Monthly reports are due for each month from September to June, with a Midterm report due in January and a Final Report in June.

The Midterm and Final reports take the place of the monthly reports for that year. The participation numbers included in the Midterm and Final reports should be for the total number of students that have participated for the time period in each category.

When reporting numbers for Physical Education please keep in mind that we do not want the total number of students in the school for students without disabilities even if your school has fully included PE. Estimate the number of students without disabilities that interact meaningfully within the total class as your reporting number.

There will be a hold put on grant funds if monthly reports are not kept up to date.

If you have questions, please contact the UCS team at ucs@sonj.org

BASIC INFORMATION

School Name

Grade Level

School Population (total # of students)

District Name

School Advisor Information

Please note: The same person should be reporting each month.

First Name

Last Name

Email

Midterm Review

Describe the greatest success you've had in implementing your Unified Club and Unified Sports programs.

Describe the greatest challenges you've had in implementing your Unified Club and Unified Sports programs.

In what ways can SONJ support you in reaching your goals for the remainder of the year?

Please report EXPERIENCE numbers for all activities
(experiences are non-unique/non-headcount numbers)

for the period from September 2021 through December 2021.

Unified Sports

Unified Sports: Competitive

The Unified Sports competitive model brings together students with and without ID of similar ages and athletic abilities to train and compete on the same team without modification of the official Special Olympics Sports Rules. School-based teams using this model often compete within an interscholastic athletics league, an intramural setting, or through Special Olympics tournaments (e.g. Fall Games).

Unified Sports: Player Development
The Unified Sports Player Development model brings together students with and without ID of similar ages, but not necessarily of similar abilities. Teammates of higher abilities serve in the role of mentors (as peers rather than as coaches), assisting teammates of lower abilities in developing sport-specific skills and tactics.

Did your students participate in:

Unified Sports: Competitive and/or Player Development?

YesNo

Competitive & Player Development

Experiences for the period from September through December 2020:

Count each competition for each player as one experience. In addition, count a season's worth of practices as an additional ONE experience for each player. If there is a final game or culminating event, count it as an additional experience per player.

	*# With Special Needs*	*# Without Special Needs*	*Competitive & Player Dev. TOTAL*
*Competitive & Player Development*

Unified PE

The Unified Sports Recreation model does not follow any specific training and competition requirements. Unified Physical Education (PE) falls under the Unified Recreation model and is a unique opportunity for students of varying ability levels and backgrounds to come together on equal terms through ongoing fitness, sports, leadership, and wellness activities within a school setting. Unified PE concepts can be incorporated into an existing PE course curriculum or used to develop a new course.

Did your students participate in:

Unified PE?

YesNo

Unified PE

Experiences for the period from September through December 2020:
Count one semester of Unified PE as ONE experience for each student.

	*# With Special Needs*	*# Without Special Needs*	*Unified PE TOTAL*
*Recreation: Unified PE*

Unified Fitness (excluding Unified PE)

Fitness refers to the state of optimal health and performance through adequate physical activity, nutrition, and hydration. This includes one or more Special Olympics fitness models and/or resources, or implementing a program created, school-based Unified fitness model/program.

Did your students participate in:

Unified Fitness (excluding PE)?

YesNo

Unified Fitness (excluding PE)

Experiences for the period from September through December 2020:
Count each activity for each student that participates as one experience.

	*# With Special Needs*	*# Without Special Needs*	*Unified Fitness TOTAL*
*Recreation: Unified Fitness*

Fitness models and/or resources implemented by the students at your school. Check all that apply.

Specify Other Fitness Initiative(s):

Young Athletes

Special Olympics Young Athletes (YA) is a sport and play program for children with and without ID, ages 2 to 7 years old. YA introduces basic sport skills, like running, kicking and throwing.

Did your students participate in:

Young Athletes (Non-Head Start)

Experiences for the period from September through December 2020:
Only count your school-based YA experiences, not including YA Head Start experiences.

	*# With Special Needs*	*# Without Special Needs*	*YA (non-Head Start) TOTAL*
*Young Athletes (not including Head Start)*

Young Athletes (Head Start)

Experiences for the period from September through December 2020:
Complete only if you are implementing Young Athletes programming through Head Start.

	*# With Special Needs*	*# Without Special Needs*	*YA (Head Start Only) TOTAL*
*Young Athletes (Head Start only)*

Unified Activities

Special Olympics Unified Sports refers to programming offered by Special Olympics bringing together people with and without ID through sport. Any other inclusive activity inspired by Special Olympics Unified Sports in schools, such as band, theater, social events, etc., is considered a Unified Activity.

Did your students participate in:

Unified Activities?

YesNo

Unified Activities

Experiences for the period from September through December 2020:
Count participation in a Unified Activity as one experience for each student. In addition, count a season's worth of "practices" as an additional ONE experience for each student. If there is a final culminating event, count it as an additional experience per student.

	# With Special Needs	# Without Special Needs	Unified Activities TOTAL
Unified Activities

Types of activities. Check all that apply:

Specify Other Unified Activities:

Unified Sports and Activities Delivery Method:

In PersonVirtualBoth

Inclusive Youth Leadership

Inclusive Youth Leadership (IYL)
Inclusive Youth Leadership (IYL) refers to students with and without ID working together to lead and plan advocacy, awareness, and other Special Olympics related inclusive activities throughout the school year. This includes: Best Buddies, Student Council and/or Honor Society, Unified Clubs and Youth Activation Committee (YAC).

Did your students participate in:

Inclusive Youth Leadership (IYL)?

YesNo

Inclusive Youth Leadership

Experiences for the period from September through December 2020:
Count student participation in each IYL club for each semester as one experience per student. Count each activity that the club implements as an additional one experience per student.

	# With Special Needs	# Without Special Needs	Inclusive Youth Leadership TOTAL
Inclusive Youth Leadership

Type(s) of IYL Activities Implemented. Check all that apply:

Specify Other IYL Types:

Inclusive Youth Leadership Delivery Method:

In PersonVirtualBoth

Whole School Engagement

Whole School Engagement (WSE)

WSE refers to awareness and education activities that promote inclusion and reach the majority of the school population. This includes: Fans in the Stands, Get Into It, Plunge and Other Fundraisers, Respect Rally or Unified Sports Pep Rally, Respect or Awareness Week, School-wide Spread the Word: Inclusion or R-word Pledge Drive and Unified Sports Days.

Did your students participate in:

Whole School Engagement (WSE)?

YesNo

Whole School Engagement

Activities for the period from September through December 2020:
Count each offering of a WSE activity (not the number of students attending).

	# of WSE Activities
Whole School Engagement

Type(s) of WSE Activities Implemented. Check all that apply:

Specify Other WSE Types:

Whole School Engagement Delivery Method:

In PersonVirtualBoth

Events

Please enter the date, type of event, and number of students exposed for all of your activities.

ex. 10/15/20, unified rec soccer tournament, #with - 10, #without - 12

	*Date*	*Type of Event*	*# With Special Needs*	*# Without Special Needs*
Event
Event
Event
Event
Event
Event

Summary

Please attach a summary of an experience or story from your Unified Champion School activities. Feel free to include pictures as well!