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: (____)______

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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?

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How old were you when you first competed in Special Olympics?

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Name three waysSpecial Olympics has changed your life?

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What do you do when not playing sports?

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What is the biggest challenge you’ve had to overcome? (overcoming any extreme social, cultural or societal adversity?)

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Describe your family’s involvement with Special Olympics.

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Do you have any other family members with intellectual disabilities? Yes ____ No ____

If so, please give describe further.

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Sport Questions

What sport and events will you compete in at the 2015 World Games?

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If you play in a Unified Sports pair or as an individual athlete, what is your favorite story to tell about playing Unified Sports?

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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: ______

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Favorite athlete: ______

Have you participated in any mainstream sports competitions? If so, please include:

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What attracted you to your sport?

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How do you feel when you play it?

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What is your favorite part about it?

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What is the hardest part about playing it?

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Can you provide your Personal Best for the sport(s) in which you competed in?

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What is your biggest sport achievement?

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School/Work & Hobbies

Do you work?(circle) Yes No

Where and what is your job?

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What are your hobbies?

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Who is your favorite celebrity?

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What do you know about Los Angeles?

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Questions for parent(s)/coach

Give an example of the athlete’s courage.

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How would you describe his or her personality? e.g. shy, outgoing, humble, ambitious, etc.

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What is his or her role off the field with the team?

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How does the athlete handle victory and defeat?

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How would the athlete feel speaking in front of a video camera?

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If the story of your athlete’s life were to be written, what is the one thing that can’t be left out?

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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)

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