Volunteer Application – CrusaderBall – Modesto Christian Youth Baseball League

Volunteer Youth Coach Application

First

Last

Date of Birth

Drivers License #

Previous (or Maiden) Name

Volunteering For

Player Name(s)

Current Address

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

First Aid Training?

CPR Training?

Have You Played This Sport?

How would you describe yourself as a youth sports coach?

What is your coaching philosophy?

Are you willing to take direction from Crusaderball Coordinators?

Are you willing to enforce and promote the Crusaderball Code of Ethics for Coaches, Players, and Parents?

Background Screening Application

Crusaderball Volunteer Coach Application All volunteers or employees whose position requires routine access to children must be screened by Backgroundchecks.com. Your signature on this application signifies that you agree to allow Backgroundchecks.com or an assigned agency to perform a criminal background screening. This screening will include a review of sex offender registries, child abuse, and criminal history records. I herby release and hold harmless from liability Crusaderball, the officers, employees, agents, volunteers thereof, and any other person or organization that may provide such information in accordance with the laws of the United States. I further understand that previous acceptance as a Crusaderball Youth Coach/Volunteer does not obligate Crusaderball to accept my current application. I. I have not been convicted (including crimes the record of which has been expunged or pleas of “no contest”), disciplined, or discharged from employment for committing or attempting to commit crimes in the area of: • Child abuse • Sexual abuse of a minor • Physical abuse • Murder • Manslaughter • Felony assault • Kidnapping • Arson • Criminal sexual conduct • Neglect of a child • Abuse causing a child’s death • Prostitution related crimes • Child pornography • Child exploitation • Controlled substance crimes • Juvenile prostituting or pimping II. I have not been convicted of any offense in any other state or against the laws of the United States which if committed or attempted in this state would have been punishable as one or more of the foregoing enumerated offenses. III. I have not been adjudged liable for civil penalties or damages involving sexual or physical abuse of children. IV. I have not been subjected to any court order involving any sexual abuse or physical abuse of a minor, including but not limited to domestic order for protection. V. I have not ever had my parental rights terminated. VI. I understand that I have an ongoing obligation as a volunteer of this organization to promptly report any conviction in those areas described above. (If you have committed or attempted to commit any of these crimes, please explain the circumstance related to the situation on a separate sheet of paper.)