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| Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program: |
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| As a condition of volunteering, I give permission for the
Little League organization to conduct a background check on
me, which may include a review of sex offender registries,
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 (Please type your full name to act as
your signature): |
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| Date: |
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| Applicant Name: |
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| 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. |
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| Verify the image :* |
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