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Volunteer Youth Sports Coach Application

  1. I have read the "Volunteer Youth Sports Coach Application Packet".*

  2. Which youth sport program(s) are you applying to be a volunteer coach for?*

    Please select all that apply.

  3. Including medical or CPR type of certifications.

  4. Do you have any children that participate in our athletic programs?*

  5. Do you have a Valid Driver's License?*

  6. Can be either scanned and uploaded, or you may take a picture of your Driver's License to upload. ALL INFORMATION MUST BE READABLE AND VISIBLE!!

  7. Have you ever been charged/ convicted or plead guilty to any crime(s)?*

  8. Have you ever been refused participation in any other youth programs?*

  9. Please list three references, with at least one of which having knowledge of your participation as a volunteer in a youth program.

  10. Applicantion Authorization

    As a condition of volunteering, I give permission for the City of Lincolnton Parks and Recreation Department 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 City of Lincolnton receiving no inappropriate information on my background and I understand that any misstatement or omission of information will subject me to disqualification as a volunteer. I hereby release and agree to hold harmless from liability the City of Lincolnton Parks and Recreation Department, its employees and volunteers, and any other person or organization that may provide such information. I also understand that, regardless of previous appointments, the City of Lincolnton Parks and Recreation Department 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 or removal by the Parks and recreation Department Director for violations of the City of Lincolnton Parks and Recreation Department's policies or principles. Please note that the City of Lincolnton and the City of Lincolnton Parks and recreation Department will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation, or disability.

  11. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you by the same force and effect as a handwritten signature, 3) you may still be required to provide a traditional signature at a later date, and 4) you are agreeing to the statement(s) above.

  12. Coach's Code of Ethics Authorization

    I have read and hereby agree to the statements set forth in the "Coach's Code of Ethics" document.

  13. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you by the same force and effect as a handwritten signature, 3) you may still be required to provide a traditional signature at a later date, and 4) you are agreeing to the statement(s) above.

  14. City of Lincolnton Administrative Policy Authorization

    I have read and hereby agree to the statements set forth in the "City of Lincolnton Administrative Policy" document.

  15. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you by the same force and effect as a handwritten signature, 3) you may still be required to provide a traditional signature at a later date, and 4) you are agreeing to the statement(s) above.

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  17. This field is not part of the form submission.