Athlete Leadership University Interest Form

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Thank you for expressing your interest in atending Athlete Leadership University. This form is to collect contact information, learn what Athlete Leadership University course(s) you are interested in completing, how far you're willing to travel and help you find a Mentor if needed.

In order to become an Athlete Leader, you must actively participate in at least one sport each year and have no recent history of misbehavior.

Please note that this is NOT a registration form for Athlete Leadership University. Instead, this allows Special Olympics Pennsylvania to get the word to more athletes. In order to register, you will still need approval from your Team Leader & Regional Executive Director.

Please contact Jordan Schubert at jschubert@specialolympicspa.org or 610-630-9450 ext. 236 if you have any additional questions about Athlete Leadership University.

First and Last Name *

Cell Phone Number *

Email Address (if you do not have your own email address, please place the address of a family member/caregiver/other support person that you would want to receive and respond to emails on your behalf) *

Select the Athlete Leadership University Course(s) you are interested in completing. Trainings are typically 1-2 days (Saturday-Sunday or Saturday only) with the option of arriving the night before and/or staying over afterwards depending on location and schedule.
*

Athlete Representative-An Athlete Representative is someone that wants to not only lead a conversation, but also is willing to take action and speak on behalf of all athletes to volunteers and SOPA staff. (2 Day Training With The Ability To Arrive The Night Before If Needed)

Global Messenger-A Global Messenger is someone who of course enjoys to talk! It should also be someone passionate who can easily sell Special Olympics to others and make them want to get involved and/or donate! (2 Day Training With The Ability To Arrive The Night Before If Needed)

Healthy Lifestyles (training to become a Health and Fitness Coordinator)-A Health and Fitness Coordinator is an athlete committed to promoting healthier lifestyles for athletes, unified partners, coaches and families. Their primary responsibility is offering year round health and fitness clubs at least once a month to people of all ages and abilities. (1 Day Training With Ability To Stay Overnight Before And/Or After If Needed)

Required

If you selected more than one, please indicate which one you would like to be trained in first. Athlete Leaders cannot take on a second or third role until they have completed the minimum requirements of their current role.

What region are you from? *

Northwest (Clarion, Crawford, Erie, Mercer, Venango/Forest and Warren).

Wilds (Centre, Clearfield, Clinton, Dubois/Jefferson, Elk/Cameron, McKean and Potter).

Region 3 (Bradford/Sullivan, Columbia/Montour, Lycoming, Northumberland/Snyder, Tioga and Union)

Northeast (Area P and Luzerne)

Greater Lehigh Valley Pocono (Berks, Bethlehem, Carbon, Lehigh, Monroe, Northampton and Schuylkill)

Region 6 (Bucks, Chester, Delaware, Montgomery and Philadelphia)

Capital Area (Adams, Area M, Lancaster, Lebanon, Mifflin/Juniata and York)

Ridge & Valley (Bedford, Blair, Cambria, Franklin, Fulton, Huntingdon and Somerset)

Three Rivers (Allegheny, Armstrong/Indiana, Beaver, Butler, Fayette, Lawrence, Washington/Greene and Westmoreland)

What is the furthest you would be willing to travel to attend an Athlete Leadership University session? *

Less than 1 hour away.

1-2 hours away.

2-3 hours away.

3+ hours away.

In order to attend Athlete Leadership University, regardless of age and ability, each Athlete Leader must have a committed Mentor to support them before, during and after training. Support can include, but is not limited to communication, transportation, project preparation, etc.

All Mentors, regardless of personal relationship to athlete, must be a Class A volunteer with SOPA.

If they are not registered as a Class A volunteer, they should start by filling out the volunteer application. Additional instructions on background checks and other required Class A volunteer trainings will be shared once the volunteer applicaiton is completed.

Do you have a family member, coach, friend, etc. that's NOT a Special Olympics athlete (current, former or potential) that's 18 years of age or older that would be willing and able to serve as your Mentor? *

Yes

If you answered "No", if your Team Leader supports you in becoming an Athlete Leader, SOPA will place a listing for a Mentor need on its website and other external volunteer job boards.

However, please also continue to work with your coaches, Team Leader, Regional Executive Director, family and other spport people to try and identify a Mentor in your community.

If you answered "Yes", you will be directed to another page to provide your Mentor's name and contact information so they can also receive information as soon as it becomes availalbe.

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