Girls Flag Football Coaches-PAL Volunteers Application

PAL VOLUNTEER APPLICATION
FORT MYERS PAL VOLUNTEER APPLICATION

GIRLS FLAG FOOTBALL COACHES
APPLICATION DATE*

MonthDayYear
Date
PAL POSITION APPLYING FOR*
Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CELL/HOME PHONE*
Format: (000) 000-0000.
EMAIL*
example@example.com
DATE OF BIRTH*

MonthDayYear
Date
EMPLOYER INFORMATION - If the applicant is an unemployed student but enrolled in school, list the school as the employer.
EMPLOYER
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
TITLE POSITION
YEARS WITH EMPLOYER
HAVE YOU EVER BEEN ARRESTED?*

YESNO
HAVE YOU EVER BEEN CONVICTED?*

YESNO
IF YES PLEASE EXPLAIN IN THE SPACE PROVIDED BELOW DESCRIBE THE NATURE OF THE CRIME DATE OF THE CONVICTION AND DISPOSITION CONVICTION OF A CRIME IS NOT AN AUTOMATIC DISQUALIFICATION FOR VOLUNTEER WORK
WHY DO YOU WANT TO BE A PAL VOLUNTEER?*
HOW WOULD YOU HELP THE PAL ORGANIZATION GROW?*
I understand that this is an application for and not a commitment or promise for a volunteer opportunity. I certify that I have and will provide information throughout the selection process, including the information provided on this application that is true, correct and complete to best of my knowledge. I understand that the information contained on my application will be verified by the Fort Myers Police Department. I understand that any omissions or misrepresentations may cause for my immediate rejection as an applicant for a volunteer position with the PAL Program and immediate termination as a volunteer.
DATE*

MonthDayYear
HAVE YOU BEEN INVOLVED IN OTHER ORGANIZATIONS? YES: IF "YES" PLEASE LIST ANY DETAILS IN THE SPACE PROVIDED.
IF YES PLEASE LIST ANY DETAILS IN THE SPACE PROVIDED
EDUCATION AND OR WORK EXPERIENCE RELEVANT TO THIS KIND OF SERVICE
DO YOU HAVE ANY SPECIAL TRAINING OR CERTIFICATIONS?

YESNO
SPECIAL TRAININGS OR CERTICATIONS

Cancelof
IF YES PLEASE LIST DETAILS IN THE SPACE PROVIDED
PLEASE LIST ANY SPECIAL INTERESTS HOBBIES OR SPORTS
HOW DID YOU LEARN ABOUT PAL*
HAVE YOU PREVIOUSLY VOLUNTEERED WITH THIS PAL ORGANIZATION OR ANY YOUTH ORGANIZATION IN THE PAST, IF SO PLEASE COMPLETE THE FOLLOWING INFORMATION BELOW: 1.) NAME IF ORGANIZATION 2.) YEARS WITH THE ORGANIZATION 3.) POSITION(S) WITH THE ORGANIZATION
DO YOU HAVE ANY COACHING, MANAGING OR OTHER SKILLS THAT ARE SPORTS RELATED: IF "YES" PLEASE LIST DETAILS IN THE SPACE PROVIDED.
REFERENCES

PLEASE PROVIDE (3) THREE REFERENCES - (PERSONAL OR PROFESSIONAL)
Name*

First NameLast Name
RELATIONSHIP*
PHONE
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name*

First NameLast Name
RELATIONSHIP*
PHONE
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name*

First NameLast Name
RELATIONSHIP*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE
Format: (000) 000-0000.
A criminal history will be completed as required by the Fort Myers Police Department. All of the information listed above is required and must be completed before the application is submitted. Any criminal charges listed on the application or discovered during the background check will be reviewed by the Police Athletic League (PAL) Board Executive Director and Program Director. Failure of the applicant to properly acknowledge a criminal history, can result in the denial of the application.
Applicant Signature*
DATE*

MonthDayYear
Date
Witness Name Signature
DATE

MonthDayYear
Date
Witness Name Print
Should be Empty:

PAL VOLUNTEER APPLICATION

FORT MYERS PAL VOLUNTEER APPLICATION

REFERENCES