Cactus Foothills North Online Volunteer Application

PERSONAL INFORMATION

First Name (Required)

Last Name (Required)

Home Address (Required)

City (Required)

State (Required)

Zip Code (Required)

Date of Birth (Required)

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Occupation (Required)

Employer (Required)

Employer's Address (Required)

CONTACT INFORMATION

Cell Phone (Required)

Daytime Phone (Required)

Evening Phone (Required)

E-Mail Address (Required)

TRAINING AND CERTIFICATIONS

Special Professional Training, Skills, and/or Hobbies (Required)

Community Affiliations (Required)

Clubs, service organizations, etc

Previous Volunteer Experience (Required)

Including baseball, girls softball, other plus year of service

Do you have children in the program? (Required)

Yes
No

If yes to previous, list full name and level

For example, John Doe Jr - tee ball level

Special Certifications (Required)

CPR, medical, etc

DRIVER'S LICENSE INFORMATION

Do you have a valid driver's license? (Required)

IMPORTANT: A photocopy of your driver's license may be requested for identify verification and mandatory background check purposes. If requested, volunteers are REQUIRED to provide a photocopy.

Yes
No

State that Issued the Driver's License to You (Required)

Please select the state that issued your driver's license.

Driver's License Number (* Required Upon Request *) (Required)

Your Driver's License Number is NOT required at this point. The Driver's License Number will only be requested and used by background check service providers if there is an issue or question that needs to be resolved due to some information that may appear on the background check. In those cases, Cactus Foothills North Little League will require your Driver's License Number to verify your identity. To clear up any issues, anyone that wishes to manage or assistant coach in the League must provide the Driver's License Number if so requested by the League. There are no exceptions.

I agree to provide my Driver's License Number to Cactus Foothills North if requested for identity verification purposes.

PERSONAL HISTORY

Have you ever been convicted of or plead guilty to any crime(s)? (Required)

Yes
No

If YES to the previous question on crime(s), describe each in full

Have you ever been refused participation in any other youth program? (Required)

Yes
No

If YES to the previous question on youth program participation, explain

PERSONAL REFERENCES

Please list three references - at least one of which has knowledge of your participation as a volunteer in a youth program (include full name and phone #) (Required)

Include the full name and phone #s for all three references - one reference and their phone # per row.

ELECTRONIC SIGNATURE AND AUTHORIZATION

Electronic Signature and Authorization (PLEASE READ) - INITIALS ONLY (Required)

As a condition of volunteering, I give permission for the Little League organization to conduct a background check on me, which may include a review of sex offender registries, 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 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. My initials and full name as noted below serve as official proof of my ACCEPTANCE OF TERMS and AUTHORIZATION as noted herein.

Applicant Name (Required)

Date (Required)

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