Little League Volunteer Application

This volunteer application should only be used if a league is manually entering information into JDP or an outside background check provider that meets the standards of Little League Regulations 1(c)9. THIS FORM SHOULD NOT BE COMPLETED IF A LEAGUE IS UTILIZING THE JDP QUICKAPP. Visit LittleLeague.org/localBGcheck for more information. A COPY OF VALID GOVERNMENT ISSUED PHOTO IDENTIFICATION MUST BE ATTACHED TO COMPLETE THIS APPLICATION.

Name(Required)

First Last

Date(Required)

Street(Required)

City(Required)

State(Required)

ZIP(Required)

Social Security(Required)

Cellphone

Business Phone

Work Phone

Email(Required)

Date of Birth(Required)

Occupation

Employer

Address

Special professional training, skills, hobbies

Community affiliations (Clubs, Service Organizations, etc.)

Previous volunteer experience (including baseball/softball and year

Do you have children in the program

Yes

Special Certification (CPR, Medical, etc.)?

Yes

If Yes, list full name and indicate level.

Name

Level

Do you have a valid driver's license?

Yes

Driver's License

State

Upload a front and back picture of your license

Drop files here or

Max. file size: 50 MB, Max. files: 2.

Have you ever been charged with, convicted of, plead no contest, or guilty to any crime(s) involving or against a minor, or of a sexual nature?

Yes

If Yes, describe each in full.

Have you ever been convicted of or plead no contest or guilty to any crime(s)?

Yes

If Yes, describe each in full. (Answering Yes does not automatically disqualify you as a volunteer.)

Do you have any criminal charges pending against you regarding any crime(s)?

Yes

If Yes, describe each in full. (Answering Yes does not automatically disqualify you as a volunteer.)

Have you ever been refused participation in any other youth programs and/or listed on any youth organization ineligible list?

Yes

If Yes, explain.

In which of the following would you like to participate? (Check one or more.

League Official

Umpire

Manager

Concession Stand

Coach

Field Maintenance

Score Keeper

If Other, Explain

Please list three (3) references, at least one of which has knowledge of your participation as a volunteer in a youth program

References1 Name

Phone

References2 Name

Phone

References3 Name

Phone

IF YOU LIVE IN A STATE THAT REQUIRES A SEPARATE BACKGROUND CHECK BY LAW, PLEASE ATTACH A COPY OF THAT STATE’S BACKGROUND CHECK. FOR MORE INFORMATION ON STATE LAWS, VISIT OUR WEBSITE: LittleLeague.org/BgStateLaws AS A CONDITION OF VOLUNTEERING, I give permission for the Little League organization to conduct background check(s) on me now and as long as I continue to be active with the organization, which may include a review of sex offender registries (some of which contain name only searches which may result in a report being generated that may or may not be me), 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 the local Little League, Little League Baseball, Incorporated, the officers, employees and 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.

Applicant Signature:

Date

If Minor/Parent Signature

Date

Applicant Name (please print or type)

NOTE: The local Little League and Little League Baseball, Incorporated will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability