Special Olympics Club Application Form

REQUIREMENTS:
-Minimum GPA of 3.0
-Must have no record of OSS or ISS
-9th through 12th-grade members only

The fall events will include weekly virtual zoom unified Special Olympics Power Up sessions beginning September 8th, 2020.

APPLICATIONS DUE: Tuesday, September 2nd, 2020

SO Club Members from Last School Year - Please either email Ms. Pacifico or resubmit an application before 8/28/20 to confirm that you want to participate again this school year. Thank you!

CONTACT: Ms. Pacifico at robinc.pacifico@cms.k12.nc.us for any questions.

All applicants will be notified through email about their acceptance.  
Sign in to Google to save your progress. Learn more
Name *
First and last name
Email *
Phone *
Thank you for your interest! Why do you want to join the Special Olympics Club at NWSA? *
What skills, qualities, and experiences do you have that would qualify you to work one-on-one with peers who have intellectual disabilities and make you a valued member of this club?   *
Are you willing to commit to attending all 6 events this school year, as long as they do not conflict with a requirement for your academics, including your major?  There will be 3 events in the fall semester and 3 in the spring. All events are free and during the school day. There will be one meeting each month during lunch time. *
Please list 3 of your current teachers who we may contact as references. *
Do you pledge to be a reliable, respectful, and responsible member who understands the honor and requirements to partake in this Special Olympics club? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Charlotte Mecklenburg Schools. Report Abuse