PLEASE RETURN TO Christy White - Phone: +1-202-824-0307
or +1-202-824-0354 (fax)
2015 World Games Athlete Profile Form
***Please include a picture of the athlete (headshot and photo of athlete competing)
Name: ______Age: ____ Date of Birth: ______
Parent/Guardian: ______Preferred contact: ______
Address: ______Email: ______
______Phone: (____)______
______
Coach’s name: ______Coach’s phone: (____)______
Coach’s email: ______
Intellectual Disability: ______
Ethnicity: ______
Which language(s) do you speak?
What is your first/dominant language? ______
Number of total family members: _____ Brothers: ______Sisters: ______
General Questions:
How did you first find out about Special Olympics?
______
______
How old were you when you first competed in Special Olympics?
______
______
Name three waysSpecial Olympics has changed your life?
______
______
______
______
______
What do you do when not playing sports?
______
______
______
What is the biggest challenge you’ve had to overcome? (overcoming any extreme social, cultural or societal adversity?)
______
______
______
______
Describe your family’s involvement with Special Olympics.
______
______
______
______
Do you have any other family members with intellectual disabilities? Yes ____ No ____
If so, please give describe further.
______
______
Sport Questions
What sport and events will you compete in at the 2015 World Games?
______
If you play in a Unified Sports pair or as an individual athlete, what is your favorite story to tell about playing Unified Sports?
______
Years playing: ______
At what age did you begin playing it? _____
How often do you play it? ______
How do you train for your sport? ______
How many teams do you play on? ______
League names: ______
______
Favorite athlete: ______
Have you participated in any mainstream sports competitions? If so, please include:
______
What attracted you to your sport?
______
______
______
How do you feel when you play it?
______
______
______
What is your favorite part about it?
______
______
What is the hardest part about playing it?
______
______
______
Can you provide your Personal Best for the sport(s) in which you competed in?
______
______
What is your biggest sport achievement?
______
______
______
School/Work & Hobbies
Do you work?(circle) Yes No
Where and what is your job?
______
What are your hobbies?
______
Who is your favorite celebrity?
______
What do you know about Los Angeles?
______
Questions for parent(s)/coach
Give an example of the athlete’s courage.
______
______
______
How would you describe his or her personality? e.g. shy, outgoing, humble, ambitious, etc.
______
______
______
What is his or her role off the field with the team?
______
______
______
How does the athlete handle victory and defeat?
______
______
______
How would the athlete feel speaking in front of a video camera?
______
If the story of your athlete’s life were to be written, what is the one thing that can’t be left out?
______
Please feel free to write any other information you would like us to know to tell your story: (Feel free to use the back of this paper or write more below)
______
______