Send
Section 1 of 2
Special Olympics Kansas Unified Champion School 2022-2023 Application
Grant funds will be provided to schools that participate in two forms:

1. Teacher/Coach Stipend ($500) will be distributed directly to the individual agreeing to run the program for the school upon completion of application below. This is available for new and current schools. Only one teacher/coach stipend is available per school. If you would like to split the $500 among several individuals please contact Taylor Obersteadt at obersteadtt@ksso.org.

2.(ONLY FOR NEW SCHOOLS) School Stipend ($500-$2000) dependent on need and number of UCS components implemented in 2022-2023 school year. First half of funding will be provided upfront and remainder will be distributed upon verified completion of components (Unified Sports, Inclusive Leadership and Whole School Engagement). School stipend is to be used towards supporting the Unified Champion School program at the school and can be used for uniforms, meals, supplies, facility rental, etc.

Contact Taylor Obersteadt at obersteadtt@ksso.org for further information on the school stipend amount.

By completing this application and taking receipt of funds, you agree to implement one or more of the following:

1. Develop and implement a Unified Sports program involving students with and without intellectual disabilities.
2. Implement youth leadership/youth activation opportunities.
3. Participate in whole school engagement.
4. Designate a school based liaison to work with Special Olympics Kansas. This person will act as the main point of contact for the school concerning all Unified Champion Schools activities. This liaison will be required to provide a status update on activities taking place at your school(s) once per semester.

In turn, it is understood that Special Olympics Kansas will:
1. Provide consultation, education, support and technical assistance for sports programs and activities that promote inclusion, acceptance, respect and dignity for all students.
2. Provide resources to support school based Unified Champion Schools activities.
3. Provide training resources.
4. Provide Special Olympics Kansas and Unified Champion Schools processes, materials, schedules, athlete, volunteer, Unified Sports Partner paperwork, General Rules, etc.
5. Provide resources such as press releases, media information to introduce and promote programs.
6. Provide resources and support for Respect Week campaigns, fundraising, and youth leadership activities.
7. Provide branding materials and logos.
8. Promote your school(s) as a Unified Champion School.

Questions? Reach out to Taylor Obersteadt at obersteadtt@ksso.org
Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Email
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Personal Address
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Personal Cell
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Job Title
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
School Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
School District 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
School Address 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
 Returning School
Question Type
Loading image…
New
Returning
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Number of Athletes
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Number of Partners 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Section 2 of 2
The 3 Components of Unified Champion Schools
To be a Unified Champion school, you must do at least 1 activity that fits into each of the 3 components during the school year. Check your choices or write in your own idea below.
Component 1: Inclusive/Unified Sports (Select all that apply)
Question Type
Loading image…
KSHSAA Unified Bowling
SOKS Unified Move Challenge
Attend a Unified Sports Competition (Check with SOKS staff for options in your region)
Unified PE Class (resources available for implementation)
Unified Recreational or Intramural Sports (Unified sports done on campus only)
Special Olympics Young Athletes (for 2-7 year olds, pre-K, Head Start or Elementary School)
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
Component 2: Inclusive Youth Leadership (Select all that apply)
Question Type
Loading image…
Participate in SOKS Virtual Youth Summit (Preferred)
Unified Club
Inclusive Student Council
Peer Buddies
Lunch Buddies
Unified Young Readers Club (Elementary Only)
IPS class
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
Component 3: Whole School Engagement (Select all that apply)
Question Type
Loading image…
Spread the Word Campaign (Preferred - Kits including banners, shirts, buttons and more will be available at no cost) - yes
Polar Plunge (Engage full school in polar plunge fund raising activity - Kits and support available)
Fans in the Stands (Have students attend a Unified Sports or Recreational competition)
Pep Rally (Include Unified Sports program in school pep rally)
Choose to Include 5k (Engage full school in Choose to Include 5K fund raising)
Any awareness campaign
Other Fundraising Campaign
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
Training, Communication & Continuous Improvement : Please check each item to verify your commitment.
Question Type
Loading image…
Provide all necessary athlete and Unified Partner paperwork.
Complete the free online National Federation of High Schools Unified Sports Coaches training.
Complete midterm and final reporting & online survey from UMass.
Provide SOKS with highlights, updates, pictures and/or videos of campus activities.
End of Year Survey
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
Name
Copy chart
No responses yet for this question.
Email
Copy chart
No responses yet for this question.
Personal Address
No responses yet for this question.
Personal Cell
Copy chart
No responses yet for this question.
Job Title
Copy chart
No responses yet for this question.
School Name
No responses yet for this question.
School District 
Copy chart
No responses yet for this question.
School Address 
Copy chart
No responses yet for this question.
 Returning School
Copy chart
No responses yet for this question.
Number of Athletes
Copy chart
No responses yet for this question.
Number of Partners 
Copy chart
No responses yet for this question.
The 3 Components of Unified Champion Schools
Component 1: Inclusive/Unified Sports (Select all that apply)
Copy chart
No responses yet for this question.
Component 2: Inclusive Youth Leadership (Select all that apply)
Copy chart
No responses yet for this question.
Component 3: Whole School Engagement (Select all that apply)
Copy chart
No responses yet for this question.
Training, Communication & Continuous Improvement : Please check each item to verify your commitment.
Copy chart
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.