VOLUNTEER APPLICATION

CENTRAL VALLEY Youth Football and Cheer

Coach/Board/Volunteer Application

Team Applying For

The CVYFC league will not discriminate against any person(s) seeking the opportunity to volunteer and participate in any capacity on the basis of race, creed, color, natural origin, marital status, sex, sexual orientation, or disability. Please Read All Terms and Conditions Carefully Purpose: This form allows the CVYFC executive board to follow a regimented process for the review and selection of volunteers to fill positions within the CVYFC executive board. Prior to any individual being appointed to a Volunteer position they must submit a completed application, agree to a background check/investigation and possibly interview with the CVYFC executive board for final approval of any appointment. Instructions: Please fill out this form in its entirety. Please submitScan for submission by email (preferred) or U.S. Postal Service. CVYFC executive board will consider and appoint candidates until all positions are filled.

POSITION VOLUNTEERING FOR:

FOOTBALL OR CHEER

WHAT LEVEL? - STARS, ROOKIES, JR VARSITY, VARSITY

HEAD COACH, ASSISTANT COACH or TEAM PARENT

Full Name

Preferred Name

Address

City

State

Zip

PHONE NUMBER

MOBILE OR HOME PHONE?

DRIVER LICENSE #

Issuing States

Date of Birth

Date

Expiration

Maiden/ALIAS/ALSO KNOWN AS

EMAIL

Shirt Size

Employer

Employment Information

City

Address

Zip code

State

Occupation

Position/Title

Work phone number

Please list any children you have playing football or cheering in the League this season

Name of Child #1

Date of Birth

Date

Level

Name of Child #2

Date of Birth

Date

Level

Name of Child #3

Date of Birth

Date

Level

Name of Child #4

Date of Birth

Date

Level

Volunteer Experience: Do you have any Youth Football or Cheer volunteer experience? Yes / No. lf so, please list the 3 most recent

Organization

Years

Organization

Years

Organization

Years

If possible, please provide at least two Youth Sports and/or volunteer organizationreferences:

Organization

Contact Name

Please provide at least three personal references:

Contact Name

Phone

Format: (000) 000-0000.

Contact Name

Phone

Format: (000) 000-0000.

Contact Name

Phone

Format: (000) 000-0000.

CRIMINAL BACKGROUND INQUIRY:

Please answer the following questions truthfully: Yes / No

1. Do you now, or have you ever, abused illegal substance or been convicted of a drug-related crime? YES/NO

2.Have you ever been convicted of a criminal offense? YES/NO

3. Have you ever been convicted of child neglect, child abuse or spousal abuse? YES/NO

4. Has your driver license ever been suspended or revoked within past 10 years? YES/NO

5. Are you currently or have you ever been indicted for substance or sexual abuse? YES/NO

6. Other than the above matters, is there any fact or circumstance involving you or your background that would call into question you being entrusted with the supervision, guidance, and caring of young people? YES/NO

Note: Attach a statement of explanation on a separate sheet of paper for any "yes' answer or for any question you did not understand or any question you do not know the answer.

Authorization to conduct a background check: By agreeing to these terms, I give my permission to CVYFC or their official designees to conduct a background check on me which may include a review of criminal and child abuse records maintained by governmental agencies. I understand that if appointed to a volunteer position, such position is conditional upon the CVYFC receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability the CVYFC organization, the officers, employees, volunteers and contractors thereof, or any other person or organization that may provide such Information. I also understand that regardless of previous appointments, I may not be appointed to a volunteer position. If appointed, I understand that, prior to the expiration of my term; I am subject to suspension by the Commissioner and removal by the Board of Directors. I hereby certify that to my knowledge the above information and required attachments are true and correct .I understand fraud or non-truthful answers to any of these questions can serve as the basis for finding me unsuitable for appointment to any position. I understand I may be prosecuted for perjury if my answers to questions 2 and 5 on the previous page (page 3) are not true. 1 hereby authorize the CVYFC, its officers, employees, volunteers and contractors to use this form to obtain information from records of the California State Police and/or any other Federal, State and Local government or law enforcement agency pursuant to completing abackground check regarding my criminal and child abuse history. I understand that CVYFC must notify me of any findings upon written request.

Authorization to conduct a background check

By signing this form below, you permit CVYFC to do a background investigation either by CVYFC officers, employees, volunteers and/or contractors.

Signature

Date