://www.specialolympicsnorthdakota.org/content/page/title/Volunteers

1) Class A Volunteer Registration Form

2) General Orientation Quiz

3) Concussion in Sports

‣ http://nfhslearn.com/courses/61037/concussion-in-sports

4) Protective Behaviors Training

‣ http://resources.specialolympics.org/protective_behaviors_training.aspx

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Contact Us

2616 South 26th Street

Grand Forks, ND 58201

(701)-746-0331

sond@midconetwork.com

Fax: (701)-772-1265

North Dakota

Thank you.

37

APPLICATION FOR PARTICIPATION IN SPECIAL OLYMPICS NORTH DAKOTARelease and Waiver of Liability, Assumption of Risk and Indemnity Agreement

UNIFIED SPORTS® PARTNER

UNIFIED PARTNER INFORMATION

PROGRAM ___________________________________________

Unified Partner Social Security Number ______-______-______ Sex/Gender Date of Birth (month/day/year)

Unified Partner Name____________________________________________ _________ ______/______/______

Address ______________________________________________________ Home Phone _________________________

_____________________________________________________________

Parent/Guardian Name __________________________________________ Work Phone __________________________

Address (if different than athlete)___________________________________ Home Phone _________________________

_____________________________________________________________

Emergency contact (if different than parent/guardian) ___________________ Home Phone _________________________

______________________________________________________________

Health/Accident Insurance Company ________________________________ Policy Number ________________________

SPECIAL OLYMPICS RELEASE AND WAIVER OF LIABILITY

In consideration of participating in Special Olympics Unified Sports®, I represent that I understand the nature of the event and that I (and/or my minor child) am (are/is) qualified, in good health, and in proper physical condition to participate in Unified Sports® events. I fully understand the event involves risks of serious bodily injury which may be caused by my own actions or inactions, by the actions of others participating in the event, or by conditions in which the event takes place. I fully accept and assume all such risks and all responsibility for losses, costs, and/or damages I (and/or my minor child) may incur as a result of my (and/or my minor child’s) participation. I acknowledge that at any time that if I (we) feel that the event conditions are unsafe, I (and/or my minor child) will discontinue participation immediately.

If during my participation in Special Olympics activities I should need emergency medical treatment and I (and/or my minor child) am (are/is) not able to give my consent for or make my own arrangements for the treatment because of my injuries, I authorize Special Olympics to take whatever measures are necessary to protect my health and well-being, including, if necessary, hospitalization.

I (and/or my minor child) release, indemnify, covenant not to sue, and hold harmless Special Olympics, its administrators, directors, agents, officers, volun-teers, employees, and other Unified Sports® participants, and sponsors, advertisers, and if applicable, any owners and lessors of premises on which the activity takes place from all liability, any losses, claims (other than that of the medical accident benefit), demands, costs, or damages that I (and/or my minor child) may incur as a result of participation in Unified Sports® events and further agree that if, despite the ‘Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement,’ I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage or cost which may incur as a result of such claim.

I have read the ‘Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement’ and fully understand it.

_____________________________________________________________ _____________________________

Signature of Unified Sports® Partner (18 years or older) Date

_____________________________________________________________ _____________________________

Signature of Parent or Guardian if Unified Sports® Partner is a Minor Date

VOLUNTEER INFORMATION/APPLICATION

1) Do you use illegal drugs? Yes _____ No _____2) Have you ever been convicted of a criminal offense? Yes _____ No _____3) Have you ever been charged with neglect, abuse or assault? Yes _____ No _____4) Has your driver’s license ever been suspended or revoked in any state? Yes _____ No _____

List 2 non-family references (required):Name Relationship Address or Phone Number1) _______________________________________________________________________________________________________________________

2) _______________________________________________________________________________________________________________________

PLEASE READ BEFORE SIGNING—I understand that:-the information that I have provided may be verified, and I give permission to Special Olympics to make inquiry of others concerning my suitability to act as a Special Olympics volunteer;-in the course of volunteering for Special Olympics, I may be dealing with confidential information and I agree to keep said information in the strictest confi-dence;-the relationship between Special Olympics and volunteers is an ‘at will’ arrangement, and that it may be terminated at any time without cause by either the volunteer or Special Olympics;-I grant Special Olympics permission to use my likeness, voice, and words in television, radio, film, or in any form to promote activities of Special Olympics.

_____________________________________________________________ _____________________________Signature of Unified Sports® Partner Date

_____________________________________________________________ _____________________________Signature of parent or Guardian if Unified Sports® Partner is a Minor Date

Created by the Joseph P. Kennedy, Jr. Foundation for the Benefit of Persons with Intellectual Disabilities

First Name Last Name

Address

City State_____        Zip__________________

Phone number Cell

Email address

Birth Date

Shirt/Jersey Size S_____ M______ L______ XL _____ 2XL _____ 3XL _____

Emergency Contact Person

First Name Last Name

Address

City State_____        Zip__________________

Phone number Cell

Volunteer Information Form

Please fill out every applicable portion

All communciaton will be done via e-mail if possible