New User Details
Class 'A' Volunteer Application
Basic Information
Home Address

Reference Checks
Reference 1
Reference 2

Background Information
Do you use an illegal drug that would affect your ability to perform any of the duties listed above?
Have you ever been convicted of a crime?
Have you ever been reported to the Department of Children and Families or a comparable child welfare agency with a finding of abuse or neglect against you?
Has your drivers' license ever been suspended or revoked as a result of a moving violation in any state?
Have you completed the Protective Behaviors Training?
Have you gone to Verified Volunteers to have your Background Check performed?
I Understand That:
* The information that I have provided may be verified by a background check, a motor vehicle record check, or any other means deemed appropriate, and I give permission to Special Olympics Connecticut to make inquiry of others concerning my suitability to act as a Special Olympics Connecticut volunteer.
* The relationship between Special Olympics Connecticut and volunteers is an "at will" arrangement, and this application may be denied or the relationship may be terminated for any reason.
* In the course of volunteering for Special Olympics Connecticut, I may be dealing with confidential information and I agree to keep said information in the strictest confidence.
* I grant Special Olympics Connecticut permission to use my likeness, voice, and words in television, radio, or in any form to promote activities of Special Olympics Connecticut.
* I affirm that I have read the above and that the information I have given is true and complete.