Change of Leadership Application - Special Olympics Indiana

Change of Leadership Application

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Choose One*

New Program

Change of Leadership Role (in existing program)

Leadership Role*

Area Director

Area Competition Director

County Coordinator

Treasurer

Organizational Name*

Scroll to select Organizational Name.

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Cell Phone*

Preferred Contact Number for Public Use*

Email*

Replacing:

Name

First Last

Terms of Participation & Agreement:

Abide by all Special Olympics General Rules, Sports Rules, and guidelines as in the Program Information Guide.
Register all athletes and volunteers according to Special Olympics standards.
Provide quality athlete training programs to all eligible athletes in the county under the supervision of qualified coaches.
Secure resources necessary to conduct a quality program, refraining from charging a fee to athletes or families.
Provide an accurate accounting of all funds raised and expended in the name of Special Olympics. Have a valid email address and inform the State Office of any address changes.

I verify that I have reviewed the Terms of Participation and agree to abide by them in the management of this program.*

Yes

No

Date*

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