VAMC Adaptive Sports Survey 2026/27

Move United /

VAMC Adaptive Sports Training Needs Survey 2026/27

Full Name of VA Medical Center or DOD Facility*
VAMC or DOD Facility Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Point of Contact Name*
Title*
Email*
Phone*
Secondary Contact Name:
Title of Secondary Contact
Email of Secondary Contact
Adaptive Sports Training Needs*
Check all that apply
- Hosting an adaptive sports training at my facility
- Hosting an adaptive sports informational expo
- Attending an adaptive sports training in my region
- Attending national adaptive sports trainings
- Online adaptive sports training
Please provide a list of facilities, or local partners, where training(s) or an expo could be hosted (if applicable):*
Include a list of any relevant amenities, details, size of site, and whether on-site or off-site (i.e. multi-use indoor court space with 3 basketball courts and 2 wheelchair ramps)
Please describe the adaptive sports training needs*
Use this space to describe the type of training(s) needed. Is it for your personal development or to create a new sport opportunity at your VAMC or DOD facility? Do you have the support of staff and leadership at your VAMC or DOD facility to offer the sport(s) you are interested in? Does your VAMC or DOD facility offer the sport already or will this be a new activity for your facility? How many Veterans have expressed interest in the sport(s) listed?
Do you have the support of your VAMC or DOD Facility to provide this sport after the training?*
- Yes
- No
- Using the training to evaluate
Please list any equipment related to the sport(s) that would be needed to support the on-going continuation of the program after the training*
For example, if we train 10 providers for air rifle, list any known equipment needs to successfully conduct an ongoing program (i.e: 4 air rifles, storage case, targets, rests, etc.)
Other adaptive sports needs
Please use this space to describe any other adaptive sport(s) needs your VAMC or DOD facility may have that you would like Move United know about
Have you been in recent contact with a Move United or representative of the desired sport?*
If you answered "yes" to the question above, please provide who and what organization.
Please attach your support letter(s) here:*
Move United may include your site within its 2026-2027 Adaptive Sports Training grant proposal. A letter of support is required for us to include your facility.
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Example of VAMC Letter of Support:

Letter of support template language

VAMC Adaptive Sports Survey 2026/27

VAMC Adaptive Sports Training Needs Survey 2026/27

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