Youth Activation Committee Application - Special Olympics CO

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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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Youth Activation Committee Application

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Athlete Leadership

Youth Activation Committee Application

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Applicant Information

Are you a student with an Intellectual Disability or a Unified Partner?(Required)

Athletes are individuals with an intellectual disability (i.e., Down Syndrome, Autism, Learning Disability, etc.) or a Unified Partner (student without an intellectual disability).

Student Name(Required)

Please input legal name. No nicknames.

First Last

Date of Birth(Required)

MM slash DD slash YYYY

August 2026 Grade(Required)

If your current grade is not listed, please understand that you do not currently qualify.

August 2026 School(Required)

Select the name of the school. If your school or transition program is not listed, select 'Other' and type in the name of the school (and transition program) that you currently attend.

Other School(Required)

Please type in the name of the school not listed, and if attending a transition program the name of the transition program.

Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

County(Required)

This field is hidden when viewing the form

Region

Mobile Phone(Required)

Email(Required)

Parent/Guardian Contact Information

Parent/Guardian Name(Required)

First Last

Relationship to Applicant(Required)

Check if parent/guardian is emergency contact.

Emergency Contact

Other Relationship(Required)

Please provide relationship to applicant.

Phone(Required)

Email(Required)

Emergency Contact

Please provide a different person to contact in an emergency other than the Parent/Guardian listed above. This will be the first person contacted.

Name(Required)

First Last

Relationship to Applicant(Required)

Phone(Required)

Other Relationship(Required)

Please provide relationship to applicant.

Email(Required)

General Introduction Questions

Have you served on YAC in the past?(Required)

Can you travel independently, without parent/guardians?(Required)

This includes trips out of town/overnight.

How long have you been actively involved with Special Olympics?(Required)

Please select any skills/experience that you currently have.(Required)

Check all that apply.

Public Speaking

Storytelling

Writing

Planning/Leadership

Unified Sports

R-word/Respect Campaign and Advocacy

Friendship (unique story of friendship)

Whole School Engagement

Club Leadership

Healthy LEAP / Unified P.E.

What does being involved in Youth Activation Committee (YAC) at Special Olympics Colorado mean to you?(Required)

Please list the additional relevant skills/experience you have.

Describe your leadership experience.(Required)

Please include any experience within Special Olympics at your school and/or community.

Partner selection

If you could be partnered with a specific individual while on YAC, who would that be? (first and last name please) Leave blank if no preference.

How did you learn about YAC at Special Olympics Colorado?(Required)

A YAC member

An Athlete

A Unified partner

Teacher

Coach

Parent/Caregiver

SOCO Staff

Website

Social Media posting

Other

Other(Required)

Please let us know how else you heard about YAC?

School Mentor

A school mentor is an adult who works at your campus and is willing to help you grow your leadership opportunities at your school. It would be ideal if this person has a connection with the Special Olympics community, but is not required.

Mentor Name(Required)

First Last

Mentor Email(Required)

Mentor Phone

GET IN TOUCH

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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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