Unified Champion Schools Registration Form
Complete Your School Details
School Name
School Type
Please Select
Primary
Secondary
Combined
School Category
Please Select
Special Education School
Support Unit
Mainstream School
School Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Complete Your Nominated Program Coordinator Details
First Name
Last Name
Position
Email
example@example.com
Best Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Program Agreement
As the nominated program coordinator for my school. I agree our school will:
Arrange for at least 2 Terms of Unified Playing for All programs or other Unified Sport to be delivered during the program timeframe.
Incorporate at least 2 Whole of School activities/events/strategies during the program timeframe.
Include student voice in school activities by providing Youth Leadership opportunities that are offered to all students with and without intellectual disability.
Consult with Special Olympics Australia Staff regarding the school’s program plans and any costs involved that support program activities.
Complete program reports and/or other feedback as required.
Allow Special Olympics Australia to promote, publicise and report on the program delivered, including the development of case studies and social media to highlight the impact of the program.
Read and understand the Special Olympics Australia Inclusive Sport in Schools Program Parameters*
*Special Olympics Australia Inclusive Sport in Schools Program Parameters
Nominated program coordinator to sign
Date Agreed
-
Month
-
Day
Year
Date
Additional Information
Would you like information about Special Olympic Australia clubs in your local area?
Yes
No
Would you like information about volunteering with Special Olympics Australia?
Yes
No
Please outline any additional considerations which we should be aware of prior to program delivery.
How did you hear about the Unified Champion Schools program?
Online
Email
Social Media
Word of mouth
Other
Submit
Should be Empty: