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Volunteer Application

Little League® Volunteer Application - 2017

* First Name:

* Last Name:

* Address:

* City:

* State:

* Zip Code:

* Social Security Number - MANDATORY:

* Phone No:

Cell Phone:

* Date of Birth:

Occupation:

Employer:

Employer Address:

Special professional training, skills, hobbies:

Community affiliations (Clubs, Service Organizations, etc.):

Previous volunteer experience (including baseball/softball and year):

Special Certification (CPR, Medical, etc.):

Do you have children in the program?:

If yes, list full name and level:

Do you have a valid driver’s license:

Driver’s License# & Issue State:

* Have you ever been convicted of or plead guilty to any crime(s) involving or against a minor?:

If yes, describe each in full:

* Are there any criminal charges pending against you regarding any crime(s) involving or against a minor?:

If yes, describe each in full:

* Have you ever been refused participation in any other youth programs?:

If yes, explain:

Which of the following would you like to participate? (Check one or more)

League Official

Manager

Assistant Coach

Umpire

Field Maintenance

Scorekeeper

Concession Stand

Team Parent

Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program:

* Name/Phone #1:

* #2:

#3:

Comments, requests, questions etc:

IF YOU LIVE IN A STATE THAT REQUIRES A SEPARATE BACKGROUND CHECK BY LAW, PLEASE ATTACH A COPY OF THAT STATE’S BACKGROUND CHECK. FOR MORE INFORMATION ON STATE LAWS, VISIT OUR WEBSITE:

http://www.littleleague.org/learn/programs/childprotection/state-laws-bg-checks.htm

AS A CONDITION OF VOLUNTEERING, I give permission for the Little League organization to conduct background check(s) on me now and as long as I continue to be active with the organization, which may include a review of sex offender registries (some of which contain name only searches which may result in a report being generated that may or may not be me), child abuse and criminal history records. I understand that, if appointed, my position is conditional upon the league receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability the local Little League, Little League Baseball, Incorporated, the officers, employees and volunteers thereof, or any other person or organization that may provide such information. I also understand that, regardless of previous appointments, Little League is not obligated to appoint me to a volunteer position. If appointed, I understand that, prior to the expiration on of my term, I am subject to suspension by the President and removal by the Board of Directors for violation of Little League policies or principles.

I have read, agree and consent to the above *

NOTE: The local Little League and Little League Baseball, Incorporated will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability.

* indicates required fields

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Volunteer Application