• Section One - General Information

  • If no middle initial, please put N/A
  • Date Format: MM slash DD slash YYYY
  • Section Two - Special Olympics Involvement

  • Date Format: MM slash DD slash YYYY
  • You MUST include an accurate Agency Number for your application to be processed. It should be in the form of #-## (ex. 6-12). If unsure of your Agency Number please contact your local Athletic Director (contact information available at Regions webpage)
  • Section Three - Screening Information

  • ID must be one of the following: state driver’s license or state-issued ID, passport, student ID with photo, or military ID. Candid photos are not an acceptable form of photo ID.
  • All five questions below must be answered truthfully or you will be automatically disqualified

  • Section Four - Volunteer Agreement and Release

    PLEASE READ CAREFULLY BEFORE SIGNING:

    I hereby understand and/or confirm the following:

    • The information provided above may be verified by SOWI at its sole discretion, and permission is given to SOWI to conduct a check of criminal and/or driver’s license records, and to make inquiry of others concerning the applicant’s suitability to be a volunteer at any time during my volunteer service with SOWI;
    • I release SOWI from any and all liability which may be incurred as a result of the volunteer screening process;
    • I acknowledge that I will be using facilities at my own risk and I, on my own behalf, hereby release, discharge and indemnify SOWI from all liability for injury to person or damage to my property;
    • In the course of volunteering for SOWI, I may be dealing with confidential information and I agree to keep said information in the strictest confidence;
    • The relationship between SOWI and volunteers is an “at will” arrangement, and that it may be terminated at any time without cause by either the volunteer or SOWI;
    • I grant SOWI permission to use my likeness, voice and words in television, radio, video, social media or in any form to promote activities of SOWI;
    • I am responsible for informing SOWI of any changes to the information contained on this application;
    • I have read and understand the Volunteer Code of Conduct.

    I affirm that I am age 18 or over and I have read and understand this application and the information provided is true and complete.

  • Date Format: MM slash DD slash YYYY
  • *For adults who are not their own guardian.
  • Date Format: MM slash DD slash YYYY
  • Special Olympics Wisconsin is an equal opportunity volunteer organization and will not discriminate on the basis of race, color, religion, gender, or national origin. Gender is requested solely for the purpose of conducting driver’s license and criminal records checks. Strict confidentiality is maintained with all information given.

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