College Inclusion Council UCS College Inclusion Council Application Athlete/Partner Contact InformationName(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Email(Required) Phone(Required)In what role are you applying for the College Inclusion Council?(Required) Special Olympics Athlete Peer Partner Local Region(Required)Click here to identify your local regionRegion ARegion BRegion CRegion DRegion ERegion FRegion GRegion HRegion IRegion JRegion KParent/Guardian Contact InformationParent/Guardian's Name(Required) First Last Relationship to Athlete/Partner(Required) Phone(Required)Email(Required) General Athlete/Partner InformationHow old are you?(Required)What grade are you in? What school do you currently attend?(Required) Who would you like to be partnered with on the CIC? (Leave blank if you have no preference)Are you actively involved in Special Olympics and have a valid Medical Application or Volunteer Form on file?(Required) Yes No Can you travel independently, without parents?(Required) Yes No Do you have any experience in:YesNoSpeaking at committee or group meetings?Being a spokesperson (i.e. giving formal presentations)In which of these areas do you have skills/talents/training? Public Speaking Storytelling Writing Planning/Leading Unified Sports R-Word/RESPECT/Advocacy Friendship (Unique Story of Friendship) School Climate Club Leadership Were you involved in Special Olympics in high school? If so, what school?(Required) What other activities are you involved in? Why would you like to join the College Inclusion Committee?(Required) Would you be interested in an executive role on the CIC?(Required) Yes No If yes to the last question, why would you be interested in a leadership role? What is your definition of Inclusive Youth Leadership? How can we expand inclusion and UCS Initiatives in colleges across the state?
