UCS LOA Form - Special Olympics CO

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About Special Olympics Colorado

The mission of Special Olympics is to provide year-round sports training and athletic competition in a variety of Olympic-type sports for children and adults with intellectual disabilities, giving them continuing opportunities to develop physical fitness, demonstrate courage, experience joy and participate in a sharing of gifts, skills and friendship with their families, other Special Olympics athletes and the community.

Info@SpecialOlympicsCO.org

12450 E Arapahoe Rd Suite C
Centennial, CO 80112

Office hours:
Monday – Friday 8:30am – 5:00pm

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SOCO Unified Champion School Letter of Agreement

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Unified Champion Schools (UCS)

UCS LOA Form

SOCO Unified Champion School Letter of Agreement

The survey will take approximately 6 minutes to complete. Welcome to the Unified Champion Schools family!

Special Olympics Colorado (SOCO) is excited that your school has taken the steps to begin to, or continue to, oﬀer quality social inclusion through Uniﬁed Champion Schools® (UCS) implementation.

Please communicate with your administrators, coaches, and student leaders to determine what sports/activities your school plans to oﬀer during the year before completing this form.

School and District Information

Campus Name(Required)

Campus Street Address(Required)

Street Address Address Line 2 City State ZIP Code

County(Required)

Please provide the County the campus is located in.

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Region

School District(Required)

School District Other(Required)

You indicated your School District as "Other". Please input the name of your school district below.

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School Type(Required)

Please answer the following questions as it relates to your program which may or may not be different from the school overall. For example, if your program only services the PK population in a school that provides to grades 5, please submit numbers for the PK portion of the school only.

Program Low Grade(Required)

The lowest grade participation is offered in the program. This may be different from the lowest grade offered by the school.

Program High Grade(Required)

The highest grade participation is offered in the program. This may be different from the highest grade offered by the school.

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Other School Type(Required)

Please input the school type here

Are you a Title I school?(Required)

Total School Population(Required)

What is the total number of all students at your school?

Please enter a number greater than or equal to 1.

Female with ID Population Total(Required)

What is the total number of FEMALE students with an intellectual disability (Athlete) at your school?

Male with ID Population Total(Required)

What is the total number of MALE students with an intellectual disability (Athlete) at your school?

Female without ID Population Total(Required)

What is number of FEMALE students participating in Unified Programing without a Disability (Partner)?

Male without ID Population Total(Required)

What is number of MALE students participating in Unified Programing without a Disability (Partner)?

School Liason

As a Unified School, you are agreeing to provide a school based liaison to work with Special Olympics Colorado. This person will act as the main point of contact for the school concerning all Unified School activities. It is understood that the school-based liaison will be asked to: 1. Fill out UMASS End of the Year Survey this is required and a link will be sent April 1st-May 30th. 2. Fill out surveys on behalf of Unified Schools Initiatives taking place at their school throughout the year 3. Assist in development of Unified Leadership- Unified Clubs, Particpation in Youth Summit and State Youth Activation Committee. 4. Ensure all desired aspects of Unified Champion School Strategy are being conducted at their school 5. Encourage and provide support to Unified initiatives taking place throughout their school

Name(Required)

First Last

Job Title(Required)

Other Job Title(Required)

Email(Required)

Do you have a secondary School Advisor?(Required)

Name Secondary School Advisor(Required)

First Last

Job Title Secondary School Advisor

Other Job Title(Required)

Email of Secondary School Advisor(Required)

Name of School Administrator(Required)

(e.g. Principal, Athletic Director, Asst. Principal)

First Last

Title of School Administrator(Required)

(e.g. Principal, Athletic Director, Asst. Principal)

Email of School Administrator(Required)

(e.g Principal, Athletic Director, Asst. Principal )

Does your School have a School Resource Officer?(Required)

(SRO/Campus Police)

Name of SRO(Required)

First Last

Email for SRO

Phone number for SRO

Programming for 2024-25

As a Unified Champion School, you are agreeing to continue /implement one or more of our inclusive programs from these 4 categories (Unified Sports, Inclusive Youth Leadership, Whole School Engagement, Inclusive Health and Wellness)

Our school Currently participates in the following Unified Sports/Activities Program/Young Athletes Program involving students with and without intellectual disabilities playing together. (check ALL that apply)(Required)

Unified Field Day/ Sports Clinic

Alpine Skiing

Basketball

Bocce

Bowling

Flag Football

Golf

Kickball

Soccer

Snowshoe

Snowboarding

Swimming

Tennis

Track & Field

Volleyball

Cheer/Poms

Esports

Motor Activity Training Program (MATP)

Unified Arts- Theater

Unified Arts- Music

Unified Arts- Dance

Unified Robotics

None at this time

CHSAA Bowling

Other

Our school is interested in developing and implementing a Unified Sports/ Activities Program/Young Athletes Program involving students with and without intellectual disabilities playing together. (check ALL that apply)(Required)

Unified Field Day/ Sports Clinic

Alpine Skiing

Basketball

Bocce

Bowling

Flag Football

Golf

Kickball

Soccer

Snowshoe

Snowboarding

Swimming

Tennis

Track & Field

Volleyball

Cheer/Poms

Esports

Motor Activity Training Program (MATP)

Unified Arts- Theater

Unified Arts- Music

Unified Arts- Dance

Unified Robotics

None at this time

Other

Unified Champion School- School Involvement

Inclusive Leadership, Health, PE

Do your students implement and/ or participate in INCLUSIVE YOUTH LEADERSHIP opportunities (check ALL that apply)(Required)

Youth rally/youth forum

Youth Leadership Training

Youth attending Annual SOCO Youth Summit

Youth represented on the State Youth Activation Committee (YAC)

Youth as volunteers and peer partners in your clubs and sports

Unified Partner Clubs- (students with and without intellectual disabilities)

Student Council/Student Leadership

None at this time

Other

Does your school participate in WHOLE SCHOOL EVENTS/ ACTIVITIES (check ALL that apply)(Required)

Spread The Word Inclusion Campaign

Respect or Disability Awareness Week

Unified Field Day/ Sports Clinic

Whole School Pep Rally around Unified Sports

Fans in the Stands

Minutes that Matter

Polar Plunge/Plane Pull/ Other Fundraisers

Spirit Week

None at this time

Other

Does your school participate in INCLUSIVE HEALTH AND WELLNESS programing (check ALL that apply)(Required)

Healthy LEAP (Lifestyle, Education And Practice)

Unified PE class (Gen Ed or Adaptive)

Fit 5

Fit Family and Friends

SOFit

Unified Fit Club

None at this time

Other

Number of students Participating in Unified P.E. with an Intellectual Disability (Including Gen ED, PE participation)(Required)

The value must be a number

Number of students Participating in Unified P.E. without a Intellectual Disability (Including Gen ED, PE participation)(Required)

The value must be a number

Number of students Participating in Inclusive Health and Wellness programs Excluding Unified P.E. (ex. Healthy LEAP, Health Courses/Challenges)(Required)

The value must be a number

Our School is interested in participating in Special Olympics Colorado Regional and State Events(Required)

Yes, send me more information

No, not at this time

Would like to speak to someone about this possibility

Preschool Young Athletes (2-7 years old)

Our school agrees to Implement the Young Athletes activites involving students with and without intellectual disabilities engaging together at least 2 times per week, ensuring an inclusive sports experience while increasing the potential for positive attitudes and an environment of respect for all students in at least 2 of the following options.(Required)

Please check all that apply.

During Structured Young Athletes Time (10-15 minutes session)

During Small Groups Centers/Circle Time

During Outside/Playground Time -Prior to unstructured free time

During Physical Education Time/PE Class

During transitions ie. Washing hands, putting on jackets, throwing away trash etc...

Other

Host and Facilitate and End of the Year Young Athletes Field Day to showcase the skills and celebrate the accomplishments of each Young Athlete incorporating required elements including the following:(Required)

Please check all that apply.

Athlete Parade with students wearing t-shirts

Minimum of 6 Gross motor activity stations from provided YA activity guide or supplemental ideas

Awards presentation with medals and/or certificates

Invitation provided for families to observe/Read provided SOCO YA script at opening of field day

Other

Participate in providing Family resources and follow up information to families interested in SOCO YA community involvement including the following:(Required)

Please check all that apply.

Hang YA Poster in classroom with YA Tri-folds and interest link for SOCO/YA community opportunities

Send informational email to families about what YA activities are taking place in school and community in a minimum of 2 emails/newsletters throughout school year using provided SOCO template

Share Young Athletes family resources with families including YA nutrition guide, at home activity flashcards, how to video clips, and more

Other

Number of Youth Leaders(Required)

How many Youth Leaders from outside your classroom help with Young Athletes?

Implement at least one of the following youth leadership/youth activation opportunities when available:(Required)

Youth as classroom volunteers to assist with running YA activities as allowable within school

Youth as field day organizers/activity station facilitators/awards presenters/cheering fans etc.

Youth as inclusion week mentors, leading inclusion activities with ECE ie. Reading book, signing banner

Other

Utilize at least one of the two additional resource opportunities below when made available by SOCO:(Required)

Inclusive Young Athletes Health Classroom resources and individual send home kits (ie. Oral Health, Strong Minds, ect. when available provided by SOCO)

Resources and activities to promote and participate in inclusion week (ie. Wearing t-shirt, Reading book, signing/painting hands on banner, passing out giveaways to students

Provide media to SOCO including a minimum of two pictures/videos/impact stories per quarter of students and staff engaging in YA activities. Options(Required)

Participation in inclusive YA activities/games

Participation in inclusion/Respect Campaigns/Book Reading

Participation in Field Day Activities

Participation in Youth Leadership Engagement Activities

Total Students participating in Young Athletes(Required)

For grant reporting purposes, please provide the Total number of students participating in Young Athletes at your school.

Total Number of Staff supporting Young Athletes(Required)

Number of Staff/Coaches, supporting Young Athletes ie: Teachers, TA's Therapists

Number of AM Classrooms participating in Young Athletes(Required)

Number of PM Classrooms participating in Young Athletes(Required)

Number of Male Students Ages 2-5 with IEP Services(Required)

Number of Male Students Ages 2-5 without IEP Services(Required)

Number of Female Students Ages 2-5 with IEP Services(Required)

Number of Female Students Ages 2-5 without IEP Services(Required)

Number of Male Students Ages 6-7 with IEP Services(Required)

Number of Male Students Ages 6-7 without IEP Services(Required)

Number of Female Students Ages 6-7 with IEP Services(Required)

Number of Female Students Ages 6-7 without Services(Required)

Agreement Signature

Welcome to the Unified Champion Schools family!

Special Olympics Colorado (SOCO) is excited that your school has taken the steps to begin to, or continue to, oﬀer quality social inclusion through Uniﬁed Champion Schools® (UCS) implementation.

Upon completion of this agreement, it is understood that Special Olympics Colorado will provide:

Consultation, education, support and assistance for all Unified sports programs and activities that promote inclusion, acceptance, respect and dignity for all students.
Resources to support school based Unified School activities (as agreed).
Training for Unified coaches upon request.
Unified Schools policies and procedures, training manuals, schedules, Athlete and Unified Sports Partner paperwork, General Rules etc.
Communication, instruction and assistance to school administration.
Access to Special Olympics Colorado volunteers when requested as available.
Special Olympics Colorado Unified Schools logo for schools to use in accordance with UCS Initiatives.
Materials and support for Inclusion campaigns, fundraising and youth leadership activities.
Healthy L.E.A.P. data back if requested from school/school district when available by providing number of Athletes and Unified Partners that are receiving this information and participating.

We look forward to seeing how your school takes the Uniﬁed Champion Schools movement and the Inclusion Revolution to the next level!

Signature(Required)

Please type your name here saying you understand the information above and you request to be a Unified Champion School.

Campaigns

Would your school like to participate in the Spread the Word Campaign and order 1 complimentary kit?(Required)

Kit will include 25 shirts, 1 banner, 2 posters 25 misc giveaways for the participants. Kits will be available between January 1st and March 1st 2025. Additional items will be available for purchase by school January 1st- March 15th 2025.

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SOCO Approval

This section is for Special Olympics Colorado to review LOA per guidance.

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Name(Required)

First Last

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Signature(Required)

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Date

Month

Day

Year

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12450 E Arapahoe Rd Suite C
Centennial, CO 80112
720-359-3100
Info@SpecialOlympicsCO.org
Espanol@SpecialOlympicsCO.org
Accomodations@SpecialOlympicsCO.org

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