DPLL Volunteer Packet Instructions - League Athletics
DPLL Volunteer Packet Instructions
Welcome to the 2018 season of Dos Pueblos Little League! This Volunteer Packet must be completed for ALL DPLL players. You must complete this packet even if you have been given this same packet for another child in DPLL. Below are some important instructions that will help everything run smoothly at the beginning of the season. Please write in your Team Name and Division. Example: Team Name - Dodgers Division - Majors Team Name __________________________ Division ________________________ Player Name _________________________ Please complete ALL the applicable forms (the version of the Volunteer Application you need to complete will depend on whether you are a new or a returning volunteer to DPLL) and turn the entire completed packet in to your Team Parent as soon as possible. All packets must be turned in completed, as a team, in order for uniforms to be distributed. If you have any questions regarding this packet, please contact your Team Parent. Please use the following checklist to ensure you have everything complete before turning it in to your Team Parent:
ü DPLL Volunteer Form ü Medical Release Form (stays with Manager at all times) ü Little League “Returning” Volunteer Application 2018 (returning volunteers ONLY) OR ü Little League Volunteer Application 2018 (Background Check for new volunteers – must provide copy of Driver’s License AND Social Security Number) We want to ensure the safety of all players. Little League International requires background checks for all Volunteers. You only need to fill out one of the Volunteer Applications depending on whether you are a returning volunteer or are a brand new volunteer for DPLL. If you have any questions regarding the background check process, please email the DPLL Saftey Officer, Sergio Caballero at [email protected]. A $100 Volunteer Fee is required for each player. This fee will be refunded at the end of the season after the family’s volunteer activity has been completed and confirmed. Please enclose a $100 check for each player in the provided envelope.
Keep packet stapled together. Turn in to your Team Parent.
DPLL Volunteer Form A $100 Volunteer Fee is required for each player. This fee will be refunded after the family’s volunteer activity has been completed and confirmed. Indicate your top two choice(s) below. Team Parent, Coach, Scorekeeper & Umpires are usually assigned by the Manager. Families who are unable to volunteer may select option 10 below, in which case DPLL will keep your $100 Volunteer Fee. This form must be turned in to the Team Parent. No uniforms will be distributed until all forms are completed. For more information about each volunteer position, please see the DPLL website – DPLL.net
Player’s Name __________________________________
Division __________________________
Check Two
Volunteer Name
1.
Board of Directors
2.
Manager (max 1 per team)
3.
Coach (max 2 per team; 4 per Tball team)
4.
Team Parent
5.
Umpire (min 2 per team; min 6 games - Farm, Minors, Majors or Juniors)
6.
Scorekeeper (max 2 per team; min 7 games)
7.
Concession Stand (min 2 per team; min 5 x 3 hr shifts)
8.
Groundskeeper (max 3 per team; min 10 games)
9.
Not volunteering ($100 Volunteer Fee will be kept and deposited by DPLL)
************************************ DPLL Use Only ************************************* Volunteer Activity Confirmed by______________________________ Position ___________________________ Team _________________________________________________ Division ___________________________ Vol Fee (check one): ____ To be refunded ____ Gifted to DPLL ____ Forfeited to DPLL ____ Never collected Date check was returned ______________ By whom? _____________________________ Comments: Distribution: Manager → Players' Families → Team Parent → Division Coordinator
®
NOTE: To be carried by any Regular Season or Tournament
Player: _____________________________________
Date of Birth: ____________ Gender (M/F):_________________
Home Phone:_____________________ Work Phone:______________________ Mobile Phone:_____________________
Family Physician: ____________________________________________ Phone: _________________________________ Address: __________________________________________ City:________________ State/Country:_________________
___________________________________________________________________________________________________ ___________________________________________________________________________________________________
Medical Diagnosis
Dosage
Date of last Tetanus Toxoid Booster: ______________________________________________________________________
League Name:_______________________________________________ League ID:________________________________
Little League ® “Returning” Volunteer Application - 2018
Do not use forms from past years. Use extra paper to complete if additional space is required. If you filled out a volunteer application last year and your league uses the background check tools provided by Little League International, please fill out the returning volunteer application. Otherwise, please use the standard volunteer application.
Please update ONLY the information in this section which has changed since last year.
1. Have you ever been convicted of or plead no contest or guilty to any crime(s) involving or against a minor? No If yes, describe each in full: ___________________________________ Yes _______________________________________________________________________
Address _____________________________________________________________________
2. Have you ever been convicted of or plead no contest or guilty to any crime(s) Yes No If yes, describe each in full: ________________________________________________
Work Phone: __________________________ E-mail Address: _________________________
(Answering yes to question 2, does not automatically disqualify you as a volunteer.)
3. Do you have any criminal charges pending against you regarding any crime(s)? Yes No If yes, describe each in full: ________________________________________________ (Answering yes to question 3, does not automatically disqualify you as a volunteer.)
4. Have you ever been refused participation in any other youth programs? Yes No If yes, explain: ___________________________________________________________ _______________________________________________________________________ 5. In which of the following would you like to participate? (Check one or more.) League Official
Field Maintenance
Concession Stand
Coach
Manager
Other
Umpire
Scorekeeper
Name _______________________________________________________________________ First
Last
... City _________________________________ State ____________________ Zip ___________
Home Phone: _________________________ Cell Phone _____________________________ Driver’s License#: _____________________________________________________________ Occupation: __________________________________________________________________ Employer: ___________________________________________________________________ Address: ____________________________________________________________________ Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program: Name/Phone _____________________________________ / _____________________________________ _____________________________________ / _____________________________________ _____________________________________ / _____________________________________ Special professional training, skills, hobbies: ____________________________________________________________________________
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 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.
Applicant Name (please print or type) ______________________________________________ Applicant Signature _________________________________________
Date ____________
If Minor/Parent Signature _____________________________________
Date ____________
Special Certifications (CPR, Medical, etc.): ____________________________________________________________________________ Special Affiliations (Clubs, Services Organizations, etc.) : ____________________________________________________________________________ ____________________________________________________________________________ Previous volunteer experience (including baseball/softball and years (s)): ____________________________________________________________________________ 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
LOCAL LEAGUE USE ONLY: Background check completed by league officer _______________________________ on
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.
___________________________
System(s) used for background check (minimum of one must be checked): Regulation I(c)(9) Mandates First Advantage or another provider that is comparable
*First Advantage
Last Updated: 1/3/2018
Middle
Sex Offender Registry Data along with National Criminal Records check of at least 281 million records
*Please be advised that if you use First Advantage and there is a name match in the few states where only name match searches can be performed you should notify volunteers that they will receive a letter directly from LexisNexis in compliance with the Fair Credit Reporting Act containing information regarding all the criminal records associated with the name, which may not necessarily be the league volunteer. Only attach to this application copies of background check reports that reveal convictions of this application.
Little League Volunteer Application - 2018 ®
Do not use forms from past years. Use extra paper to complete if additional space is required. A COPY OF VALID GOVERNMENT ISSUED PHOTO IDENTIFICATION MUST BE ATTACHED TO COMPLETE THIS APPLICATION.
Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program:
Name _________________________________________________________ Date _____________
Name/Phone
First
Middle
Last
Address ______________________________________________________________________
_____________________________________________________________________________ _____________________________________________________________________________
... City _________________________________ State ________________ Zip _____________
_____________________________________________________________________________
Social Security # (mandatory with First Advantage or upon request) ___________________________________________
Cell Phone ___________________________ Business Phone __________________________
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:
Home Phone: _________________________ E-mail Address: __________________________
http://www.littleleague.org/learn/programs/childprotection/state-laws-bg-checks.htm
Date of Birth __________________________________________________________________
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 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.
Occupation ___________________________________________________________________ Employer _____________________________________________________________________ Address ______________________________________________________________________ Special professional training, skills, hobbies: _________________________________________ _____________________________________________________________________________ Community affiliations (Clubs, Service Organizations, etc.):
_____________________________________________________________________________ Previous volunteer experience (including baseball/softball and year):
_____________________________________________________________________________ 1. Do you have children in the program? Yes No If yes, list full name and what level? _________________________________________ 2. Special Certification (CPR, Medical, etc.)?
(list)
Yes
If Minor/Parent Signature ___________________________________ Date _______________ Applicant Name(please print or type) ______________________________________________ _____________________________________________________________________________ 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.
No
3. Do you have a valid driver’s license? Driver’s License#: _________________________________
Applicant Signature ________________________________________ Date _______________
Yes No State ________________ ...
4. Have you ever been convicted of or plead no contest or guilty to any crime(s) involving or against a minor? If yes, describe each in full: ______________________________________ Yes No 5. Have you ever been convicted of or plead no contest or guilty to any crime(s) Yes No If yes, describe each in full: _________________________________________________ (Answering yes to question 5, does not automatically disqualify you as a volunteer.)
6. Do you have any criminal charges pending against you regarding any crime(s)? Yes No If yes, describe each in full: _________________________________________________ (Answering yes to question 6, does not automatically disqualify you as a volunteer.)
7. Have you ever been refused participation in any other youth programs? Yes No If yes, explain: ____________________________________________________________ ________________________________________________________________________ In which of the following would you like to participate? (Check one or more.) League Official Umpire Manager Concession Stand Coach Scorekeeper Other Field Maintenance
LOCAL LEAGUE USE ONLY: Background check completed by league officer _______________________________ on __________________________________________________________________ System(s) used for background check (minimum of one must be checked): Regulation I(c)(9) Mandates First Advantage or another provider that is comparable
* First Advantage
Sex Offender Registry Data along with National Criminal Records check of at least 281 million records
*Please be advised that if you use First Advantage and there is a name match in the few states where only name match searches can be performed you should notify volunteers that they will receive a letter directly from LexisNexis in compliance with the Fair Credit Reporting Act containing information regarding all the criminal records associated with the name, which may not necessarily be the league volunteer. Only attach to this application copies of background check reports that reveal convictions of this application.
Last Updated: 1/3/2018
Welcome to the 2018 season of Dos Pueblos Little League! This Volunteer Packet must be completed for ALL DPLL players. You must complete this packet even if you have been given this same packet for another child in DPLL. Below are some important instructions that will help everything run smoothly at the beginning of the season. Please write in your Team Name and Division. Example: Team Name - Dodgers Division - Majors Team Name __________________________ Division ________________________ Player Name _________________________ Please complete ALL the applicable forms (the version of the Volunteer Application you need to complete will depend on whether you are a new or a returning volunteer to DPLL) and turn the entire completed packet in to your Team Parent as soon as possible. All packets must be turned in completed, as a team, in order for uniforms to be distributed. If you have any questions regarding this packet, please contact your Team Parent. Please use the following checklist to ensure you have everything complete before turning it in to your Team Parent:
ü DPLL Volunteer Form ü Medical Release Form (stays with Manager at all times) ü Little League “Returning” Volunteer Application 2018 (returning volunteers ONLY) OR ü Little League Volunteer Application 2018 (Background Check for new volunteers – must provide copy of Driver’s License AND Social Security Number) We want to ensure the safety of all players. Little League International requires background checks for all Volunteers. You only need to fill out one of the Volunteer Applications depending on whether you are a returning volunteer or are a brand new volunteer for DPLL. If you have any questions regarding the background check process, please email the DPLL Saftey Officer, Sergio Caballero at [email protected]. A $100 Volunteer Fee is required for each player. This fee will be refunded at the end of the season after the family’s volunteer activity has been completed and confirmed. Please enclose a $100 check for each player in the provided envelope.
Keep packet stapled together. Turn in to your Team Parent.
DPLL Volunteer Form A $100 Volunteer Fee is required for each player. This fee will be refunded after the family’s volunteer activity has been completed and confirmed. Indicate your top two choice(s) below. Team Parent, Coach, Scorekeeper & Umpires are usually assigned by the Manager. Families who are unable to volunteer may select option 10 below, in which case DPLL will keep your $100 Volunteer Fee. This form must be turned in to the Team Parent. No uniforms will be distributed until all forms are completed. For more information about each volunteer position, please see the DPLL website – DPLL.net
Player’s Name __________________________________
Division __________________________
Check Two
Volunteer Name
1.
Board of Directors
2.
Manager (max 1 per team)
3.
Coach (max 2 per team; 4 per Tball team)
4.
Team Parent
5.
Umpire (min 2 per team; min 6 games - Farm, Minors, Majors or Juniors)
6.
Scorekeeper (max 2 per team; min 7 games)
7.
Concession Stand (min 2 per team; min 5 x 3 hr shifts)
8.
Groundskeeper (max 3 per team; min 10 games)
9.
Not volunteering ($100 Volunteer Fee will be kept and deposited by DPLL)
************************************ DPLL Use Only ************************************* Volunteer Activity Confirmed by______________________________ Position ___________________________ Team _________________________________________________ Division ___________________________ Vol Fee (check one): ____ To be refunded ____ Gifted to DPLL ____ Forfeited to DPLL ____ Never collected Date check was returned ______________ By whom? _____________________________ Comments: Distribution: Manager → Players' Families → Team Parent → Division Coordinator
®
NOTE: To be carried by any Regular Season or Tournament
Player: _____________________________________
Date of Birth: ____________ Gender (M/F):_________________
Home Phone:_____________________ Work Phone:______________________ Mobile Phone:_____________________
Family Physician: ____________________________________________ Phone: _________________________________ Address: __________________________________________ City:________________ State/Country:_________________
___________________________________________________________________________________________________ ___________________________________________________________________________________________________
Medical Diagnosis
Dosage
Date of last Tetanus Toxoid Booster: ______________________________________________________________________
League Name:_______________________________________________ League ID:________________________________
Little League ® “Returning” Volunteer Application - 2018
Do not use forms from past years. Use extra paper to complete if additional space is required. If you filled out a volunteer application last year and your league uses the background check tools provided by Little League International, please fill out the returning volunteer application. Otherwise, please use the standard volunteer application.
Please update ONLY the information in this section which has changed since last year.
1. Have you ever been convicted of or plead no contest or guilty to any crime(s) involving or against a minor? No If yes, describe each in full: ___________________________________ Yes _______________________________________________________________________
Address _____________________________________________________________________
2. Have you ever been convicted of or plead no contest or guilty to any crime(s) Yes No If yes, describe each in full: ________________________________________________
Work Phone: __________________________ E-mail Address: _________________________
(Answering yes to question 2, does not automatically disqualify you as a volunteer.)
3. Do you have any criminal charges pending against you regarding any crime(s)? Yes No If yes, describe each in full: ________________________________________________ (Answering yes to question 3, does not automatically disqualify you as a volunteer.)
4. Have you ever been refused participation in any other youth programs? Yes No If yes, explain: ___________________________________________________________ _______________________________________________________________________ 5. In which of the following would you like to participate? (Check one or more.) League Official
Field Maintenance
Concession Stand
Coach
Manager
Other
Umpire
Scorekeeper
Name _______________________________________________________________________ First
Last
... City _________________________________ State ____________________ Zip ___________
Home Phone: _________________________ Cell Phone _____________________________ Driver’s License#: _____________________________________________________________ Occupation: __________________________________________________________________ Employer: ___________________________________________________________________ Address: ____________________________________________________________________ Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program: Name/Phone _____________________________________ / _____________________________________ _____________________________________ / _____________________________________ _____________________________________ / _____________________________________ Special professional training, skills, hobbies: ____________________________________________________________________________
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 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.
Applicant Name (please print or type) ______________________________________________ Applicant Signature _________________________________________
Date ____________
If Minor/Parent Signature _____________________________________
Date ____________
Special Certifications (CPR, Medical, etc.): ____________________________________________________________________________ Special Affiliations (Clubs, Services Organizations, etc.) : ____________________________________________________________________________ ____________________________________________________________________________ Previous volunteer experience (including baseball/softball and years (s)): ____________________________________________________________________________ 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
LOCAL LEAGUE USE ONLY: Background check completed by league officer _______________________________ on
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.
___________________________
System(s) used for background check (minimum of one must be checked): Regulation I(c)(9) Mandates First Advantage or another provider that is comparable
*First Advantage
Last Updated: 1/3/2018
Middle
Sex Offender Registry Data along with National Criminal Records check of at least 281 million records
*Please be advised that if you use First Advantage and there is a name match in the few states where only name match searches can be performed you should notify volunteers that they will receive a letter directly from LexisNexis in compliance with the Fair Credit Reporting Act containing information regarding all the criminal records associated with the name, which may not necessarily be the league volunteer. Only attach to this application copies of background check reports that reveal convictions of this application.
Little League Volunteer Application - 2018 ®
Do not use forms from past years. Use extra paper to complete if additional space is required. A COPY OF VALID GOVERNMENT ISSUED PHOTO IDENTIFICATION MUST BE ATTACHED TO COMPLETE THIS APPLICATION.
Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program:
Name _________________________________________________________ Date _____________
Name/Phone
First
Middle
Last
Address ______________________________________________________________________
_____________________________________________________________________________ _____________________________________________________________________________
... City _________________________________ State ________________ Zip _____________
_____________________________________________________________________________
Social Security # (mandatory with First Advantage or upon request) ___________________________________________
Cell Phone ___________________________ Business Phone __________________________
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:
Home Phone: _________________________ E-mail Address: __________________________
http://www.littleleague.org/learn/programs/childprotection/state-laws-bg-checks.htm
Date of Birth __________________________________________________________________
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 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.
Occupation ___________________________________________________________________ Employer _____________________________________________________________________ Address ______________________________________________________________________ Special professional training, skills, hobbies: _________________________________________ _____________________________________________________________________________ Community affiliations (Clubs, Service Organizations, etc.):
_____________________________________________________________________________ Previous volunteer experience (including baseball/softball and year):
_____________________________________________________________________________ 1. Do you have children in the program? Yes No If yes, list full name and what level? _________________________________________ 2. Special Certification (CPR, Medical, etc.)?
(list)
Yes
If Minor/Parent Signature ___________________________________ Date _______________ Applicant Name(please print or type) ______________________________________________ _____________________________________________________________________________ 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.
No
3. Do you have a valid driver’s license? Driver’s License#: _________________________________
Applicant Signature ________________________________________ Date _______________
Yes No State ________________ ...
4. Have you ever been convicted of or plead no contest or guilty to any crime(s) involving or against a minor? If yes, describe each in full: ______________________________________ Yes No 5. Have you ever been convicted of or plead no contest or guilty to any crime(s) Yes No If yes, describe each in full: _________________________________________________ (Answering yes to question 5, does not automatically disqualify you as a volunteer.)
6. Do you have any criminal charges pending against you regarding any crime(s)? Yes No If yes, describe each in full: _________________________________________________ (Answering yes to question 6, does not automatically disqualify you as a volunteer.)
7. Have you ever been refused participation in any other youth programs? Yes No If yes, explain: ____________________________________________________________ ________________________________________________________________________ In which of the following would you like to participate? (Check one or more.) League Official Umpire Manager Concession Stand Coach Scorekeeper Other Field Maintenance
LOCAL LEAGUE USE ONLY: Background check completed by league officer _______________________________ on __________________________________________________________________ System(s) used for background check (minimum of one must be checked): Regulation I(c)(9) Mandates First Advantage or another provider that is comparable
* First Advantage
Sex Offender Registry Data along with National Criminal Records check of at least 281 million records
*Please be advised that if you use First Advantage and there is a name match in the few states where only name match searches can be performed you should notify volunteers that they will receive a letter directly from LexisNexis in compliance with the Fair Credit Reporting Act containing information regarding all the criminal records associated with the name, which may not necessarily be the league volunteer. Only attach to this application copies of background check reports that reveal convictions of this application.
Last Updated: 1/3/2018
