Volunteer / Coaches Application

Name *

First Name Middle Name Last Name

Date of Birth *

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? *

Yes No

If you have volunteered with SLARA previously, when did you volunteer?

Please choose a shirt size *

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? *

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? *

What season are you applying for? *

If coaching, what sport are you coaching?

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. *

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 *

Date

What is your ethnicity? *

What is your gender *

Volunteer / Coaches Application

Additional Information Needed for Background Check