Welcome to the Special Olympics Michigan Volunteer Website

Please fill out this form if you want to volunteer with us as a MEDICAL Volunteer for the 2018 State Fall Games.

2018 State Fall Games MEDICAL

Special Olympics Michigan
2018 State Fall Games
September 28 - 30, 2018
Canton, Ypsilanti, and Chelsea
MEDICAL VOLUNTEER REGISTRATION
** Must be 18 years old or above to volunteer for the Medical Staff
First name
Middle name
Family/last name
Comments
DOB
Gender
Home address
Line 1
Line 2
Zip/postal
City
State
E-mail
Phone
Please check the appropriate items below:
1. Professional Position
Physician
Nurse
EMT
Athletic Training Student
Paramedic
Certified Athletic Trainer
Other (Specify)
*please email/send a copy of your certification of license in your Medical Field (If you have not done so in the past)
Medical and Athletic Training Students, please list name of Clinical Supervisor
2. I have certificates in:
CPR
First Aid
AED
Winter
Summer
3. Have you had Special Olympics experience?
Yes or No
Fall
If yes, how many years?
4. I will be available on the following days:
Friday Sep. 28th
Saturday Sep. 29th
Sunday Sept. 30
Opening Ceremonies (Ann Arbor 6pm-10pm)
If you are available SATURDAY, Please rate your sport placement preference (1=Most preferred, 4=Least preferred)
Golf (Ypsilanti 7am - 5pm)
Softball (Canton 7am-5pm)
Flag Football/Cycling (Chelsea 7am - 5pm)
Are you available for Closing Ceremonies on Saturday (Ann Arbor, 6-10pm)?
Yes or No
If you are available SUNDAY please rate your sport placement preference
Soccer (Canton, 7am-5pm)
Kayaking (Ypsilanti, 8am - 3pm)
5. Is this your first time volunteering on Med Staff?
Yes or no?
If yes, how did you hear about this opportunity?
**Housing is not available**