B Volunteer Form B Volunteer/Interest Online Form This form, including the Authorization and Release for a criminal background check on the reverse side, must be completed prior to participation by all persons 18 years or older who wish to volunteer for Special Olympics New Mexico. Volunteer positions include, but are not limited to, coaches, chaperones, mentors, local coordinators, heads of delegation, overnight hosts, Unified partners, drivers and/or positions that otherwise result in a manner of regular close contact with Special Olympics athletes which include most Local Program Volunteers.Name First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Address Primary EmailHomeWorkWould you like to receive our monthly e-newsletter with updates on volunteer opportunities, special events and upcoming competitions? Yes No I am affiliated with the following organization, company or school:I would like volunteer information for:CompetitionsState Poly Hockey (February, in Farmington)State Summer Games (May/June, in Albuquerque)Four Corners Invitational (August, in Farmington)State Equestrian (September, in Clovis)Holiday Classic (October, in Las Cruces)Area and State Bowling Competitions (October/November, in Albuquerque)Unified Sports (Sports that partner SONM athletes with partners without disabilities)FundraisingGolf Classic - July 9thSanta Shuffle & Posole Ole Fun Walk - December 1stCoachingAquaticsBasketballBocce BallBowlingEquestrianFlag FootballGolfPoly Hockey (Floor Hockey)SoftballTrack & FieldVolleyballOtherOffice SupportI grant Special Olympics New Mexico permission to use my likeness, voice and words in television, radio, film or any form to promote activities of Special Olympics.Review CHECK HERE to certify that you have read and understand the above statements and that all information you have provided is to your knowledge true and accurate. Upon submittal of this form your information will be sent to Special Olympics of New Mexico for review. Thank you for your interest!