The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
Monthly
E-Mail
Weekly
Facebook Group
Weekly
Website
Mail
Other: meetings
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-03
Agency Name:
Wausau Metro Adult Special Olympics Agency 2-03
Agency Type:
Community
Date From:
2022
Address1:
15524 N. 4th Ave
Address2:
Address3:
City:
Merrill
State:
WI
Zip:
54452
Business Phone:
Home Phone:
715-536-6633
Cell Phone:
715-573-7692
Fax:
Agency Manager:
Bev Schmidt
Manager Date From:
10/01/2016
Manager Email:
beverlyaschmidt54@gmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Everett Schmidt
Treasurer Date From:
9/01/2017
Treasurer Email:
eschmidtyjr@aol.com
Fundraiser Name:
David Krause
Fundraiser Date From:
03/15/19
Fundraiser Email:
krsmiles@charter.com
Medical Records Name:
Carol Krause
Medical Records Date From:
Medical Records Email:
krsmiles@charter.com
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Yes
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Yes
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
12
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
ESS
Other:
Monthly
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
How can we get more volunteers? Who has been successful getting and retaining volunteers? (other agencies who might share their successful ideas)rnrnIs there a Power Point presentation that is available to use to present to business personnel to get volunteers? rn
Agency Information
Agency Number:
2-05
Agency Name:
Rhinelander Area Special Olympics 2-05
Agency Type:
Community
Date From:
Address1:
2653 Kennedy Rd
Address2:
Address3:
City:
Rhinelander
State:
Wi
Zip:
54501
Business Phone:
Home Phone:
715-369-5378
Cell Phone:
Fax:
Agency Manager:
SueEllen Hopp
Manager Date From:
Manager Email:
hoppfam@charter.net
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Peggy Jensen
Treasurer Date From:
8/01/2023
Treasurer Email:
peggy.jo.jensen@gmail.com
Fundraiser Name:
Rod Ankkrom
Fundraiser Date From:
Fundraiser Email:
rodankrom@yahoo.com
Medical Records Name:
Kristine Mangerson
Medical Records Date From:
Medical Records Email:
mangersonk@yahoo.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
Yes
Fundraising Org Name:
Nicolet college proffesional of America --club
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
7
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
ESS
Facebook Group
Website
Mail
Other: memo's specific to sports season
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-09
Agency Name:
Mosinee Schools
Agency Type:
School
Date From:
4/04/2002
Address1:
1000 High Street
Address2:
test
Address3:
test
City:
Mosinee
State:
WI
Zip:
54455
Business Phone:
7156932550
Home Phone:
7156932550
Cell Phone:
7154090372
Fax:
7156931152
Agency Manager:
John Janikowski
Manager Date From:
2/01/2022
Manager Email:
jjanikowski@mosineeschools.org
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
John Janikowski
Treasurer Date From:
2/01/2022
Treasurer Email:
jjanikowski@mosineeschools.org
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
John Janikowski
Medical Records Date From:
2/01/2022
Medical Records Email:
jjanikowski@mosineeschools.org
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
Yes
Fundraising Org Name:
Knights of Columbus raised money during their tootsie roll sale
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Yes
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
Monthly
E-Mail
Monthly
Facebook Group
Website
ESS
Mail
ESS
Other: phone call
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-11
Agency Name:
Northern Access Special Olympics
Agency Type:
Community
Date From:
Address1:
315 Jonathan Street
Address2:
Apt. P
Address3:
City:
Eagle River
State:
WI
Zip:
54521
Business Phone:
7158910795
Home Phone:
7158910795
Cell Phone:
7158910795
Fax:
Agency Manager:
Lou Deditz
Manager Date From:
8/01/2014
Manager Email:
lmndeditz@frontier.com
Co Manager:
Mary Deditz
Co Manager Date From:
8/012014
Co Manager Email:
lmndeditz@frontier.com
Treasurer Name:
Mary Deditz
Treasurer Date From:
6/01/2011
Treasurer Email:
lmndeditz@frontier.com
Fundraiser Name:
Mary Mulleady
Fundraiser Date From:
9/01/2014
Fundraiser Email:
mmuleady@npsd.k12.wi.us
Medical Records Name:
Ken & Carie Kluever
Medical Records Date From:
4/01/2019
Medical Records Email:
kkluever18@gmail.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
5
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
ESS
Mail
ESS
Other: NO
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
No
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-12
Agency Name:
Neillsville SO 2-12
Agency Type:
Community
Date From:
1/1/1983
Address1:
Special Olympics Neillsville
Address2:
401 Center St
Address3:
City:
Neillsville
State:
WI
Zip:
54456-2029
Business Phone:
Home Phone:
Cell Phone:
715-937-2488
Fax:
(715) 743-8814
Agency Manager:
Dean Glaze
Manager Date From:
1/1/1983
Manager Email:
skiglaze@hotmail.com
Co Manager:
Steven J. Meurett
Co Manager Date From:
10/1/2002
Co Manager Email:
smeurett@yahoo.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
No
Alpine Skiing:
Yes
Cross Country Skiing:
Yes
Snowboarding:
Yes
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
3
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Yes
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Athlete Name: Daina Shilts
Athlete Name: Desi Heck
Questions / Concerns
Agency Information
Agency Number:
2-13
Agency Name:
South Wood County
Agency Type:
Community
Date From:
Address1:
10240 Young St.
Address2:
Address3:
City:
Wisconsin Rapids
State:
Wi
Zip:
54494
Business Phone:
Home Phone:
715-325-2856
Cell Phone:
715-459-7916
Fax:
Agency Manager:
Mark Herzberg
Manager Date From:
1/01/1995
Manager Email:
swmark@wctc.net
Co Manager:
Dawn Korslin
Co Manager Date From:
5/10/2016
Co Manager Email:
dustyangel@wctc.net
Treasurer Name:
Mark Herzberg
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Dawn Korslin
Medical Records Date From:
3/01/2001
Medical Records Email:
dustyangel@wctc.net
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
2
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Facebook Group
Website
Mail
Other: as needed for each sports season
Weekly
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-14
Agency Name:
STEVENS POINT PUBLIC SCHOOLS
Agency Type:
School
Date From:
Address1:
1201 NORTHPOINT DR
Address2:
2116 MCCULLOCH ST #1
Address3:
City:
STEVENS POINT
State:
WI
Zip:
54481
Business Phone:
Home Phone:
Cell Phone:
7155700587
Fax:
Agency Manager:
TINA CHEVALIER-LAUBE
Manager Date From:
2012
Manager Email:
Tchevalierlaube@gmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
Yes
Fundraising Org Name:
SPASH SPECIAL SPORTS
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Yes
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
2
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-17
Agency Name:
Marshfield Area Special Olympics
Agency Type:
Community
Date From:
Address1:
1412 S. Felker Ave
Address2:
Address3:
City:
Marshfield
State:
WI
Zip:
54449
Business Phone:
715-384-6000
Home Phone:
715-323-1219
Cell Phone:
Fax:
Agency Manager:
Randy Follen
Manager Date From:
2/15/2012
Manager Email:
217maso@gmail.com
Co Manager:
Janet Bell
Co Manager Date From:
Co Manager Email:
jkb9796yrr@yahoo.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Janet Bell
Fundraiser Date From:
Fundraiser Email:
jkb9796yrr@yahoo.com
Medical Records Name:
Janet Bell
Medical Records Date From:
Medical Records Email:
jkb9796yrr@yahoo.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Yes
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
10
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Monthly
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
No
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-20
Agency Name:
Golden Eagles
Agency Type:
Community
Date From:
1976
Address1:
W9440 Sawyer Ave
Address2:
Address3:
City:
Withee
State:
Wi
Zip:
54498
Business Phone:
Home Phone:
7157480164
Cell Phone:
715-383-5476
Fax:
Agency Manager:
Katie Freudenthal
Manager Date From:
4/03/2013
Manager Email:
tcspecialolympics@gmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Bruce Poehler
Treasurer Date From:
10/05/2016
Treasurer Email:
chezney@tds.net
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Sandy Poehler
Medical Records Date From:
10/05/2016
Medical Records Email:
chezney@tds.net
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
No
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
4
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Facebook Group
ESS
Website
Mail
Other: practices
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
No
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
No
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-21
Agency Name:
Merrill Public Schools
Agency Type:
School
Date From:
8/01/2016
Address1:
1201 Sales St.
Address2:
Address3:
City:
Merrill
State:
Wi
Zip:
54452
Business Phone:
715-536-9593 ext.17108
Home Phone:
715-218-7206
Cell Phone:
715-218-7206
Fax:
Agency Manager:
Emily Heckendof
Manager Date From:
9/01/2023
Manager Email:
emily.heckendorf@mapsedu.org
Co Manager:
Trina Pawlicki
Co Manager Date From:
9/01/2020
Co Manager Email:
trina.pawlicki@mapsedu.org
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Yes
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Yes
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
Mail
Other:
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
None
Agency Information
Agency Number:
2-22
Agency Name:
Tomahawk Schools 2-22
Agency Type:
School
Date From:
Address1:
1048 E. King Road
Address2:
Address3:
City:
Tomahawk
State:
WI
Zip:
54487
Business Phone:
715-453-5371 Ext. 336
Home Phone:
715-966-5001
Cell Phone:
715-966-5001
Fax:
715-453-9630
Agency Manager:
Kayla Heldt
Manager Date From:
8/02/2021
Manager Email:
heldtk@tomahawk.k12.wi.us
Co Manager:
Cody Lewison
Co Manager Date From:
8/02/2021
Co Manager Email:
lewisonc@tomahawk.k12.wi.us
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
No
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Yes
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
N/A
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
N/A
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
Mail
ESS
Other: Letters Home
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-24
Agency Name:
Merrill Adult Special Olympics
Agency Type:
Community
Date From:
Address1:
209 N. Thomas Street
Address2:
Address3:
City:
Merrill
State:
Wi
Zip:
54452
Business Phone:
7152181487
Home Phone:
Cell Phone:
Fax:
Agency Manager:
Dan Ollhoff
Manager Date From:
Manager Email:
drollhoff@gmail.com
Co Manager:
Chris Brown
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Yes
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Yes
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
No
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
No
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
N/A
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
No
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
N/A
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Facebook Group
Website
Mail
Other:
No
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
N/A
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
No
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-25
Agency Name:
Stevens Point Area YMCA 2-25
Agency Type:
Community
Date From:
1993
Address1:
1000 Division St
Address2:
Address3:
City:
Stevens Point
State:
WI
Zip:
54481-2724
Business Phone:
715-952-9365
Home Phone:
Cell Phone:
(715) 498-0092
Fax:
(715) 342-2987
Agency Manager:
Kristy J. Bridenhagen
Manager Date From:
6/28/2004
Manager Email:
kbridenhagen@spymca.org
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
Yes
Fundraising Org Name:
Stevens Point Area YMCA
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Yes
Rhythmic Gymnastics:
Yes
Aquatics:
Yes
Athletics:
Yes
Soccer:
Yes
Powerlifting:
Yes
Bocce:
Yes
Golf:
Yes
Softball:
Yes
Tee Ball:
Yes
Tennis:
Yes
Bowling:
Yes
Volleyball:
Yes
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Yes
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
N/A
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
N/A
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
registration fees
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
ESS
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
No
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Athlete Name: Adam Daniewicz
Athlete Name: Sean Mudgett
Mentor
Questions / Concerns
Agency Information
Agency Number:
2-28
Agency Name:
Everest Area
Agency Type:
Community
Date From:
9/25/2016
Address1:
3514 Ross Avenue
Address2:
Address3:
City:
Weston
State:
WI
Zip:
54476
Business Phone:
Home Phone:
715-359-9134
Cell Phone:
715-506-0890
Fax:
Agency Manager:
Cheryl Johnson-Domino
Manager Date From:
2008
Manager Email:
cheryl.johnsondomino@gmail.com
Co Manager:
Therese Hackbarth
Co Manager Date From:
9/01/2009
Co Manager Email:
dandt9@frontier.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
4
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Sometimes it seems very difficult to get answers to questions that I might have. I have volunteers who need to do their Protective Behaviors for their three year screening and they do not receive any email with how to complete this. I have asked and have been told emails have gone but yet none have been received. Would be nice when you leave a message on someone's voicemail that you get the courtesy of a return call. Would like to know who the unified contact person is for my area. Would be nice if we could incorporate some of the unified participants into our program. I really feel in the dark with this unified stuff..
Agency Information
Agency Number:
2-29
Agency Name:
School District of Rhinelander
Agency Type:
School
Date From:
10/06/2022
Address1:
5493 Riverview Dr.
Address2:
Address3:
City:
Rhinelander
State:
WI
Zip:
54501
Business Phone:
7153670159
Home Phone:
7153670159
Cell Phone:
7153670159
Fax:
Agency Manager:
Nina Hazelton
Manager Date From:
9/28/2020
Manager Email:
hazelnin@rhinelander.k12.wi.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
No
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
7
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
N/A
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
N/A
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
No
6.
Local Program has in-house accounts with Special Olympics Wisconsin
No
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
ESS
Other: remind now app
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
No
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
No
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-30
Agency Name:
Lakeland Area Special Olympics
Agency Type:
Community
Date From:
01011989
Address1:
PO Box 704
Address2:
Address3:
City:
Minocqua
State:
WI
Zip:
54548
Business Phone:
Home Phone:
715-356-4337
Cell Phone:
715-614-4346
Fax:
Agency Manager:
Rhonda Baldwin
Manager Date From:
01012000
Manager Email:
rnr@newnorth.net
Co Manager:
Rhonda Baldwin
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Rhonda Baldwin
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Rhonda Baldwin
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Rhonda Baldwin
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Yes
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
Monthly
E-Mail
ESS
Facebook Group
ESS
Website
Mail
ESS
Other:
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-39
Agency Name:
Spencer Special Olympics
Agency Type:
Community
Date From:
Address1:
100238 153RD RD
Address2:
Address3:
City:
Spencer
State:
Wi
Zip:
54479
Business Phone:
Home Phone:
715-659-4046
Cell Phone:
Fax:
Agency Manager:
Kay Derks
Manager Date From:
Manager Email:
kayderks@frontier.com
Co Manager:
Vivian Gamble
Co Manager Date From:
Co Manager Email:
vivgamble01@gmail.com
Treasurer Name:
Both
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Both
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Both
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
3
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
N/A
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Facebook Group
Website
Mail
ESS
Other: Face to face
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
We are still trying to find a basketball coach. Our athletes are so excited to be bowling again.
Agency Information
Agency Number:
2-43
Agency Name:
Colby Abby Community
Agency Type:
Community
Date From:
1998
Address1:
703 N 2nd St
Address2:
Address3:
City:
Colby
State:
WI
Zip:
54421
Business Phone:
7152238869 x4254
Home Phone:
Cell Phone:
7155035553
Fax:
Agency Manager:
Lisa Brill
Manager Date From:
8/01/2023
Manager Email:
lbrill@colby.k12.wi.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Julie Johnson
Fundraiser Date From:
11/01/2022
Fundraiser Email:
dixiejaj@gmail.com
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
2
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
Mail
Other: Parent/Athlete Meeting
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-44
Agency Name:
Wisconsin Rapids Special Sports SO 2-44
Agency Type:
School
Date From:
1/1/1992
Address1:
5291 Old So White Road
Address2:
Address3:
City:
Plover
State:
WI
Zip:
54467
Business Phone:
7154246750
Home Phone:
7153102840
Cell Phone:
Fax:
Agency Manager:
Jackie Kleman
Manager Date From:
9/01/2020
Manager Email:
jacqueline.kleman@wrps.net
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Nicole Reetz
Treasurer Date From:
9/01/2022
Treasurer Email:
nicole.reetz@wrps.net
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
No
Alpine Skiing:
Cross Country Skiing:
Yes
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
2
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
ESS
Other: phone calls
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
No
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
2-50
Agency Name:
Wausau Area Youth 2-50
Agency Type:
Community
Date From:
Address1:
233 North 12th Ave
Address2:
Address3:
City:
Wausau
State:
WI
Zip:
54401
Business Phone:
Home Phone:
Cell Phone:
7152977157
Fax:
Agency Manager:
Erin Radke
Manager Date From:
7/01/2008
Manager Email:
wausauareayouthso@gmaim.com
Co Manager:
Kacie Niemuth
Co Manager Date From:
7/1/2008
Co Manager Email:
wausauareayouthso@gmail.com
Treasurer Name:
Both of us
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Erin Radke
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Kacie Niemuth
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
1
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
ESS
Other: All SOWI events on FB
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-06
Agency Name:
EAU CLAIRE ADULTS
Agency Type:
Community
Date From:
5/01/1975
Address1:
2402 Valley Rd N
Address2:
Address3:
City:
Eau Claire
State:
WI
Zip:
54703
Business Phone:
7155773166
Home Phone:
Cell Phone:
715-577-3166
Fax:
Agency Manager:
Kim Huber
Manager Date From:
1/01/2015
Manager Email:
kimberann67kh@gmail.com
Co Manager:
Sue McNally
Co Manager Date From:
1/01/2021
Co Manager Email:
mcnallys3606@charter.net
Treasurer Name:
Jerry Kroll
Treasurer Date From:
10/01/2023
Treasurer Email:
katieandjodie@gmail.com
Fundraiser Name:
KIM HUBER
Fundraiser Date From:
8/03/2015
Fundraiser Email:
kimberann67kh@gmail.com
Medical Records Name:
Cathy Gravitt
Medical Records Date From:
11/01/2022
Medical Records Email:
cathyspomm306@yahoo.com
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Yes
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Yes
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
15
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
transportation
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Monthly
Facebook Group
Monthly
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
N/A
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
Yes
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-08
Agency Name:
Northern Lights
Agency Type:
Other
Date From:
1988
Address1:
1104 E 7th St
Address2:
Address3:
City:
Superior
State:
WI
Zip:
54880
Business Phone:
Home Phone:
7153927276
Cell Phone:
7158170004
Fax:
Agency Manager:
Mary Hanchett
Manager Date From:
1988
Manager Email:
maryhanch@yahoo.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Some meals
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
No
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Facebook Group
Website
Mail
Other: phone calls
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-09
Agency Name:
Chippewa County Adults 3-09
Agency Type:
Community
Date From:
1/01/1980
Address1:
616 Miles Street
Address2:
Address3:
City:
Chippewa Falls
State:
Wi
Zip:
54729
Business Phone:
Home Phone:
715-723-8349
Cell Phone:
715-210-2318
Fax:
715-723-8349
Agency Manager:
Denise S. Roesler
Manager Date From:
9/01/2014
Manager Email:
bddroesler@gmail.com
Co Manager:
Co Manager Date From:
9/01/2014
Co Manager Email:
Treasurer Name:
Sandra E. Barsamian
Treasurer Date From:
4/02/2008
Treasurer Email:
sandib0751@gmail.com
Fundraiser Name:
Rebecca K. Steinmetz
Fundraiser Date From:
9/08/2016
Fundraiser Email:
beckmetz@chipvalley.com
Medical Records Name:
Joanne Sobieski
Medical Records Date From:
9/01/2014
Medical Records Email:
sojoanne@aol.com
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
15
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
participation fee
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
ESS
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
Yes
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-10
Agency Name:
Chippewa Falls Schools 3-10
Agency Type:
School
Date From:
Address1:
12748 98th ave
Address2:
Address3:
City:
Chippewa Falls
State:
WI
Zip:
54729
Business Phone:
Home Phone:
7157209264
Cell Phone:
7155597499
Fax:
Agency Manager:
Denise Buckli
Manager Date From:
6/30/2009
Manager Email:
glbuckl@hotmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-11
Agency Name:
Burnett County Special Olympics
Agency Type:
Community
Date From:
9/01/2018
Address1:
2787 100th St
Address2:
Address3:
City:
Frederic
State:
WI
Zip:
54837
Business Phone:
Home Phone:
715-472-2534
Cell Phone:
715-491-4862
Fax:
715-472-6535
Agency Manager:
Leanne Richter
Manager Date From:
Manager Email:
Luckauto@lakeland.ws
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Linda Barenz
Medical Records Date From:
9/01/2018
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
2
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
N/A
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Weekly
Website
Mail
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-12
Agency Name:
Chequamegon Bay Area Athletes
Agency Type:
Community
Date From:
Address1:
3002 Farm Road
Address2:
c/o Michelle Fulweber
Address3:
City:
Ashland
State:
WI
Zip:
54806
Business Phone:
Home Phone:
Cell Phone:
7154131150
Fax:
Agency Manager:
Michelle Fulweber
Manager Date From:
2010
Manager Email:
shellynn42@centurytel.net
Co Manager:
Shannon Esala
Co Manager Date From:
Co Manager Email:
metalynn@hotmail.com
Treasurer Name:
Michelle Fulweber
Treasurer Date From:
Treasurer Email:
shellynn42@centurytel.net
Fundraiser Name:
Shannon Esala
Fundraiser Date From:
Fundraiser Email:
metalynn@hotmail.com
Medical Records Name:
Michelle Kainz
Medical Records Date From:
Medical Records Email:
bitzer2004@yahoo.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Yes
Cross Country Skiing:
Yes
Snowboarding:
Yes
Snowshoe Racing:
Yes
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Yes
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
8
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
ESS
Facebook Group
ESS
Website
Mail
Other: calling
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-15
Agency Name:
River Valley
Agency Type:
Community
Date From:
Address1:
2614 Sandpiper Lane
Address2:
Address3:
City:
Woodville
State:
WI
Zip:
54028
Business Phone:
Home Phone:
Cell Phone:
7152220378
Fax:
Agency Manager:
Kim Bond
Manager Date From:
9/01/2023
Manager Email:
rivervalley315@outlook.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
6
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
No
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
Mail
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-18
Agency Name:
Thorp Adult
Agency Type:
Community
Date From:
1/27/1997
Address1:
1465 Loffler Ct
Address2:
Address3:
City:
Chippewa Falls
State:
Wi
Zip:
54729
Business Phone:
Home Phone:
Cell Phone:
612 770 3249
Fax:
Agency Manager:
Diana Lightner
Manager Date From:
7/11/2022
Manager Email:
st_diana@yahoo.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Diana Lightner
Treasurer Date From:
7/11/2022
Treasurer Email:
st_diana@yahoo.com
Fundraiser Name:
Diana Lightner
Fundraiser Date From:
7/11/2022
Fundraiser Email:
st_diana@yahoo.com
Medical Records Name:
Diana Lightner
Medical Records Date From:
7/11/2022
Medical Records Email:
st_diana@yahoo.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Yes
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Yes
Unified Bowling:
Yes
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
5
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Facebook Group
Website
Mail
ESS
Other: year end meeting info
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-19
Agency Name:
Trempealeau Co. Health Care Center
Agency Type:
Date From:
Address1:
W20298 st rd 121
Address2:
Address3:
City:
Whitehall
State:
wi
Zip:
54773
Business Phone:
715-538-4312
Home Phone:
715-533-1731
Cell Phone:
715-533-1731
Fax:
715-538-2426
Agency Manager:
Jeff Langner
Manager Date From:
7/01/1992
Manager Email:
jlanger@tchcc.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Lori Glaunert
Treasurer Date From:
9/01/1998
Treasurer Email:
lglaunert@tchcc.com
Fundraiser Name:
Jeff Langner
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Jeff Langner
Medical Records Date From:
Medical Records Email:
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-20
Agency Name:
Ventures Athletics
Agency Type:
Community
Date From:
Address1:
10140 Hwy 27 S.
Address2:
P.O. Box 13050
Address3:
City:
Hayward
State:
WI
Zip:
54843
Business Phone:
715-934-3035
Home Phone:
Cell Phone:
Fax:
Agency Manager:
Christine Mayou
Manager Date From:
10/01/2016
Manager Email:
cmayou@centurytel.net
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Wenonah Johnson
Treasurer Date From:
10/01/2017
Treasurer Email:
wenonah.johnson@gmail.com
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Tom Sweeney
Medical Records Date From:
10/01/2016
Medical Records Email:
tom@venturesunlimited.org
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
2
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Facebook Group
Website
Mail
ESS
Other: annual meeting
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-21
Agency Name:
Ellsworth Area Special Olympics
Agency Type:
Community
Date From:
01/1977
Address1:
W 609 St Rd 29
Address2:
Address3:
City:
Spring Valley
State:
WI
Zip:
54767
Business Phone:
work # 715-273-6780 X 6615
Home Phone:
715-778-4278
Cell Phone:
715-307-4403
Fax:
715-273-6863
Agency Manager:
Kathy Spence
Manager Date From:
01/1977
Manager Email:
kspence@co.pierce.wi.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Kathy Spence
Treasurer Date From:
01/1977
Treasurer Email:
kspence@co.pierce.wi.us
Fundraiser Name:
JoAnn Larson
Fundraiser Date From:
9/01/2016
Fundraiser Email:
theposeyparlor@gmail.com
Medical Records Name:
Kathy spence
Medical Records Date From:
09/01/2020
Medical Records Email:
kspence@co.pierce.wi.us
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Yes
Unified Bowling:
Yes
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
4
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
don't know
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
No
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
Mail
ESS
Other: telephone
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
I do not ever remember being told that the competition guide was not going to be a source of information-- you have the competition guide which was kind of like our main place to go-- it is still in the log on section but it shows up as error 404 the same as uniform branding it would be good if the information would be there or else remove it --- would like sports information- rules for the sports to also be on the back end for agencies----- would like more encouragement for the regular bowling season to have unified bowling-- had 2 athletes that wanted to bowl in virtual competition as a unified double however they were denied that opportunity due to no other doubles for them to compete with - perhaps when there is that other unified double competition ( 1 time only with no advancement to state) there could be more information given to the doubles to encourage them to participate in the unified double virtual event. rnrnrn10/23 F 1 question indicates a N/A as you have no official materials-- yet there is NO N/A to check
Agency Information
Agency Number:
3-25
Agency Name:
Menomonie Red Cedar
Agency Type:
Community
Date From:
Address1:
N7577 540th St.
Address2:
Address3:
City:
Menomonie
State:
Wi
Zip:
54751
Business Phone:
Home Phone:
Cell Phone:
715-505-0860
Fax:
Agency Manager:
Dan Gainey
Manager Date From:
11/04/2002
Manager Email:
gainey@charter.net
Co Manager:
Roxi Wakeen
Co Manager Date From:
8/24/2021
Co Manager Email:
roxiwakeen18@gmail.com
Treasurer Name:
Patti Miara
Treasurer Date From:
11/08/2010
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Yes
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes 15
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Monthly
Facebook Group
Weekly
Website
Mail
Other: Facebook
Monthly
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
None. Thank You!
Agency Information
Agency Number:
3-26
Agency Name:
Eau Claire Rascals 3-26
Agency Type:
School
Date From:
1/1/1992
Address1:
500 Main Street
Address2:
Address3:
City:
Eau Claire
State:
WI
Zip:
54703
Business Phone:
715.852.6742
Home Phone:
Cell Phone:
715.894.0440
Fax:
Agency Manager:
Stephanie Travis
Manager Date From:
6/11/2018
Manager Email:
stravis@ecasd.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
Yes
Fundraising Org Name:
Eau Claire Area School District
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
no
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
athlete parties, food
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Monthly
Facebook Group
Monthly
Website
ESS
Mail
ESS
Other: notes home
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Athlete Name: Steven Folstad
Athlete Name: Alberto Larabee
Questions / Concerns
Agency Information
Agency Number:
3-30
Agency Name:
Barron County
Agency Type:
Other
Date From:
1978
Address1:
1011 North Wisconsin Ave.
Address2:
Address3:
City:
Rice Lake
State:
Wi
Zip:
54868
Business Phone:
Home Phone:
Cell Phone:
7156517439
Fax:
Agency Manager:
Mary Ebner
Manager Date From:
1978
Manager Email:
maryebner2@gmail.com
Co Manager:
Brad & Stacy Nelson
Co Manager Date From:
2017
Co Manager Email:
stacykilmer@yahoo.com
Treasurer Name:
Mary Ebner/Dell Carlson/Stacy Nelson
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Brad Nelson/Stacy Nelson/ Jordan Grilley
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Mary Ebner, Brad Nelson, Dell Carlson
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Yes
Bocce:
Golf:
Softball:
Yes
Tee Ball:
Yes
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Yes
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes We hav
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
No
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Weekly
Website
ESS
Mail
Other: texting/phone
Weekly
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Is the state looking into allowing athletes to participate in more than one sport per season? rnrnWhat are the chances of "bumper bowling being added for at least the very young to encourage participation and the aging athletes to maintain participation?
Agency Information
Agency Number:
3-31
Agency Name:
Spooner Special Olympics
Agency Type:
Date From:
Address1:
N9356 Fire Lane Rd
Address2:
Address3:
City:
Hayward
State:
Wi
Zip:
54843
Business Phone:
715- 634 - 7888
Home Phone:
715- 766-3185
Cell Phone:
715 - 558-6233
Fax:
715- 766-3033
Agency Manager:
Carolee Lundsten
Manager Date From:
Manager Email:
Carolee.lundsten@live.com
Co Manager:
Mary Paske
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Priscilla Henk
Treasurer Date From:
Treasurer Email:
suehenkwi2002@yahoo.com
Fundraiser Name:
Gary Lundsten
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Mary Paske
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes1
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Facebook Group
Website
Mail
ESS
Other:
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-33
Agency Name:
Eau Claire Champions 3-33
Agency Type:
School
Date From:
1/1/1992
Address1:
500 Main Street
Address2:
Address3:
City:
Eau Claire
State:
WI
Zip:
54703
Business Phone:
715 852 6742
Home Phone:
Cell Phone:
715.894.0440
Fax:
Agency Manager:
Stephanie Travis
Manager Date From:
6/11/2018
Manager Email:
stravis@ecasd.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
No
Fundraising Another Org:
Yes
Fundraising Org Name:
agency account linked to 3-26, Eau Claire Area School District
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
N/A
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
N/A
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
No
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
athlete parties, food
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Monthly
Facebook Group
Monthly
Website
ESS
Mail
ESS
Other: notes home with athletes
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-34
Agency Name:
Hayward Special Olympics
Agency Type:
School
Date From:
Address1:
313 E Maple St
Address2:
#1
Address3:
City:
Spooner
State:
WI
Zip:
54801
Business Phone:
7154183860
Home Phone:
Cell Phone:
7156990055
Fax:
7156341492
Agency Manager:
Stacy Briggs
Manager Date From:
Aug 2010
Manager Email:
stacybriggs89@yahoo.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Julie Skopek
Treasurer Date From:
Aug 2010
Treasurer Email:
julskopek@yahoo.com
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Yes
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
ESS
Facebook Group
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
none
Agency Information
Agency Number:
3-36
Agency Name:
Polk County Special Olympics
Agency Type:
Community
Date From:
Address1:
2787 100th St
Address2:
Address3:
City:
Frederic
State:
WI
Zip:
54837
Business Phone:
Home Phone:
7154722534
Cell Phone:
7154914862
Fax:
715-472-6535
Agency Manager:
Leanne Richter
Manager Date From:
10/2004
Manager Email:
luckauto@lakeland.ws
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Kelly Larson
Treasurer Date From:
8/12/2006
Treasurer Email:
klarson3@fairview.org
Fundraiser Name:
LuAnn White
Fundraiser Date From:
1993
Fundraiser Email:
lwhite@lakeland.ws
Medical Records Name:
Karen Bader
Medical Records Date From:
8/12/2013
Medical Records Email:
abby_normal2003@yahoo.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Yes
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
10
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
Monthly
E-Mail
Monthly
Facebook Group
Website
Mail
Monthly
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-37
Agency Name:
B.T.I.A.W. 3-37
Agency Type:
Community
Date From:
10/10/2016
Address1:
35898 Osseo Road
Address2:
Address3:
City:
Independence
State:
Wi
Zip:
54747
Business Phone:
7155300167
Home Phone:
7159852621
Cell Phone:
7155300168
Fax:
Agency Manager:
Heidi Bragger Kadinger
Manager Date From:
8/30/1991
Manager Email:
hbkadinger@gmail.com
Co Manager:
Michael A. Kadinger
Co Manager Date From:
6/01/2008
Co Manager Email:
hbkadinger@gmail.com
Treasurer Name:
Randall Wenzloff
Treasurer Date From:
8/01/1998
Treasurer Email:
hbkadinger@gmail.com
Fundraiser Name:
Lori J. Dailey
Fundraiser Date From:
8/01/2005
Fundraiser Email:
eleafant_03@yahoo.com
Medical Records Name:
Shirley Pronschinske
Medical Records Date From:
8/01/1998
Medical Records Email:
pronson@nelson-tel.net
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Monthly
Facebook Group
Website
Mail
ESS
Other: medical reminders
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-40
Agency Name:
Durand
Agency Type:
Date From:
10/10/2016
Address1:
604 7th Ave E
Address2:
Address3:
City:
Durand
State:
WI
Zip:
54736
Business Phone:
Home Phone:
Cell Phone:
Fax:
Agency Manager:
Scott Serum
Manager Date From:
10/10/2016
Manager Email:
sserum@durand.k12.wi.us
Co Manager:
Mandy Redeman
Co Manager Date From:
10/10/2016
Co Manager Email:
mredeman@durand.k12.wi.us
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
No
Accounts In House:
No
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Monthly
Facebook Group
Website
Mail
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-41
Agency Name:
3-41 Challenge Center Inc.
Agency Type:
Other
Date From:
1/11/1969
Address1:
39 N 25 St E.
Address2:
Address3:
City:
Superior
State:
Wi
Zip:
54880
Business Phone:
715 394 2771
Home Phone:
715 398 3468
Cell Phone:
Fax:
715 394 2100
Agency Manager:
Terri Franson
Manager Date From:
9/01/1977
Manager Email:
tfranson@challenge-center.org
Co Manager:
Co Manager Date From:
05/01/10
Co Manager Email:
Treasurer Name:
Treasurer Date From:
9/01/2016
Treasurer Email:
Fundraiser Name:
Terri Franson
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Terri Franson
Medical Records Date From:
Medical Records Email:
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Yes
Cross Country Skiing:
Yes
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Yes
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
5
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
No
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Facebook Group
Website
Mail
Other:
No
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-42
Agency Name:
3-42
Agency Type:
Date From:
Address1:
Address2:
Address3:
City:
State:
Zip:
Business Phone:
Home Phone:
Cell Phone:
Fax:
Agency Manager:
Manager Date From:
Manager Email:
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Accepting New Athletes:
Accounts In House:
Fundraising Another Org:
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Volleyball:
Flag Football:
Agreement:
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
1
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
Yes
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-43
Agency Name:
Eau Claire Flying All Stars 3-43
Agency Type:
School
Date From:
1/1/1992
Address1:
500 Main Street
Address2:
Address3:
City:
Eau Claire
State:
WI
Zip:
54703
Business Phone:
715.852.6742
Home Phone:
Cell Phone:
715.894.0440
Fax:
Agency Manager:
Stephanie Travis
Manager Date From:
6/11/2018
Manager Email:
stravis@ecasd.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
No
Fundraising Another Org:
Yes
Fundraising Org Name:
agency account linked to 3-26, Eau Claire Area School District
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
N/A
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
N/A
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
No
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
athlete parties, food
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Monthly
Facebook Group
Monthly
Website
ESS
Mail
ESS
Other: notes home
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
3-99
Agency Name:
Douglas County Special Olympics
Agency Type:
Other
Date From:
1995
Address1:
P.O. Box 773
Address2:
504 24 Ave E
Address3:
City:
Superior
State:
Wi
Zip:
54880
Business Phone:
12184284811
Home Phone:
Cell Phone:
218 428 4811
Fax:
Agency Manager:
Kevin Bolts
Manager Date From:
Manager Email:
kmbolts@hotmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Virginia Michal
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
whole comittee
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
N/A
Medical Records Date From:
Medical Records Email:
Athletes Served:
Accepting New Athletes:
No
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
4.
Please report the total number of family members actively involved in a leadership role in your agency.
NA
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
2.
Athletes adhere to sports rules and competition policies.
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Facebook Group
Website
Mail
Other:
No
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-02
Agency Name:
4-02 Oshkosh
Agency Type:
Community
Date From:
12/22/2017
Address1:
1038 S. Oakwood Road
Address2:
Address3:
City:
Oshkosh
State:
WI
Zip:
54904
Business Phone:
Home Phone:
N/A
Cell Phone:
920-203-3230
Fax:
Agency Manager:
Mary Beth Connors
Manager Date From:
7/01/2023
Manager Email:
marybethconnors58@gmail.com
Co Manager:
Susan Bralich
Co Manager Date From:
7/01/2023
Co Manager Email:
sueb847@gmail.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Mary Diedrich
Fundraiser Date From:
7/01/2023
Fundraiser Email:
marydiedrich44@gmail.com
Medical Records Name:
Susan Bralich
Medical Records Date From:
7/01/2023
Medical Records Email:
sueb847@gmail.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Yes
Aquatics:
Yes
Athletics:
Yes
Soccer:
Yes
Powerlifting:
Yes
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Yes
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Yes
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
15
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
ESS
Other: Text
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
I have attempted to update our sports however it does not seem to save. Oshkosh 4-02 currently has cornhole, bowling, swimming, and soon to have basketball skills and team.
Agency Information
Agency Number:
4-04
Agency Name:
Dodge County Special Olympics
Agency Type:
Community
Date From:
Address1:
W8850 JASON DR
Address2:
Address3:
City:
Beaver Dam
State:
WI
Zip:
53916
Business Phone:
Home Phone:
Cell Phone:
920-210-9001
Fax:
Agency Manager:
Tracy Gabel
Manager Date From:
3/01/2018
Manager Email:
dcspecialo@gmail.com
Co Manager:
Malinda Fuerstenau
Co Manager Date From:
03/01/2018
Co Manager Email:
fuerstenau2001@yahoo.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Lorie Langsdorf
Medical Records Date From:
1/02/2018
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Yes
Bocce:
Yes
Golf:
Yes
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Yes
Unified Bowling:
Yes
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
8
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
Monthly
E-Mail
Monthly
Facebook Group
Website
ESS
Mail
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-06
Agency Name:
Neenah Schools
Agency Type:
School
Date From:
1994
Address1:
1275 Tullar Rd
Address2:
Address3:
City:
Neenah
State:
Wi
Zip:
54956
Business Phone:
920-751-6900 ext. 16413
Home Phone:
920-637-0891
Cell Phone:
920-637-0891
Fax:
920-751-6920
Agency Manager:
Chad Oeftger
Manager Date From:
9/01/2012
Manager Email:
coeftger@neenah.k12.wi.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
Yes
Fundraising Org Name:
Neenah Schools
Alpine Skiing:
Yes
Cross Country Skiing:
Snowboarding:
Yes
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Yes
Unified Bocce:
Unified Bowling:
Yes
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
40
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Weekly
Facebook Group
Weekly
Website
ESS
Mail
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-07
Agency Name:
VPI
Agency Type:
Community
Date From:
Address1:
110 N. KENSINGTON DR.
Address2:
Address3:
City:
APPLETON
State:
WI
Zip:
54915
Business Phone:
9207495859
Home Phone:
Cell Phone:
2622026548
Fax:
920-749-5850
Agency Manager:
KAITLIN BEATTIE
Manager Date From:
10/19/2020
Manager Email:
KBEATTIE@VPIND.COM
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Yes
Cross Country Skiing:
Yes
Snowboarding:
Yes
Snowshoe Racing:
Yes
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Yes
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Yes
Bowling:
Yes
Volleyball:
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Yes
Unified Bocce:
Yes
Unified Bowling:
Yes
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Monthly
Facebook Group
ESS
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-08
Agency Name:
Green Lake County Special Olympics
Agency Type:
Community
Date From:
Address1:
N5537 Lawson Drive
Address2:
Address3:
City:
Green Lake
State:
WI
Zip:
54941
Business Phone:
Home Phone:
Cell Phone:
920-369-8554
Fax:
920-361-1195
Agency Manager:
Dallas V Lewallen
Manager Date From:
8/06/1980
Manager Email:
lewallenvdallas@gmail.com
Co Manager:
Toby Trochinski
Co Manager Date From:
10/06/2021
Co Manager Email:
ttrochinski@gmail.com
Treasurer Name:
Dallas Lewallen
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Dallas Lewallen
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Dallas Lewallen
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Soccer:
Powerlifting:
Yes
Bocce:
Yes
Golf:
Yes
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
5
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
Monthly
E-Mail
Weekly
Facebook Group
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
It's great to be back training and competing. My concern lies with the inconsistence and lack of communication in a timely manner, mostly on the Area 4-5 level. Another concern arose at the District Bocce Tournament on July 10th in Appleton, It was very concerning to me and others of the unpreparedness of this event. hopefully, these issue will be rectified.
Agency Information
Agency Number:
4-10
Agency Name:
Brillion Special Olympics 4-10
Agency Type:
Community
Date From:
9/30/2016
Address1:
W1101 County Rd HR
Address2:
Address3:
City:
Brillion
State:
WI
Zip:
54110
Business Phone:
920-756-9238 Ex. 2146
Home Phone:
Cell Phone:
920-418-0103
Fax:
920-756-9427
Agency Manager:
Jessica hutjens
Manager Date From:
9/01/2016
Manager Email:
jhutjens@brillionsd.org
Co Manager:
Jessica Mader
Co Manager Date From:
9/03/2018
Co Manager Email:
jmader@brillionsd.org
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
No
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
ESS
Facebook Group
Website
Mail
Other: Text Messages
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
No
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
No
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-12
Agency Name:
The Arc Fond du Lac
Agency Type:
Community
Date From:
5/04/2015
Address1:
500 N. Park Ave
Address2:
Address3:
City:
Fond du Lac
State:
WI
Zip:
54935
Business Phone:
920-923-3810
Home Phone:
Cell Phone:
920-948-5430
Fax:
920-923-3038
Agency Manager:
Jordan Wood
Manager Date From:
9/18/2023
Manager Email:
Jwood@arcfdl.org
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Jordan Wood
Treasurer Date From:
9/18/2023
Treasurer Email:
Jwood@arcfdl.org
Fundraiser Name:
Jordan Wood
Fundraiser Date From:
9/18/2023
Fundraiser Email:
Jwood@arcfdl.org
Medical Records Name:
Jordan Wood
Medical Records Date From:
9/18/2023
Medical Records Email:
Jwood@arcfdl.org
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
Yes
Fundraising Org Name:
The Arc Fond du Lac
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Yes
Tennis:
Bowling:
Yes
Volleyball:
Yes
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
3
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
Monthly
E-Mail
Monthly
Facebook Group
Weekly
Website
Monthly
Mail
Monthly
Other:
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-14
Agency Name:
Champions of Fond du Lac
Agency Type:
Community
Date From:
6/01/2019
Address1:
W4714 Fulton St
Address2:
Address3:
City:
Fond du Lac
State:
WI
Zip:
54935
Business Phone:
9206025063
Home Phone:
Cell Phone:
Fax:
Agency Manager:
Brian Shaver
Manager Date From:
6/01/2019
Manager Email:
brian@championsoffondulac.org
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Brian
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Brian
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Brian
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
Yes
Fundraising Org Name:
CHAMPIONS
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Yes
Tennis:
Bowling:
Yes
Volleyball:
Yes
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Yes
Unified Bowling:
Yes
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
5
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
Monthly
E-Mail
Weekly
Facebook Group
Weekly
Website
Monthly
Mail
Monthly
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
No
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
N/A
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Thank you for all that you guys do!!
Agency Information
Agency Number:
4-15
Agency Name:
Waupaca Area Special Olympics
Agency Type:
Community
Date From:
1/11/2023
Address1:
E2254 Parfreyville Rd
Address2:
Address3:
City:
Waupaca
State:
Wi
Zip:
54981
Business Phone:
n/a
Home Phone:
Cell Phone:
(715)281-8779
Fax:
n/a
Agency Manager:
William Lannyk
Manager Date From:
1/11/2023
Manager Email:
williamlannyk@yahoo.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Carmen Snell
Treasurer Date From:
Treasurer Email:
bigmamasnell24@gmail.com
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
William Lannyk
Medical Records Date From:
Medical Records Email:
williamlannyk@yahoo.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Yes
Snowboarding:
Yes
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Yes
Powerlifting:
Bocce:
Yes
Golf:
Yes
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Yes
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
2
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
athletes and families help do fundraising for all agency costs
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
ESS
Mail
ESS
Other: as needed
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
As noted in section F, I am unable to check the circles in each item listed. Prior Agency Manager may have communicated via certain ways that I do not and I would like to indicate so by removing some that are checked.
Agency Information
Agency Number:
4-16
Agency Name:
Winnro Action
Agency Type:
Community
Date From:
1/01/1995
Address1:
3824 County Road G
Address2:
Address3:
City:
Oshkosh
State:
WI
Zip:
54904
Business Phone:
920-739-5733
Home Phone:
920-836-3558
Cell Phone:
920-203-9741
Fax:
Agency Manager:
Connie Keller
Manager Date From:
1/1/2003
Manager Email:
3rdgehr327@gmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Connie Keller
Treasurer Date From:
1/1/2003
Treasurer Email:
3rdgehr327@gmail.com
Fundraiser Name:
Connie Keller
Fundraiser Date From:
1/1/2003
Fundraiser Email:
3rdgehr327@gmail.com
Medical Records Name:
Connie Keller
Medical Records Date From:
1/1/2003
Medical Records Email:
3rdgehr327@gmail.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
1
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
hotel fees for state games
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Monthly
Facebook Group
Website
Mail
Other: Face to face each practice
Weekly
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-18
Agency Name:
Kaukauna Area Schools
Agency Type:
School
Date From:
Address1:
1500 Rosehill Rd
Address2:
Address3:
City:
Kaukauna
State:
Wi
Zip:
54130
Business Phone:
Home Phone:
920-766-2632
Cell Phone:
920-213-2632
Fax:
Agency Manager:
Renee F Bolwerk
Manager Date From:
6/06/2018
Manager Email:
lbjandme@yahoo,com
Co Manager:
Jen Wilz
Co Manager Date From:
Co Manager Email:
wilz@kaukaunasd.org
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Yes
Rhythmic Gymnastics:
Yes
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Yes
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes/5
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
ESS
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-19
Agency Name:
Waushara county
Agency Type:
Other
Date From:
1992
Address1:
N 1715 Jannette Circle
Address2:
Address3:
City:
Wautoma
State:
Wi
Zip:
54982
Business Phone:
9207872680
Home Phone:
9207872680
Cell Phone:
920 229 0839
Fax:
Agency Manager:
Kelly Hass
Manager Date From:
2000
Manager Email:
kelly_77762@yahoo.com
Co Manager:
Alex Nimphius
Co Manager Date From:
2022
Co Manager Email:
Treasurer Name:
Linda Nimphius
Treasurer Date From:
4/01/2020
Treasurer Email:
lindanimphius@centurylink.net
Fundraiser Name:
Roslyn Phillips
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Kelly Hass
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
6
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Facebook Group
ESS
Website
Mail
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
I would like to address a concern that i have for my older volunteers/coaches..we have a few who are not on the internet and have no email addresses...In order to comply with the portal you must have one.. I find this rather difficult and i had to make up a email and take care of the matter myself in order for them to take the training..kind of frustrating for them...Just wanted to share
Agency Information
Agency Number:
4-20
Agency Name:
Chilton/CESA 7
Agency Type:
School
Date From:
11/07/2022
Address1:
530 W. Main St.
Address2:
Address3:
City:
Chilton
State:
WI
Zip:
53014
Business Phone:
920-849-2358 Ext. 4374
Home Phone:
920-418-3031 (Danny)
Cell Phone:
Fax:
920-849-7210
Agency Manager:
Danny Mallmann
Manager Date From:
9/01/2016
Manager Email:
mallmannd@chiltonsd.org
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Yes
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
1
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
Other: Uniform Forms, Fundraising opportunities
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-25
Agency Name:
SOAR Fox Cities
Agency Type:
Community
Date From:
Address1:
211 E. Franklin Ave.
Address2:
Address3:
City:
Appleton
State:
Wi
Zip:
54911
Business Phone:
920-731-9831
Home Phone:
Cell Phone:
920-585-7552
Fax:
Agency Manager:
Jen Kalishek
Manager Date From:
9/12/2022
Manager Email:
jen@soarfoxcities.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Yes
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Yes
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
12
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
Monthly
E-Mail
ESS
Facebook Group
Monthly
Website
Monthly
Mail
ESS
Other:
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
No
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
No
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-27
Agency Name:
Oshkosh Scools
Agency Type:
School
Date From:
Address1:
215 S. Eagle Street
Address2:
Address3:
City:
Oshkosh
State:
Wi
Zip:
54902
Business Phone:
Home Phone:
Cell Phone:
920-424-0395
Fax:
Agency Manager:
Karen Mason
Manager Date From:
10/12/2021
Manager Email:
karen.mason@oshkosh.k12.wi.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Youth
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Yes
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Yes
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
2
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Weekly
Mail
ESS
Other: Facebook
Weekly
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-28
Agency Name:
Fox Valley Warriors
Agency Type:
Community
Date From:
4/15/2023
Address1:
3621 Cherruvale circle #4
Address2:
Address3:
City:
Appleton
State:
WI
Zip:
54913
Business Phone:
Home Phone:
Cell Phone:
9208518846
Fax:
Agency Manager:
Shane Van Den Bloomer
Manager Date From:
4/15/2023
Manager Email:
foxvalleywarriors822@gmail.com
Co Manager:
Jessica Koleske
Co Manager Date From:
4/15/2023
Co Manager Email:
foxvalleywarriors822@gmail.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Yes
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Facebook Group
Website
Mail
Other:
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
4-29
Agency Name:
Neenah SO
Agency Type:
Community
Date From:
4/01/2019
Address1:
2238 Thrush Lane
Address2:
Address3:
City:
Neenah
State:
WI
Zip:
54956
Business Phone:
Home Phone:
920-637-0891
Cell Phone:
920-637-0891
Fax:
Agency Manager:
Chad Oeftger
Manager Date From:
2019
Manager Email:
oeftc90@yahoo.com
Co Manager:
Sally Jepson
Co Manager Date From:
2021
Co Manager Email:
Spsmrk23@gmail.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
Yes
Fundraising Org Name:
Neenah Alumni
Alpine Skiing:
Yes
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Yes
Unified Bocce:
Unified Bowling:
Yes
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
50
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Weekly
Facebook Group
Weekly
Website
ESS
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-01
Agency Name:
Shawano All Stars
Agency Type:
Community
Date From:
1972
Address1:
N4981 Lodge Rd.
Address2:
Address3:
City:
Bonduel
State:
Wi
Zip:
54107
Business Phone:
Home Phone:
715-758-8976
Cell Phone:
715-584-8099
Fax:
Agency Manager:
Marilyn Ebert
Manager Date From:
2018
Manager Email:
met1@tds.net
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Marilyn Eberrt
Treasurer Date From:
Treasurer Email:
met1@tds.net
Fundraiser Name:
Marilyn Ebert
Fundraiser Date From:
Fundraiser Email:
Met1tds.net
Medical Records Name:
Sherri Balke
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Yes
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Yes
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Facebook Group
Website
Mail
ESS
Other: phone or personnel contact
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-02
Agency Name:
Sheboygan County Super Eights
Agency Type:
Community
Date From:
Address1:
W7201 South County Road A
Address2:
Address3:
City:
Adell
State:
WI
Zip:
53001
Business Phone:
Home Phone:
Cell Phone:
920-980-9224
Fax:
Agency Manager:
Mary Horning
Manager Date From:
05/2015
Manager Email:
mgnnn@aol.com
Co Manager:
Donna Reilly
Co Manager Date From:
05/2015
Co Manager Email:
dereilly83@gmail.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Mary Horning
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Yes
Bocce:
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
10
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
n/a
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Monthly
Website
Monthly
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-03
Agency Name:
Syble Hopp School
Agency Type:
School
Date From:
8/31/2021
Address1:
755 Scheuring Rd
Address2:
Address3:
City:
DePere
State:
WI
Zip:
54115
Business Phone:
(920)336-5754
Home Phone:
(715)-630-6707
Cell Phone:
(715)-630-6707
Fax:
(920)336-7262
Agency Manager:
Joe Klicka
Manager Date From:
9/14/2017
Manager Email:
jklicka@syblehopp.org
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
No
Fundraising Another Org:
Yes
Fundraising Org Name:
Syble Hopp Parent Organization
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Yes
Powerlifting:
Bocce:
Yes
Golf:
Yes
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Yes
Unified Bocce:
Yes
Unified Bowling:
Yes
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
10
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
No
6.
Local Program has in-house accounts with Special Olympics Wisconsin
No
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
No
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
Monthly
E-Mail
ESS
Facebook Group
ESS
Website
Monthly
Mail
Weekly
Other: Remind 101
Monthly
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-04
Agency Name:
Door County
Agency Type:
Community
Date From:
Address1:
6025 Rock Falls Rd
Address2:
Address3:
City:
New Franken
State:
WI
Zip:
54229
Business Phone:
Home Phone:
Cell Phone:
920-495-0443
Fax:
Agency Manager:
stacey Gilson
Manager Date From:
Manager Email:
staycv@hotmail.com
Co Manager:
Shannon Fahey
Co Manager Date From:
Co Manager Email:
shannon.wautier.gmail.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Stacey Vogel
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Facebook Group
ESS
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-06
Agency Name:
Camp Daniel
Agency Type:
Community
Date From:
9/05/2017
Address1:
W10541 Army Ln
Address2:
Address3:
City:
Athelstane
State:
WI
Zip:
54104
Business Phone:
715-757-3880
Home Phone:
Cell Phone:
715-927-3404
Fax:
Agency Manager:
Ruth Hucek
Manager Date From:
9/15/2020
Manager Email:
Ruth@campdaniel.org
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
No
Fundraising Another Org:
Yes
Fundraising Org Name:
Camp Daniel, Inc.
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
3
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
N/A
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
N/A
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
No
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
No
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Weekly
Facebook Group
Website
Mail
Other: text
Monthly
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
No
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
This was the best renewal process! Thanks for all you do!
Agency Information
Agency Number:
5-07
Agency Name:
Sheboygan Adult Program 5-07
Agency Type:
Community
Date From:
1971
Address1:
452 Harvey Dr
Address2:
Address3:
City:
Plymouth
State:
WI
Zip:
53073
Business Phone:
Home Phone:
(920)838-4879
Cell Phone:
Fax:
Agency Manager:
Kay Behr
Manager Date From:
12/08/2016
Manager Email:
kaybehr@hotmail.com
Co Manager:
Co Manager Date From:
12/08/2016
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Fundraising Another Org:
Fundraising Org Name:
Yes
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Yes
Bocce:
Yes
Golf:
Yes
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Yes
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
4.
Please report the total number of family members actively involved in a leadership role in your agency.
8
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Yes
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
2.
Athletes adhere to sports rules and competition policies.
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
ESS
Other:
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Athlete Name: Terry Schill
mentor dfor athlete
Athlete Name: Samantha dumez
Questions / Concerns
Agency Information
Agency Number:
5-09
Agency Name:
Oconto County Special Olympics
Agency Type:
Community
Date From:
Address1:
336 Wisconsin St
Address2:
Address3:
City:
Oconto Falls
State:
WI
Zip:
54154
Business Phone:
9203735182
Home Phone:
Cell Phone:
9203735182
Fax:
Agency Manager:
Jane Gondeck
Manager Date From:
3/04/2024
Manager Email:
mklimpke32@gmail.com
Co Manager:
Michelle Klimpke
Co Manager Date From:
3/04/2024
Co Manager Email:
mklimpke32@gmail.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
No
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
ESS
Facebook Group
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
N/A
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-10
Agency Name:
Packerland Jets
Agency Type:
Community
Date From:
Address1:
985 Christiana Street
Address2:
Address3:
City:
Green Bay
State:
WI
Zip:
54304
Business Phone:
Home Phone:
Cell Phone:
414-852-3588
Fax:
Agency Manager:
Amy Tromp
Manager Date From:
2021
Manager Email:
amy.tromp@yahoo.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Sue Urban
Treasurer Date From:
1/01/2021
Treasurer Email:
ssurban@netzero.net
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Donna Olson
Medical Records Date From:
Medical Records Email:
bobolson42@hotmail.com
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
6
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
No
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Shirts and hats, they paid portion of the cost and agency paid the rest
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Facebook Group
ESS
Website
Mail
ESS
Other: notes handed out at practices
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-12
Agency Name:
Hopp Alumni
Agency Type:
Community
Date From:
Address1:
702 N. Washington St.
Address2:
Address3:
City:
De Pere
State:
WI
Zip:
54115
Business Phone:
Home Phone:
920-609-9645
Cell Phone:
920-609-9645
Fax:
Agency Manager:
Tracy Schrader
Manager Date From:
Manager Email:
hannahjpsam@sbcglobal.net
Co Manager:
Molly Gevers
Co Manager Date From:
Co Manager Email:
pgevers@sbcglobal.net
Treasurer Name:
Chris Baye
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Soccer:
Yes
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes 5
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
Mail
Other:
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
Yes
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-14
Agency Name:
Manitowoc County Miracles
Agency Type:
Community
Date From:
1/01/2016
Address1:
2402 Franklin St.
Address2:
Apt. 200
Address3:
City:
Manitowoc
State:
WI
Zip:
54220
Business Phone:
920-652-4135
Home Phone:
Cell Phone:
920-652-4135
Fax:
Agency Manager:
Annette Wuellner
Manager Date From:
8/22/2021
Manager Email:
anwuellner09@hotmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Jane Pribek
Treasurer Date From:
5/01/2018
Treasurer Email:
pribeks@gmail.com
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
John Andrew
Medical Records Date From:
10/01/2008
Medical Records Email:
jandrew2451@sbcglobal.net
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Yes
Snowboarding:
Snowshoe Racing:
Yes
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Yes
Bocce:
Yes
Golf:
Yes
Softball:
Yes
Tee Ball:
Yes
Tennis:
Bowling:
Yes
Volleyball:
Yes
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
32
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Damaged and Lost Uniforms
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Weekly
Facebook Group
ESS
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-15
Agency Name:
Green Bay Metros
Agency Type:
Community
Date From:
1987
Address1:
1769 Shawano Ave.
Address2:
Address3:
City:
Green Bay
State:
Wi
Zip:
54303
Business Phone:
920-544-9231
Home Phone:
Cell Phone:
920-366-2796
Fax:
9205449231
Agency Manager:
Joanne Smits
Manager Date From:
8/01/2009
Manager Email:
jsmits@lifeacademy.us
Co Manager:
Sam Soik
Co Manager Date From:
8/01/2021
Co Manager Email:
ssoik20@gmail.com
Treasurer Name:
Sam Soik
Treasurer Date From:
8/01/2021
Treasurer Email:
ssoik20@gmail.com
Fundraiser Name:
Debbie Speidel
Fundraiser Date From:
8/01/2009
Fundraiser Email:
dspeidel0212@gmail.com
Medical Records Name:
Sherrill Revolinski
Medical Records Date From:
8/01/2018
Medical Records Email:
srevolinski1@gmail.com
Athletes Served:
Adult
Accepting New Athletes:
No
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Yes
Athletics:
Yes
Soccer:
Yes
Powerlifting:
Bocce:
Yes
Golf:
Yes
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Yes
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
17
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Food at competitions or on the road food
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
Other: bi-annual newsletter
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
Yes
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-16
Agency Name:
KEWAUNEE CO SPECIAL OLYMPICS
Agency Type:
Community
Date From:
7/24/2006
Address1:
1410 Kilbourn St.
Address2:
Address3:
City:
KEWAUNEE
State:
WI
Zip:
54216
Business Phone:
Home Phone:
Cell Phone:
920-255-2011
Fax:
Agency Manager:
AMY VLIES
Manager Date From:
7/24/2006
Manager Email:
asvlies@hotmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Jason Lensmire
Treasurer Date From:
10/01/2023
Treasurer Email:
jplensmire@hotmail.com
Fundraiser Name:
MARY ANN SZYDEL
Fundraiser Date From:
1/01/2013
Fundraiser Email:
maryannszydel@gmail.com
Medical Records Name:
MARY ANN SZYDEL
Medical Records Date From:
1/01/2013
Medical Records Email:
maryannszydel@gmail.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
Yes
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
ESS
Facebook Group
ESS
Website
Mail
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-17
Agency Name:
Shawano County Youth
Agency Type:
Community
Date From:
Address1:
N6750 Cty. G
Address2:
Address3:
City:
Gresham
State:
WI
Zip:
54128
Business Phone:
7158515742
Home Phone:
Cell Phone:
Fax:
Agency Manager:
Philip Anderson
Manager Date From:
Manager Email:
gasophil@gmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Heidi Plesheck
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
4.
Please report the total number of family members actively involved in a leadership role in your agency.
3
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
2.
Athletes adhere to sports rules and competition policies.
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
N/A
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
Other: phone
ESS
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
Yes
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-19
Agency Name:
The Able Church
Agency Type:
Other
Date From:
Address1:
1071 Anderson Drive
Address2:
Apt 1
Address3:
City:
Green Bay
State:
WI
Zip:
54304-5045
Business Phone:
Home Phone:
Cell Phone:
1 (920) 784-9046
Fax:
Agency Manager:
Justin Steiner
Manager Date From:
1/01/2016
Manager Email:
justinsteiner94@icloud.com
Co Manager:
Molly Steiner
Co Manager Date From:
1/01/2016
Co Manager Email:
mollysteiner87@icloud.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
No
Fundraising Another Org:
Yes
Fundraising Org Name:
The Able Church
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Yes
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
1
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
N/A
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
N/A
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
6.
Local Program has in-house accounts with Special Olympics Wisconsin
No
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Yes
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Facebook Group
ESS
Website
ESS
Mail
Other: Phone/In-Person
Weekly
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
No
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
No
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
N/A
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-20
Agency Name:
Rec Yes!
Agency Type:
Community
Date From:
9/01/2015
Address1:
E1338 County Rd F
Address2:
Address3:
City:
Luxemburg
State:
WI
Zip:
54217
Business Phone:
608-931-5918
Home Phone:
Cell Phone:
Fax:
Agency Manager:
Ben Hughes
Manager Date From:
9/01/2016
Manager Email:
recyesllc@gmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
No
Accounts In House:
Yes
Fundraising Another Org:
Yes
Fundraising Org Name:
Rec Yes!
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
ESS
Facebook Group
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-21
Agency Name:
Western Shawano County
Agency Type:
Community
Date From:
Address1:
PO Box 34
Address2:
Address3:
City:
Eland
State:
WI
Zip:
54427
Business Phone:
Home Phone:
7152533938
Cell Phone:
7158810845
Fax:
Agency Manager:
Janelle Young
Manager Date From:
8/01/2019
Manager Email:
jyoung918@hotmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Janelle Young
Treasurer Date From:
8/01/2019
Treasurer Email:
jyoung918@hotmail.com
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Janelle Young
Medical Records Date From:
8/01/2019
Medical Records Email:
jyoung918@hotmail.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
1
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
Facebook Group
ESS
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-22
Agency Name:
Green Bay Area
Agency Type:
Community
Date From:
1/01/2000
Address1:
365 Main Ave
Address2:
Apt 2
Address3:
City:
De Pere
State:
Wi
Zip:
54115
Business Phone:
9207847482
Home Phone:
9207847482
Cell Phone:
9207847482
Fax:
Agency Manager:
Tammi LaLuzerne
Manager Date From:
7/31/2016
Manager Email:
laluzernetn@msn.com
Co Manager:
Annie Owens
Co Manager Date From:
7/31/2016
Co Manager Email:
camrannie@yahoo.com
Treasurer Name:
Tammi LaLuzerne
Treasurer Date From:
7/31/2016
Treasurer Email:
laluzernetn@msn.com
Fundraiser Name:
Annie and Tammi
Fundraiser Date From:
7/31/2016
Fundraiser Email:
camrannie@yahoo.com
Medical Records Name:
Annie Owens
Medical Records Date From:
7/31/2016
Medical Records Email:
camrannie@yahoo.com
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Yes
Unified Bocce:
Yes
Unified Bowling:
Yes
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
4
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Weekly
Website
Mail
Other: Phone
Monthly
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-23
Agency Name:
Oaks family care centers
Agency Type:
Other
Date From:
Address1:
1485 plymouth ln
Address2:
Address3:
City:
green bay
State:
Wi
Zip:
54303
Business Phone:
9204943804
Home Phone:
Cell Phone:
9203661326
Fax:
9204943804
Agency Manager:
Debbie jauquet
Manager Date From:
2010
Manager Email:
debjauquet1@hotmail.com
Co Manager:
Lisa Wanek
Co Manager Date From:
2014
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Lisa wanek
Medical Records Date From:
1989
Medical Records Email:
lwanekoaks@yahoo.com
Athletes Served:
Adult
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
0
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
Yes
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
N/A
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
ESS
Other: Phone
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
Yes
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
5-25
Agency Name:
Marinette County Special Olympics
Agency Type:
Community
Date From:
Address1:
122 Burns St
Address2:
Address3:
City:
Marinette
State:
WI
Zip:
54143
Business Phone:
Home Phone:
715-938-2508
Cell Phone:
7159382508
Fax:
Agency Manager:
Traci J Kloes
Manager Date From:
Manager Email:
traci.olson1967@gmail.com
Co Manager:
Co Manager Date From:
8/01/2019
Co Manager Email:
Treasurer Name:
Karen Cosby
Treasurer Date From:
Treasurer Email:
karencosby78@gmail.com
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Yes
Rhythmic Gymnastics:
Yes
Aquatics:
Yes
Athletics:
Yes
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Yes
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Yes
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
1
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
Yes
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
ESS
Website
Mail
ESS
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
Yes
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
with Covid we have lost alot of our athletes and coaches.
Agency Information
Agency Number:
5-26
Agency Name:
Bay Navigators
Agency Type:
Community
Date From:
Address1:
4220 Stratford Ct
Address2:
Address3:
City:
Oneida
State:
Wi
Zip:
54155
Business Phone:
9204998418
Home Phone:
9204998418
Cell Phone:
9206805956
Fax:
Agency Manager:
Charmaine Lohrenz
Manager Date From:
2011
Manager Email:
wellnessoffuture@gmail.com
Co Manager:
Michelle Tankersley
Co Manager Date From:
11/01/2023
Co Manager Email:
mls12075@aol.com
Treasurer Name:
Stacey Belleau
Treasurer Date From:
11/01/2018
Treasurer Email:
slbnew@hotmail.com
Fundraiser Name:
Lynn Dewitt
Fundraiser Date From:
2016
Fundraiser Email:
lynn4810@gmail.com
Medical Records Name:
Michelle Tankersley
Medical Records Date From:
1/02/2023
Medical Records Email:
mls12075@aol.com
Athletes Served:
Both
Accepting New Athletes:
No
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Yes
Soccer:
Yes
Powerlifting:
Bocce:
Golf:
Softball:
Yes
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
N/A
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
15
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
Yes
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
Yes
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
No
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
Yes
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
ESS
E-Mail
ESS
Facebook Group
Website
Mail
Other:
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
Yes
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
6-01
Agency Name:
Saukprairie
Agency Type:
Community
Date From:
Address1:
S8320 Denzer Road
Address2:
Address3:
City:
North Freedom
State:
Wi
Zip:
53951
Business Phone:
Home Phone:
608-544-3025
Cell Phone:
608-448-7953
Fax:
Agency Manager:
Diane Mielke
Manager Date From:
2019
Manager Email:
ddschwanke@gmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Same
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Same
Medical Records Date From:
Medical Records Email:
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
Yes
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
Yes
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
Yes
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
Yes
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Yes
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
Yes
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
Yes
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
Yes
4.
Please report the total number of family members actively involved in a leadership role in your agency.
12
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
Yes
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
Yes
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
Yes
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
No
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
Yes
2.
Athletes adhere to sports rules and competition policies.
Yes
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
Yes
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Yes
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
Yes
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
Yes
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
N/A
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
N/A
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
Yes
6.
Local Program has in-house accounts with Special Olympics Wisconsin
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)
2.
The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.
No
Communication & Public Relations
1.
Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)
Yes
2.
Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)
Newsletters
E-Mail
Facebook Group
Website
Mail
Other: Calls
ESS
Yes
3.
Local Program has read and understands the SOWI Crisis Communication Plan.
Yes
4.
Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)
N/A
5.
Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.
Yes
6.
Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.
Yes
Outreach
1.
Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)
Yes
2.
If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)
No
3.
Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.
Yes
Athlete Leadership Programs (ALPs)
1.
Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.
Yes
If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:
Questions / Concerns
Agency Information
Agency Number:
6-02
Agency Name:
Prairie du Chien Area
Agency Type:
Community
Date From:
20
Address1:
430 S. Illinois St, PdC
Address2:
Address3:
City:
Prairie du Chien
State:
WI
Zip:
53821
Business Phone:
16083791312
Home Phone:
Cell Phone:
608 379 1312
Fax:
Agency Manager:
Rebecca Brunning
Manager Date From:
8/01/2021
Manager Email:
mylilsmurfs@yahoo.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Nicole Read
Medical Records Date From:
7/01/2014
Medical Records Email:
nread@opcntr.org
Athletes Served:
Both
Accepting New Athletes:
Yes
Accounts In House:
Yes
Fundraising Another Org:
No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Yes
Basketball Skills:
Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:
Soccer:
Powerlifting:
Bocce:
Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Yes
Volleyball:
Flag Football:
Agreement:
Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Yes
Sr Athletes Sports:
Administration
1.
The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.
2.
When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)
3.
Local Program follows Special Olympics, Incorporated policies regarding athlete housing.
4.
Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.
5.
Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.
Training and Volunteers
1.
All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.
2.
All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.
3.
Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).
4.
Please report the total number of family members actively involved in a leadership role in your agency.
5
5.
Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.
6.
All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.
7.
All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training
8.
Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)
9.
What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)
Competition
1.
Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.
2.
Athletes adhere to sports rules and competition policies.
3.
Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.
4.
Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.
Finance
1.
Local Program follows procedures and submits proper documents for petty cash, payables and deposits.
2.
Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.
3.
Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)
4.
Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)
5.
Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)
6.
Local Program has in-house accounts with Special Olympics Wisconsin
Yes
7.
Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin
Fundraising
1.
Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)