Volunteer / Coaches Application
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
-
Area Code
Phone Number
Secondary Phone Number (Mobile)
-
Area Code
Phone Number
Email
*
example@example.com
Have you ever volunteer coached with us before?
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Yes
No
If you have volunteered with SLARA previously, when did you volunteer?
Please choose a shirt size
*
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
What hours are you available to work?
What dates are you available to work?
What is the last date you are available to work?
List prior addresses and dates of residences for the past 5 years
Have you ever been convicted or plead guilty to a criminal misdemeanor, felony, sexual offense or crime involving controlled substances?
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Yes
No
If yes, list the offenses along with Date(s) of conviction/plea and the State/City/Name of Court
What position are you applying for?
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Coach
Assistant Coach
Special Event Volunteer
Sport Official
What season are you applying for?
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Fall
Winter
Spring/Summer
Year Round
If coaching, what sport are you coaching?
Basketball
Volleyball
Soccer
If you plan to have an assistant or a coach with you, please fill out the information below
Name, Phone Number, Email
If you have a child you would like to coach, please fill out the information below
Child's Name, Grade and School
As a volunteer, you agree to the following: To follow the SLARA Code of Conduct, To treat each participant, opposing coach, official, parent & league administrator with respect and dignity, To do my best to learn the fundamental skills, rules, teaching and evaluation techniques and strategies of my sport, To uphold the authority of officials who are assigned to the contests in which I coach and will assist them in every way to conduct fair and impartial competitive contests, To conduct my program so that all participants have an opportunity to greatly improve their skill level or active participation, To communicate to my participants and their parents the rights and responsibilities of the individual, To cooperate with the administrators of our organization in their enforcement of rules, regulations and program philosophy, and I will report any irregularities that violate sound competitive or ethical practices or situations which may be deemed questionable or not in the best interest of participants, To protect the health and safety of my players by insisting that all of the activities under my control are conducted for their psychological and physiological welfare, rather than for the vicarious interests of adults. I will report all injuries to parents and administrators as required, To have two adults present at all times whenever possible, To return all equipment provided at the end of the season and report any defective equipment immediately.
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I AGREE
I agree to hearby authorize the SLARA and give my consent to a criminal history check by the state and/or local police, and I understand that criminal history record information will be provided to SLARA and it's administrators for the purpose of evaluating my qualifications for any volunteer positions.
*
I AGREE
Today's Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Information Needed for Background Check
What is your ethnicity?
*
American Indian or Alaskan Native
Asian or Pacific Islander
African American
Caucasian
Unknown/Other
What is your gender
*
Male
Female
Other
Submit
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