Little League® “Returning” Volunteer Application - 2015
Do not use forms from past years. Use extra paper to complete if additional space is required.
If you filled out a volunteer application last year and your league uses the
Please update ONLY the information in this section which has changed since last year.
background check tools provided by Little League International, please fill
Name: _______________________________________________________________________
out the returning volunteer application. Otherwise, please use the standard
Address: _____________________________________________________________________
volunteer application.
City: ____________________________________________
State: _______ ZIP: ___________
You must provide the information to all the questions in this section
Home Phone: ______________________________
Cell Phone: _______________________
Work Phone: _______________________________ E-Mail Address: ____________________
Have you ever been convicted or plead guilty to any crime(s) involving or against a minor?
Driver’s License #: _________________________________________________
State: _______
Yes
No
Occupation: __________________________________________________________________
If Yes, describe each in full: ____________________________________________________
Employer: ____________________________________________________________________
__________________________________________________________________________
Address: _____________________________________________________________________
Are there any criminal charges pending against you regarding any crime(s)
involving or against a minor?
Please list three references, at least one of which has knowledge of your participation
as a volunteer in a youth program:
Yes
No
If Yes, describe each in full: ____________________________________________________
Name / Phone:
__________________________________________________________________________
/
________________________________________________
__________________________
/
________________________________________________
__________________________
Have you ever been refused participation in any other youth program?
Yes
No
/
________________________________________________
__________________________
If Yes, explain: _______________________________________________________________
Special professional training, skills, hobbies:
____________________________________________________________________________
In which of the following would you like to volunteer? (Check one or more)
Special Certifications (CPR, Medical, etc):
____________________________________________________________________________
League Official
Manager
Coach
Umpire
Field Maintenance
Special Affiliations (Clubs, Service Organizations, etc):
____________________________________________________________________________
Score Keeper
Concession Stand
Other: __________________________
____________________________________________________________________________
Previous volunteer experience (including baseball/softball and year(s)):
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
LOCAL LEAGUE USE ONLY:
is conditional upon the league receiving no inappropriate information on my background. I hereby release and
Background Check completed by league officer ________________________________________________
agree to hold harmless from liability the local Little League, Little League Baseball, Incorporated, the officers,
on _____________________________________________________________________________________
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
System(s) used for background check (minimum of one must be checked):
by the President and removal by the Board of Directors for violation of Little League policies or principles.
Sex Offender Registry
Criminal History Records
*First Advantage
Applicant Name (please print or type): ___________________________________________________
*Please be advised that if you use First Advantage and there is a name match in the few states where only name
match searches can be performed you should notify volunteers that they will recieve a letter directly from First
Applicant Signature: ________________________________________ Date: ____________________
Advantage in compliance with the Fair Credit Reporting Act containing information regarding all the criminal
association with the name, which may not necessarily be the league volunteer.
If Minor — Parent Signature: _________________________________ Date: ____________________
Only attach to this application copies of background check
reports that reveal convictions of this application.
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, martial status, gender, sexual orientation or disability.