Volunteer Application

Thank you for your interest in Special Olympics!

The application must be completed at one time.  (You cannot save it and come back to it later.) 

To complete the application you will need:

  1. An email address – if you do not have an email address you can get one for free from Google, Microsoft or Yahoo.
  2. Your health insurance information including policy number.
  3. A clear, legible photo or scan of your driver’s license, state ID or other government issued photo ID to upload.
  4. Name and phone number for your emergency contact.
  5. Names, addresses and phone numbers for two NON-FAMILY references.

Click here to apply offline: Adults or Minors (Please be advised that offline applications can take longer to process).

* = required field

Carson City - NOTE: This county charges an extra $10.50 to the mandatory $10 background check fee.

Churchill, Douglas, Elko, Lyon, Nye - NOTE: These counties charges an extra $3.50 to the mandatory $10 background check fee.

Humboldt, Washoe - NOTE: These counties charges an extra $7.00 to the mandatory $10 background check fee.

 

Please indicate if this application is for an Adult (Age 18+) or a Minor (Age 14-17).
Section A: Personal Information
First Name
Middle Name(s)
Last Name
Date of Birth *
E.g., 12/13/2018
All registered volunteers must be at least 14 years old.
Identification
Please take a photo or scan your identification to upload.
More information
  • Files must be less than 1 KB.
  • Allowed file types: pdf png jpg jpeg gif.
More information
  • Files must be less than 10 MB.
  • Allowed file types: png gif jpg jpeg pdf.
Section B: References
Please list two non-family personal or professional references.

Reference 1

Reference 2

Section C: Volunteer Information
Please check the box(es) below for the area(s) that you would like to volunteer:
Please answer the questions below (answering "yes" to any of the questions does not necessarily preclude you from participation as a volunteer):
Section D: Special Olympics Release and Waiver of Liability (Adult Waiver)

I, as an adult age 18 or older, understand and agree that:

  • the information I have provided may be verified and I hereby give permission to Special Olympics Northern California, Inc., doing business as Special Olympics Nevada (“SONV”) to make inquiry of others concerning my suitability to act as a SONV volunteer. I understand this verification and inquiry may include my motor vehicle operation history (DMV) and criminal background check(s);
  • in consideration of participating in Special Olympics Unified Sports®, if applicable, I represent that I understand the nature of the events and that I am qualified, in good health, and in proper physical condition to participate in Unified Sports® events. I fully understand the events involve risks of serious bodily injury which may be caused by my own 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, costs, and/or damages I may incur as a result of my participation. I acknowledge that at any time if I feel that the event conditions are unsafe, I will discontinue participation immediately;
  • I release, indemnify, covenant not to sue, and hold harmless SONV, Special Olympics, Inc., their programs, administrators, directors, agents, officers, employees, and other volunteers and Unified Sports® participants, and sponsors, advertisers, and, if applicable, any owners and lessors of premises on which any activity takes place (“Releasees”) from all liability, any losses, claims (other than that of any medical accident benefit), demands, costs, or damages that I may incur as a result of participation as a volunteer and/or in Unified Sports® events and further agree that if, despite this “Release and Waiver of Liability” Agreement, I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage or cost which may incur as a result of such claim;
  • if during my participation in Special Olympics activities I should need emergency medical treatment and I am not able to give my consent for or make my own arrangements for that treatment, I authorize SONV to take whatever measures are deemed necessary to protect my health and well-being, including, if necessary, hospitalization. My health insurer (and not any of the Releasees or their insurers) will be primarily responsible to pay for or otherwise cover any and all medically-related expenses incurred;
  • in the course of volunteering for SONV I may be dealing with confidential information and I agree to keep said information in the strictest confidence;
  • the relationship between SONV and volunteers is an “at will” arrangement, and it may be terminated at any time without cause by either the volunteer or SONV;
  • I must have and maintain at least the minimum amount of automobile insurance as required by the State of California. I agree to notify SONV if I do not have such coverage if at any time I am asked to use my personal or any non-owned vehicle for SONV related business or activities. Furthermore, I agree to not allow any person who does not have automobile insurance and SONV's authorization to drive my vehicle for SONV related business or activities;
  • I hereby grant SONV permission to use my likeness, voice, and words in or on television, radio, film, and SONV's Website(s), or in any other form, format, or media, to promote the activities of or fundraising for SONV, without compensation; and
  • I am responsible for informing SONV of ANY changes regarding information contained in this application, and I am responsible for following and abiding by the Coaches' and Volunteers' Code of Conduct as outlined below.

I affirm that I have read this “Release and Waiver of Liability” Agreement, that I fully understand it, and that the information I have given is true. I understand that in the event any false information is provided, I may be terminated from my volunteer position with SONV and/or as a Special Olympics Unified Sports® participant.

Type your full name.
Section E: Parent/Guardian Information
First Name
Middle Name(s)
Last Name
Type your full name
Section F: Special Olympics Release and Waiver of Liability (Minor Waiver signed by Adult Parent/Guardian)

I, as the parent or guardian of a minor volunteer or Unified Sports® applicant (“Minor Applicant”), understand and agree that:

  • the information I have provided may be verified and I hereby give permission to Special Olympics Northern California, Inc., doing business as Special Olympics Nevada (“SONV”) to make inquiry of others concerning Minor Applicant's suitability to act as a SONV volunteer. Further, I hereby release all parties and persons from any and all liability for any damages, and voluntarily waive any and all rights, claims, charges, complaints, or causes of action I or Minor Applicant has or may have against SONV, including its directors, officers, employees, and representatives, as a result of SONV's and/or its representative's actions in seeking, using, and/or disclosing information gained about Minor Applicant;
  • in consideration of participating in Special Olympics Unified Sports®, if applicable, I represent that I and Minor Applicant understand the nature of the event and that Minor Applicant is qualified, in good health, and in proper physical condition to participate in Unified Sports® events. I and Minor Applicant fully understand that the event involves risks of serious bodily injury which may be caused by Minor Applicant's own actions or inactions, by the actions of others participating in the event, or by conditions in which the event takes place. I and Minor Applicant fully accept and assume all such risks and all responsibility for losses, costs, and/or damages Minor Applicant may incur as a result of his or her participation. I acknowledge that at any time if I or Minor Applicant feels that the event conditions are unsafe, Minor Applicant will discontinue participation immediately;
  • I and Minor Applicant release, indemnify, covenant not to sue, and hold harmless SONV, Special Olympics, Inc., their programs, administrators, directors, agents, officers, employees, and other volunteers and Unified Sports® participants, and sponsors, advertisers, and, if applicable, any owners and lessors of premises on which any activity takes place (“Releasees”) from all liability, any losses, claims (other than that of any medical accident benefit), demands, costs, or damages that Minor Applicant may incur as a result of participation as a volunteer and/or in Unified Sports® events and further agree that if, despite this “Release and Waiver of Liability” Agreement, I, or anyone on my or Minor Applicant's behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage or cost which may incur as a result of such claim;
  • if, during participation in Special Olympics activities, Minor Applicant should need emergency medical treatment and I am not able to give my consent for or make my own arrangements for that treatment, I authorize SONV to take whatever measures are deemed necessary to protect Minor Applicant's health and well-being, including, if necessary, hospitalization. My or Minor Applicant's health insurer (and not any of the Releasees or their insurers) will be primarily responsible to pay for or otherwise cover any and all medically-related expenses incurred;
  • in the course of volunteering for SONV, Minor Applicant may be dealing with confidential information and agrees to keep said information in the strictest confidence;
  • the relationship between SONV and volunteers is an “at will” arrangement, and it may be terminated at any time without cause by either the volunteer or SONV;
  • if Minor Applicant is at any time asked to and agrees to use my or Minor Applicant's personal or any non-owned vehicle for SONV-related business or activities, I or Minor Applicant must (1) have and maintain at least the minimum amount of automobile insurance as required by the State of California, (2) notify SONV if I or Minor Applicant does not have such coverage, (3) be in compliance with all applicable California statutes regarding eligibility to drive others, and (4) never allow any person who does not have automobile insurance and SONV's authorization to drive my or Minor Applicant's vehicle for SONV-related business or activities;
  • I hereby grant SONV permission to use Minor Applicant's likeness, voice, and words in or on television, radio, film, and SONV's Website(s), or in any other form, format, or media, to promote the activities of or fundraising for SONV, without compensation; and
  • I and Minor Applicant are responsible for informing SONV of ANY changes regarding information contained in this application, and for following and abiding by the Coaches' & Volunteers' Code of Conduct as outlined below.

I affirm that I have read this “Release and Waiver of Liability” Agreement, that I fully understand it, and that the information I have given is true. As the parent or guardian of Minor Applicant, I am signing on behalf of my child or ward and the provisions in this application bind us both. I understand that in the event any false information is provided, Minor Applicant may be terminated from his or her volunteer position with SONV and/or as a Special Olympics Unified Sports® participant.

Type your full name
Section G: BACKGROUND CHECK DISCLOSURE & AUTHORIZATION TO OBTAIN INFORMATION

In connection with my application to become a volunteer with Special Olympics Northern California, Inc., doing business as Special Olympics Nevada ("SONV"), I understand that, prior to or at any time after any acceptance of my volunteer application, a Consumer Report or Investigative Consumer Report about me (the “Report”) may be requested by SONV for volunteer participation purposes from a consumer reporting agency ("Reporting Agency"). I understand that the information in the Report will be obtained by accessing public records from various local, state, and federal agencies to the extent permitted by law, including but not limited to my motor vehicle operation history and criminal history. I understand that the Report may include information as to my character, general reputation, personal characteristics, and/or mode of living. I also understand that information sought will include a search of the state and/or federal Sexual Offender Identification Line(s) or Registry(ies).

I HEREBY VOLUNTARILY AND KNOWINGLY AUTHORIZE REPORTING AGENCY TO SEEK INFORMATION ABOUT ME ON BEHALF OF SONV, AND AUTHORIZE SONV TO PROCURE AND USE THE INFORMATION PROVIDED BY REPORTING AGENCY ABOUT ME (INCLUDING ANY INFORMATION OBTAINED FROM THE SEXUAL OFFENDER IDENTIFICATION LINE(S) OR REGISTRY(IES)) IN CONNECTION WITH MY SONV VOLUNTEER APPLICATION. I UNDERSTAND THAT SONV MAY USE THIS INFORMATION FOR VOLUNTEER PARTICIPATION PURPOSES, INCLUDING BUT NOT LIMITED TO ACCEPTANCE OR DENIAL OF MY SONV VOLUNTEER APPLICATION, MY SONV VOLUNTEER ASSIGNMENT OR REASSIGNMENT, AND ANY TERMINATION OF MY SONV VOLUNTEER STATUS. I ALSO HEREBY AUTHORIZE ANY ADMINISTRATOR, LAW ENFORCEMENT AGENCY, STATE AGENCY, LOCAL AGENCY, FEDERAL AGENCY, AND/OR OTHER PERSONS TO GIVE RECORDS OR INFORMATION THEY MAY HAVE CONCERNING MY MOTOR VEHICLE/DRIVING RECORD HISTORY, CRIMINAL HISTORY, OR ANY OTHER INFORMATION ABOUT ME AS REQUESTED BY REPORTING AGENCY.

In accordance with the federal Fair Credit Reporting Act, the California Consumer Credit Reporting Agencies Act, and the California Investigative Consumer Reporting Agencies Act, I understand that I have the right to request a complete and accurate disclosure of the nature and scope of the investigation requested for the Report. Further, I am entitled to know if my SONV volunteer application is denied because of information obtained by Reporting Agency. If so, I will be so advised in writing and be given the name and address of the Reporting Agency, including its toll free number, a statement that the action was based in whole or in part on information contained in the Report, and written notice that I have the right (i) if I request, to obtain within sixty days a free copy of the Report from the Reporting Agency; and (ii) to dispute the accuracy or completeness of any information in the Report furnished by the Reporting Agency. I further understand that upon my request with reasonable notice, Reporting Agency will supply me with investigative information in my file during normal business hours in person or upon written request, by mail or telephone as permitted by law. I also understand that Reporting Agency is a consumer Reporting Agency and it is Reporting Agency's policy to not be involved in or make decisions or recommendations concerning volunteers for SONV. I also understand that Reporting Agency does not sell or otherwise provide any of the information found in its background investigations to any other party. I further understand that any Report requested will be used strictly for permissible purposes. In addition, any assignment (or reassignment) as a volunteer for SONV will be conditioned on the receipt of satisfactory information as determined by SONV, and that to be considered for assignment as a SONV volunteer, I must authorize the procurement of the Report(s) and sign this Disclosure & Authorization to Obtain Information document. A photographic or faxed copy of this Disclosure & Authorization to Obtain Information document shall be as valid as the original.

Type your full name
Section H: Coaches' and Volunteers' Code of Conduct

COACHES' and VOLUNTEERS’
CODE OF CONDUCT

Special Olympics Northern California and Nevada (SONC/SONV) volunteers and coaches are models whose behavior should serve as a positive example for all athletes. Their behavior should reflect a concern that the fairest and most positive competitive experience is equally available to every Special Olympics athlete in each training or competition. The coach/volunteer has the unique opportunity to influence the development and personal growth of many individuals. For this reason, it is important that the coach/volunteer adhere to the standards of ethical decision making and teaching. In addition, it is the position of SONC/SONV that each volunteer/coach shall agree to:
 

HAVE RESPECT FOR OTHERS

  • I will respect the rights, dignity and worth of athletes, other coaches and volunteers, SONC/SONV staff members, and friends and spectators in Special Olympics.
  • I will treat everyone equally regardless of sex, ethnic origin, religion or ability.
  • I will be a positive role model for the athletes I interact with.
  • I will dress and act in an appropriate manner at all times.

ENSURE A POSITIVE EXPERIENCE

  • I will ensure that for each athlete I encounter, the time spent with Special Olympics is a positive experience.
  • I will respect the talent, developmental stage and goals of each athlete.
  • I will ensure each athlete competes in events that challenge that athlete's potential and are appropriate to that athlete's ability.
  • I will be fair, considerate and honest with athletes and communicate with athletes using simple, clear language.
  • I will ensure that accurate scores are provided for entry of an athlete into any event.
  • I will instruct each athlete to perform to the best of the his or her ability at all preliminaries/heats and finals in accordance with the Official Special Olympics Sports Rules.

ACT PROFESSIONALLY AND TAKE RESPONSIBILITY FOR HIS/HER ACTIONS

  • My language, manner, punctuality, preparation and presentation will demonstrate high standards.
  • I will display control, respect, dignity and professionalism to all involved in Special Olympics, including athletes, other coaches and volunteers, opponents, officials, administrators, SONC/SONV staff members, parents, spectators and the media.
  • I will encourage athletes to demonstrate the same qualities.
  • I will not drink alcohol, smoke or take illegal drugs while representing Special Olympics at training sessions or during competitions.
  • I will not engage in any form of personal abuse or inappropriate contact or relationship towards athletes, other coaches and volunteers, SONC/SONV staff members, or friends and spectators in Special Olympics, including verbal, physical or emotional abuse.
  • I will be alert to any form of abuse from other sources directed toward athletes or others in my care.
  • I will abide by the Special Olympics policy that prohibits volunteers/coaches from dating athletes.

PROVIDE QUALITY SERVICE TO THE ATHLETES

If I am a coach:
  • I will seek continued improvement through performance evaluation and ongoing coach education.
  • I will be knowledgeable about the Sports Rules and skills of the sport(s) I coach.
  • I will provide a planned training program.
  • I will keep copies of the registration, training, and competition records for each athlete I coach.
  • I will follow the Special Olympics and National Governing Body rules for my sport(s) coached, as well as all SONC/SONV policies and procedures as amended.

ENSURE THE HEALTH AND SAFETY OF ATHLETES AND VOLUNTEERS

  • I will ensure that the equipment and facilities I encounter are safe to use.
  • I will ensure that the equipment, rules, training and environment are appropriate for the age and ability of the athletes.
  • I will review each athlete's application and be aware of any limitations on that athlete's participation noted on that form.
  • I will encourage athletes and volunteers to seek medical advice when needed.
  • I will report any emergencies to the appropriate authorities after first taking immediate action to ensure the health and safety of those involved.
  • I will maintain the same interest and support towards sick and injured athletes.
  • I will allow further participation in training and competition only when appropriate.

Should the behaviors and/or abilities of any volunteer/coach or other faction of a school/organization violate either the principles stated above (including the SONC/SONV policies and procedures as amended) or the philosophy of the Special Olympics movement, then any of the following actions may be taken by SONC/SONV in its sole discretion:

  1. The volunteer/coach may be notified by official warning of the undesirable behavior and be requested to remedy the situation immediately in order to continue his or her participation in Special Olympics;
  2. The volunteer/coach may be requested to withdraw personally or with his/her team from the remainder of any Special Olympics event or tournament;
  3. The volunteer/coach or sponsoring school/organization may be suspended from participating in any or all Special Olympics activities or events for a specified period of time; and/or
  4. The volunteer/coach or sponsoring school/organization may be permanently prohibited from participating in any or all Special Olympics activities or events.
Type your full name

Vertical Tabs

Thank you. You will receive an email confirming receipt of your application within 5 business days.