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Volunteer Application

/Volunteer Application
Volunteer Application 2017-02-28T23:53:52-06:00

Do you want to volunteer at a specific upcoming event or competition? Please visit our Volunteers page to sign up for a shift!


Current volunteer position with Special Olympics Minnesota

* Role with SOMN

* Association

* Team or program
Special Olympics Minnesota team, delegation or program name
e.g., Western Wings, Rochester Young Athletes, etc.

Additional role information
Please share the name of another athlete or coach with your team
or delegation, how you learned about us, etc.



Personal information

* Name

* Address

 

* Email (primary)

Email (secondary)

* Phone (primary)

Phone (secondary)

Gender

* Birthdate

Health/accident insurance

Emergency contact

* Name

Email

* Phone (primary)

Phone (secondary)



Reference #1 (not a family member)

* Name

* Relationship

Email

Phone



Reference #2 (not a family member)

* Name

* Relationship

Email

Phone



Background information

In accordance with Special Olympics International policy, all Class A Volunteers over the age of 18 must have a criminal background check that includes a check against a national vendor database and the sex offender registry for each State in which the sex offender registry is available. Class A Volunteers include volunteers who have regular, close physical contact with athletes such as coaches, chaperones, Unified Partners, area and local sports management team members, heads of delegation, ALPs mentors, drivers for athletes and volunteers who have administrative or fiscal authority.

Special Olympics Minnesota contracts with General Information Services (GIS) to perform our background checks. Once your Volunteer Application has been processed by our office, you will receive an email from eservices@geninfo.com with a link to perform your background check. The link will be active for 5 days, so please watch your email and spam accounts. Special Olympics Minnesota will incur the cost of your background check.

*Has your driver's license been suspended or revoked in the past seven (7) years?
No
Yes

*Have you had three (3) or more moving vehicle violations (speeding, failure to stop or yield) in the past seven (7) years?
No
Yes

* I understand I do not have to agree to this background check, but refusal to do so will exclude me from consideration for most types of volunteer work with Special Olympics Minnesota.

* I understand that if I am transporting athletes in my personal vehicle and there is an accident, my personal vehicle insurance will carry primary responsibility.



Consent and Waiver of Liability

Please scroll through the text in the box below and ensure that you understand the waiver points before signing.

I understand that:

  • 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 confidence.
  • In the course of volunteering for Special Olympics, I may be dealing with vulnerable people and will be held to strict parameters of interaction with them.
  • The relationship between Special Olympics and volunteers is an "at will" arrangement and 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.
  • The information that I have provided will be verified, and I give permission to Special Olympics Minnesota to make an inquiry of others concerning my suitability to act as a Special Olympics volunteer.
  • I hereby authorize any person to release any information about me concerning my suitability to act as a Special Olympics volunteer as such person deems relevant in his or her sole discretion.
  • I do not have to agree to this background check, but that refusal to do so will exclude me from consideration for most types of volunteer work with this organization.

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 the 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 (and/or my minor child) am (are/is) not able to give my consent for or make my own arrangement for that treatment because of my injuries, I authorize Special Olympics to take whatever measures are necessary to protect my (my minor child's) 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, volunteers, 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 medical accident benefits), 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 this "Consent 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 affirm that I have read and understand the above information and that the information I have given Special Olympics Minnesota is true and complete.



* I agree to the above Consent and Waiver of Liability. If I am under the age of 18, my parent or guardian agrees to the above Consent and Waiver of Liability.

Minors, please include the name of your parent/guardian:

Notes or comments

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