Coach/Volunteer Background Check

* Required Fields
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Fee: $25.00
There is a $25 processing fee for new coaches due to the background check process. League coaches thanks for thier service with a honorium each season. All new coaches are required to attend one volleyball training. All coach need to be at each season regularly scheduled coaches meeting.

Applicant Information
*First Name
Middle Name
*Last Name
Nickname
Maiden Name (if applicable)
Other Name(s)
you have used as an adult
Street Address
City
State
Zip Code
Home Email
Daytime Phone
Evening Phone
Mobile Phone
Gender
 Male 
 Female 
*Birthdate
*Race
*Eye Color
*Drivers License Number
*Drivers License State
Drivers License Classification
Have you filled out a volunteer application before
 Yes 
 No 
Citizenship Status
Membership
Residences (previous three addresses)
*Number of years
at current address
Previous Street Address 1
Previous City 1
Previous State 1
Previous Zip Code 1
From Month/Year 1
To Month/Year 1
Previous Street Address 2
Previous City 2
Previous State 2
Previous Zip Code 2
From Month/Year 2
To Month/Year 2
Previous Street Address 3
Previous City 3
Previous State 3
Previous Zip Code 3
From Month/Year 3
To Month/Year 3
Occupation Information
What is your occupation?
Job Title
Place of Employment
How long with this employer?
Employment Street Address
Don't type in this field
Employment City
Employment State
Employment Zip Code
Work Email
Daytime Phone
Evening Phone
Mobile Phone
Supervisor Name
Supervisor Title
Supervisor Phone
Educational Information
Highest level completed
Degree or Diploma
Name and Location
of Last School
Course of Study
Connections / Experience
What other organizations have you volunteer with?
Explanation 1
Have you ever been refused participation in any other youth programs? If Yes, explain.
Explanation 2
Do you have children participating in our youth programs? If Yes, who and which programs?
Explanation 3
How did you hear about volunteer opportunities here?
Explanation 4
Why do you want to volunteer in this area?
Explanation 5
Special professional training, skills, or hobbies
Explanation 6
Special certifications
Explanation 7
Have you had any formal training as a volunteer? If Yes, explain.
Explanation 8
Are you willing to attend training for volunteers?
 Yes 
 No 
Volunteer Availability
Volunteer Frequency
Sunday from/to times
Monday from/to times
Tuesday from/to time
Wednesday from/to time
Thursday from/time to
Friday from/to times
Saturday from/to times
References
First Reference
Reference Name 1
Reference Occupation 1
Reference Daytime Phone 1
Reference Evening Phone 1
Reference Mobile Phone 1
Reference Email 1
Relationship 1
How many years known 1
Second Reference
Reference Name 2
Reference Occupation 2
Reference Daytime Phone 2
Reference Evening Phone 2
Reference Mobile Phone 2
Reference Email 2
Relationship 2
How many years known 2
Third Reference
Reference Name 3
Reference Occupation 3
Reference Daytime Phone 3
Reference Evening Phone 3
Reference Mobile Phone 3
Reference Email 3
Relationship 3
How many years known 3
Arrest and Conviction Record
Have you ever been convicted of, or pled guilty to, a crime other than a minor traffic violation, or are you under charges for any criminal offense? If Yes, explain.
Explain 9
Have you ever received probation or community supervision for any federal, state or municipal offense? If Yes, explain.
Explain 10
Have you ever been convicted of any criminal offense in a country outside the jurisdiction of the United States? If Yes, explain.
Explain 11
Do you have any pending charges against you? If Yes, explain.
Explain 12
Have you ever received deferred adjudication or similar dispositionfor any federal, state, or municipal offense? If Yes, explain.
Explain 13
Total Due:
$ 
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