Welcome to Special Olympics Rhode Island!

SORI Class A Volunteer Form

Volunteer Class A Form
Class A Volunteers have close interaction with athletes and are in a position of authority, supervision and trust. A criminal background check and two online trainings (Protective Behaviors and General Orientation) are required for Class A status. You will be emailed an invitation from VERIFIED VOLUNTEERS to complete your background check soon after completing this application.

Separate links will be provided at the end where you can complete the Protective Behaviors training and the General Orientation training. You will also need to complete a short quiz after each of these trainings. Please allow at least 30 minutes to complete form. Once completed, we will be able to better assist you in becoming involved with Special Olympics Rhode Island.
Contact Information
Title
First name
Last name
Birth Date
Gender
Address
City
State
Zip Code
Home phone (###-###-####)
Cell Phone (###-###-####)
E-mail (lower case)
Check here if a minor(17 or younger)
Current school/institution
Employment Status
Employer Name
I am a New Volunteer and I am interested in the following:
Please select what role you are interested in volunteering for:
Please Select what sports you are interested in or have experience with:
Other:
Please select the Team that you will be volunteeering with, if you do not have a team,
please select "NO TEAM" from the following List:
References - Please list 2 non-family references:
Name 1
Phone(###-###-####)
Relationship
Name 2
Phone(###-###-####)
Relationship
Emergency Contact and Health Information
Contact name
Phone
Relationship
Health Insurance Company
Policy Number
Availability
Please let us know of any special circumstances regarding your availability:
Have you ever dealt with a person with an intellectual disability before?
If so, what was the nature of your involvement or relationship?
Why would you like to volunteer for Special Olympics Rhode Island?
Additional Comments:
Please answer the following questions:
1. Do you use illegal drugs?
2. Have you ever been convicted of a drug related offense?
3. Have you ever been convicted of a criminal offense?
4. Have you ever been charged with neglect, abuse or assault?
5. Has your driver's license ever been suspended or revoked?
Steps to complete your Application and Protective Behaviors
1. After clicking the link below to take the test, you will be directed to another site.

2. Be sure to keep this window open to come back to after completing the test.

3. After finishing the test, Copy/Paste your Protective Behaviors ID or write down it down.

4. Return to this application form/web page when you are finished.

6. Please enter your Protective Behaviors ID here:
7. Take the required General Orientation Training below, which will open up in a new window.

8. Come back to this page and complete the short General Orientation Quiz below.

9. Click here to review the information for the General Orientation Training.

10. Read the information below and sign and date the application form.

11. Click on the "Submit your application" tab, located at the very top and bottom of this from.

12. Correct any errors that are indicated at the top of the application.

13. If you are not redirected to our Special Olympics Website, your application may not have been submitted sucessfully, please recheck for any errors or ommited fields indicated in red.

14. Make your you receive a confirmation email confirming acceptance of your application.
General Orientation Quiz
Please select one correct answer for each question below:
1. The first International Special Olympics Games were held at Soldier Field in Chicago in 1968. Who is the founder of Special Olympics?
2. An individual is eligable to participate in Special Olympics if they have what kind of disability?
3. Children ages 2-7 may train in the Young Athletes program.
4. Which of the following differentiates Special Olympics from other sports organizations?
5. Athletes do not need to train in order to compete?
6. What is Special Olympics Unified Sports?
7. Which of the following is a benefit that athletes receive from participating in Special Olympics?
8. The mission of Special Olympics Rhode Island is to provide _________ sports training and athletic competition in a variety of Olympic-type sports?
9. What are the Special Olympics Rhode Island core valaues?
10. What is the Special Olympics Oath?
Please read each of the statements below before electronically signing
I do herby understand and confirm that:
1. I have completed the Volunteer Orientation and Protective Behaviors Training and have a clear understanding of my responsibilities as a volunteer for Special Olympics Rhode Island.

2. I have read and understand, and agree to abide by the policies, rules and procedures of Special Olympics Rhode Island Volunteer Code of Contact.

3. I give my permission to Special Olympics Rhode Island to verify the information I have provided and to conduct a criminal background screening and/or driving record screening.

4. I authorize others to make available to any duly authorized representative of Special Olympics Rhode Island any information relevant to my volunteer application or status, and I waive any right I may have with regard to the release of this information to Special Olympics Rhode Island.

5. In the course of volunteering for Special Olympics Rhode Island, I may be dealing with confidential information, and I agree to keep that information in the strictest confidence.

6. The relationship between Special Olympics Rhode Island and volunteers is an "at will" arrangement, and it may be terminated at any time without cause by either the volunteer or Special Olympics Rhode Island.

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

8. In the event I engage in any conduct which could be deemed a violation of the code of conduct, I will promptly notify the Executive Director of Special Olympics Rhode Island.

Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement

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

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

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

I affirm that I have read and understand this Volunteer Application and that the information I have given is accurate and complete. I am also acknowledging that I have read the "Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement and I fully understand and agree to it.
Applicant Signature
Today's Date
Signature of Adult or Parent/Guardian if applicant is a minor, 17 years of age or younger
*****************This section to be completed For Minors Only********************
This section MUST be completed by a Parent/Guardian of any applicant who is 17 years of age or younger:
Contact name
Home phone
State
Zip
Address
City
Relationship
I affirm that I have read and understand this Volunteer Application and that the information given is true and complete.
Signature of Parent/Guardian
Today's Date
1. Email a scanned copy to Louise@specialolympicsri.org

2. Fax a copy to (401) 349-4936

3. Mail a copy to Louise Miller, Special Olympics Rhode Island, 370 George Washington Highway, Smithfield, RI 02917