International Family Leadership & Support Summit Application
First/Given Name*:
Last/Family Name*:
Home Address*:
Address:(optional)
City*:
State/Province:(optional)
Country*:
Postal:(optional)
Home Phone*:	()
Email*:
Gender*:	Male Female
Section I: Getting to know you
How many years have you been involved with Special Olympics?*
What is your relationship to a Special Olympics Athlete?*
How have you been involved with Special Olympics? (Check all that apply)*	Coach Volunteer Organizer Board Member Family Coordinator Other (Specify below)
If Other, specify (optional)
Do you know or have you studied any language other than English?*	Yes No
Language:	Number of Years Studied or Spoken:(optional)
Section II: Essays
1. Describe how you have improved your local or state/national Special Olympics Program for athletes and their families. (No more than 200 words)*
2. Describe your greatest accomplishment that improved the lives of people with intellectual disabilities in your community, your state/province, your nation, or the world. (No more than 200 words)*
3. Explain why you should be a delegate to the International Family Leadership & Support Summit. Include your ideas about how to effectively work with other Special Olympics family leaders from your region and around the world. What would you do to improve the Special Olympics experience for athletes and families in your region? (No more than 300-400 words)*