Program Accreditation Form :: Special Olympics Connecticut

Local Program Accreditation Application & Susan Saint James Endowment Request for Funding

Accreditation Criteria:

ACCREDITED

Recruit, register and train Special Olympics Athletes and Unified teammates
Recruit and register Class A volunteers.
Attend Local, State, Invitational, National and World Games Competitions.
Raise needed funds to cover program costs in the name of Special Olympics Connecticut (with approval of SOCT office)
May apply for any available SOCT and/or SOI grants
Permission to use Official SOCT logo
Access to Special Olympics Liability Insurance Coverage
Access to have a centralized Local Program Account managed by Business Office at SOCT office.
Access to Information & Training - including Meetings, Volunteer training, Coaches training and Leadership Summits.

NOT ACCREDITED

Those Local Programs not adhering to the Special Olympics General Rules, The Official Special Olympics Sports Rules, and all other operating policies and procedures established by Special Olympics, Inc. and Special Olympics Connecticut. Local Programs that fail to be accredited forfeit the right to use the Special Olympics name, logo, and other proprietary marks.

SOCT Headquarters has the power to suspend or permanently ban any Special Olympics Local Program from participation in Special Olympics, impose sanctions on a program, or suspend or revoke an accredited program’s accreditation.

Local Program Name Applying for Accreditation *

This application was prepared by:

First Name *

Last Name *

Title/Position on Local Program Committee *

Address *

Cell Phone *

Work Phone

Home Phone

Your Email *

Fax

Accreditation Standards Acknowledgement

As Local Coordinator of Special Olympics Connecticut, Inc., I acknowledge that I have reviewed this Application for Accreditation and all statements made herein are true. I further acknowledge that I have reviewed and understand the rules, policies and procedures established by Special Olympics, Inc., Special Olympics Connecticut, Inc., the Official Special Olympics General Rules, and the Official Special Olympics Sports Rules. I understand that Accredited Programs are committed to abide by all rules, policies and procedures established by Special Olympics, Inc., Special Olympics Connecticut, Inc., the Official Special Olympics General Rules and the Official Special Olympics Sports Rules and that non-compliance may result in loss of accreditation at any time and loss of the right to use the Special Olympics name for any purpose whatsoever. I acknowledge that I serve in a voluntary capacity as Local Coordinator for Special Olympics, Inc., and Special Olympics Connecticut, Inc., and may be removed at any time for any reason.

Local Coordinator's Signature Agreement *

Yes

Coordinator's Name *

Date *

If Local Coordinator Information is different than above:

First Name

Last Name

Address

Telephone (Daytime)

Telephone (Evening)

Coordinator's Email

Fax

PLEASE SUBMIT THIS APPLICATION TO SOCT BY FEBRUARY 2, 2025

Information provided here will assist in our 2025 Program Planning and help direct needed resources to your local program.

Local Program Committee (Include Co-local Coordinators)

Please List Members of your Local Program Committee and the Position They Hold: *

Local Program Budget - 2025

Please revised and complete the 2025 Budget of Revenue and Expenses (Excel Form) you submitted last year. It designed to auto tally your budget line $ amounts and you may use the notes section to list a breakdown of events/projects the monies would be coming from. . It is important you save the completed budget in your local programs name and send a copy to Marc Mercadante at [email protected]. If you did not save a copy from 2024 budget, contact Marc.

Goals

Please list 2 goals that your Local Program will achieve for 2025. Please identify your goals in areas of Fundraising, Virtual Activities, New sports or Fitness Activities, Healthy communities or Volunteer/Coaches training.

Goal 1 *

Goal 2 *

Social Media

Please indicate the Social Media Outlets your Local Program uses: *

Group Facebook for your Local Program

Instagram

Other

If applicable, please list your Local Program Facebook URL Address

Is it a public or private Facebook group?

Please list the name and email address of your Local Program Social Media Administrator

In what sports can your program use?

Coaches

Unified Partners

Age Groups

Athletes

Age Group

What sports does your local program need to have Coaches Certified or Recertified In?

Would you be interested in learning more on how to use Google Docs for Event Registrations? *

Would you be interested in meeting with the health and wellness department to determine how the department can support your health and fitness needs?

Yes - Virtually

Yes - In Person / At a Practice

Yes - via Email

Yes - Other

Susan Saint James Endowment Request

This endowment was established by Susan Saint James for Local Programs. Annual funding is based on the average fair market value of the endowment over the past three years and the amount of local programs who submit this grant by the deadline. The Endowment will be dispersed as follows:

50 % of fund divided equally to all eligible accredited local programs
50 % based on the # of athletes and partners registered in these eligible accredited local programs. This total will come from the previous year’s Athlete Census submitted to SOI.
Local programs from New London County who receive the Eunice Murtha Grant are not eligible for the Susan Saint James Endowment Grant

To Be Eligible to Receive This Endowment Funding, you must complete and submit the following by the February 2, 2025:

Complete and submit your Local Accreditation Form via SOCT website to the SOCT.
Complete and submit your Susan Saint James Endowment Request via SOCT website.*
Complete your Local Coordinator Survey. (will be e-mailed to you, one survey required per Local Program)
*Local Programs in the New London area who are eligible for funding through the Eunice Murtha Endowment are not eligible for this funding

Please indicate how you will use the funding by checking off the categories from the approved listing of expenses:

Please describe how this funding will help your local program:

Local Coordinator's Signature Agreement *

Yes

Local Coordinator Name *

Date *

Program Accreditation Form/Susan Saint James Endowment

Local Program Accreditation Application & Susan Saint James Endowment Request for Funding

Accreditation Criteria:

ACCREDITED

NOT ACCREDITED

PLEASE SUBMIT THIS APPLICATION TO SOCT BY FEBRUARY 2, 2025