Welcome to Special Olympics Rhode Island!

SORI Class A Renewal Volunteer Form

Volunteer Class A Renewal Form
Class A Volunteers have close interaction with athletes and are in a position of authority, supervision and trust. Criminal background checks are required every 3 years for Class A status. You will be emailed an invitation from VERIFIED VOLUNTEERS to complete your background check very soon after completing this application.

You must also complete the Protective Behaviors training to renew your Class A Volunteer. A separate link will be provided at the end where you can complete the required training. Please allow up to 20 minutes to complete this form. After this form is sucessfully completed, you will receive a confirmation email. If you do not receive a confirmation email, please email Louise@specialolympicsri.org.
Contact Information
Title
First name
Last name
Date of Birth
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
select "No Team Name":
Please select the team that you will be volunteering with, If you do not have a team,
Please select what role on your team that you are currently in:
If you selected other, please indicate your role here:
If you serve in more than one role, please indicate your additonal role here:
Emergency Contact and Health Information
Contact name
Phone (###-###-####)
Relationship
Health Insurance Company
Policy Number
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 covnicted 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. Read the information below and sign and date the application form.

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

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

10. 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.

11. Make your you receive a confirmation email confirming acceptance of your application.
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 have completed the background check that is required of all Class A volunteers.

4. 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.

5. 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.

6. 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.

7. 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.

9. 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
.
I affirm that I have read and understand this Volunteer Application and that the
information I have given is accurate and complete.
Today's Date
Applicant Signature