Speech Coach Application

Speech Coach Information
On short answer questions, please provide as much as possible.
Name of athlete for whom you would a speech coach:*
First Last
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of birth*
Month
Day
Year
Polo shirt size*
Have you been trained as a Global Messenger speech coach before?*
- Yes
- No
Background Information
Place of employment and occupation*
Please provide a biographical sketch including items such as family, honors, outside interests, hobbies, sports, or organizational affiliations.*
Please provide as much detail as possible.
Please provide a brief statement of your history with Special Olympics.*
Please provide as much detail as possible.
Are you currently serving on a Special Olympics Committee? If yes, what is your role?*
Please provide as much detail as possible.
Have you done any public speaking; if so describe your experiences:*
Please provide as much detail as possible.
Do you have any specific dietary needs (Vegetarian, lactose intolerant, gluten free or other)?

*For in-person training only*
In case of emergency, please contact:
*For in-person training only*
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email

Speech Coach Information