King William Little League Volunteer Application
King William Little League Volunteer Application Name Address City State Home Phone Cell Phone Date of Birth SS* Occupation F.rnployer Special professional training, skills, hobbies:
Date
Please list three references, at least one which has knowledge of your participation as a volunteer in a youth program. Name Phone
Zip -
-
As a condition of volunteering, I give permission for King William 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 King William Little League, Little League Baseball Inc., the 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.
Special certification (CPR, medical, etc.) Community affiliations: Previous volunteer experience: Do you have a valid driver's license- Yes _ No Driver's License # Have you ever been convicted of; or plead guilty to any crime(s)? Yes No If yes, describe each in full:
State Applicant Signature
Date
Applicant Name (printed)
Have you ever been refused participation in any youth programs? Yes No If yes, explain:
NOTE: King William Little League, Little League Baseball Inc., will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability.
If you have children in the program, list name and division level participating in. name
division
name
division
name
division
name
division
In which of the following would you like to participate? (check one or more) Manager/Umpire Team Parent
E- Mail address
White: League President
Coach/Umpire Field Maintenance
(league use only)
Local League Use Only
4,......,
Division Levels Teeball/ Baseball /Softball 7-8 9-10 11-12 13-14 15-16
Background check completed by King William Little League officer: Signature Date System(s) used for background check (minimum of one must be checked) Sex Offender Registry Criminal History Records
player's name Yellow: Coaching Coordinator
Pink: Umpire in Chief
Date
Please list three references, at least one which has knowledge of your participation as a volunteer in a youth program. Name Phone
Zip -
-
As a condition of volunteering, I give permission for King William 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 King William Little League, Little League Baseball Inc., the 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.
Special certification (CPR, medical, etc.) Community affiliations: Previous volunteer experience: Do you have a valid driver's license- Yes _ No Driver's License # Have you ever been convicted of; or plead guilty to any crime(s)? Yes No If yes, describe each in full:
State Applicant Signature
Date
Applicant Name (printed)
Have you ever been refused participation in any youth programs? Yes No If yes, explain:
NOTE: King William Little League, Little League Baseball Inc., will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability.
If you have children in the program, list name and division level participating in. name
division
name
division
name
division
name
division
In which of the following would you like to participate? (check one or more) Manager/Umpire Team Parent
E- Mail address
White: League President
Coach/Umpire Field Maintenance
(league use only)
Local League Use Only
4,......,
Division Levels Teeball/ Baseball /Softball 7-8 9-10 11-12 13-14 15-16
Background check completed by King William Little League officer: Signature Date System(s) used for background check (minimum of one must be checked) Sex Offender Registry Criminal History Records
player's name Yellow: Coaching Coordinator
Pink: Umpire in Chief
