KnoxCountyJuniorFootballLeagueVolunteerApplication

ContactInformation
Name Date
StreetAddress,City,State,Zip
DateofBirth Occupation Employer
HomePhone MobilePhone Text:Yes No
EmailAddress SocialSecurity#(forbackgroundcheck)

Specialtraining,skills,hobbies,communityaffiliations

VolunteerInterests(Whichareasareyouinterestedinvolunteering)
LeagueOfficial Scorekeeper GameAnnouncer
Coach,whichdivision: 5/6Flag 5/6Tackle
ConcessionStand
7/8Tackle 9/10Tackle 11/12Tackle
Referee Chaincrew
FieldMaintenance Other(pleasedescribe)
CheerCoordinator CheerCoach,listagegroup:

PreviousVolunteerExperience(Summarizeyourpreviousvolunteerexperience)

GeneralQuestions
Doyouhaveachildintheprogram?Yes No Ifyes,
listfullnameandwhatagegroup?

CPR,FirstAid,MedicalTrainingetc.

Haveyoueverbeenconvictedoforpleadguiltytoany
crimesinvolvingoragainstaminor?Yes No Ifyes,

describeeachinfull.

Arethereanycriminalchargespendingagainstyou
regardinganycrime(s)involvingoragainstaminor?
Yes No Ifyes,describeeachinfull.
Haveyoueverbeenrefusedparticipationinanyotheryouth
program?Yes No Ifyes,describeeachinfull.

Doyouhaveavaliddriverslicense:Yes No Ifyes,
State License#
pleaselistStateofIssuanceandDriversLicense#.
AgreementandSignature
Bysubmittingthisapplication,Iaffirmthatthefactssetforthinitaretrueandcomplete.IunderstandthatifIamacceptedasavolunteer,anyfalse
statements,omissions,orothermisrepresentationsmadebymeonthisapplicationmayresultinmyimmediatedismissal.ASACONDITIONOF
VOLUNTEERING,IgivepermissionfortheKnoxCountyJuniorFootballLeaguetoconductbackgroundcheck(s)onmenowandaslongasIcontinuetobe
activewiththeorganization,whichmayincludeareviewofsexoffenderregistries(someofwhichcontainnameonlysearcheswhichmayresultinareport
beinggeneratedthatmayormaynotbeme),childabuseandcriminalhistoryrecords.Iunderstandthat,ifappointed,mypositionisconditionaluponthe
leaguereceivingnoinappropriateinformationonmybackground.IherebyreleaseandagreetoholdharmlessfromliabilitytheKnoxCountyJunior
FootballLeague,itsofficersandvolunteers,oranyotherpersonororganizationthatmayprovidesuchinformation.Ialsounderstandthat,regardlessof
previousappointments,KnoxCountyJuniorFootballLeagueisnotobligatedtoappointmetoavolunteerposition.Ifappointed,Iunderstandthat,priorto
theexpirationofmyterm,IamsubjecttosuspensionbythePresidentandremovalbytheBoardofDirectorsforviolationofanypoliciesorprinciples.

Name(printed)
Signature
Date

References
Pleaselistthreereferences,atleastoneofwhichhasknowledgeofyourparticipationasavolunteerinayouthprogram:

Name Phone