Volunteer Application Volunteer Coach & Background Check Application This form must be completed by any applicant 18 years and older. A background check will be conducted prior to acceptance. Background checks will be conducted annually. First Name (required) Middle Name Last Name (required) Street Address (required) City (required) State (required) Zip Code (required) Email address (required) Phone number (required) Are you 18 years or older? (required)Yes No Number of years you have lived in Colorado? (required) Desired sport to coach (required) Desired age group to coach (required) Please answer the following questions honestly; any discrepancies will be grounds for disqualification. Have you ever been convicted of, or pled “guilty” or “no contest” to, any crime, either a felony or a misdemeanor? (required)Yes No If yes, what was the disposition? Have you ever been charged with or subject to an investigation involving child abuse or neglect? (required)Yes No If yes, please explain: Have you ever been dismissed or resigned from employment or a volunteer assignment or position following an allegation of unlawful behavior involving a child? (required)Yes No If yes, please explain: Volunteer References Business/Organization Supervisor Contact information Dates Volunteered Volunteer Youth Coaching Contract I understand and acknowledge that my responsibilities as a volunteer youth coach are of great importance and that my actions have the potential to significantly influence the young athletes whom I coach. Therefore, I promise to uphold the following rights of young athletes to the best of my ability. The right to: • Participate in sports • Be treated with dignity • Receive qualified adult leadership • Play as a child and not as an adult • Share in the leadership and decision-making of their sport • Participate in a safe and healthy environment • An equal opportunity to strive for success • Have fun in sports I promise to conduct myself in accordance with the Code of Ethics for Coaches, including but not limited to: • Treat each player, opposing coach, official, parent and administrator with respect and dignity. • Do my best to learn the fundamental skills, teaching and evaluation techniques, rules and strategies of my sport. • Become familiar with the objectives of the youth sports program with which I am coaching. • Uphold the authority of the officials who are assigned to my sport, and I will assist them, in every way, to conduct fair and impartial competitive games. • Learn the strengths and weaknesses of my players so that I might place them into situations where they have a maximum opportunity to achieve success in practices and games while they improve their skill level. • Protect the health and safety of my players. • Adhere to all Meridian Service Metro District Parks, Recreation, & Open Space policies and procedures. With my signature, digital or physical, I acknowledge that I have read, understood, and will do my best to fulfill the promises made herein. I authorize the Meridian Service Metro District Human Resources Department and HireRight to conduct a background check and to obtain, from any source, any information relevant to this application. I hereby authorize all sources to release such information to the Meridian Service Metro District Human Resources Department. I hereby certify that the foregoing statements are true and correct, and I agree that any error or omission as to material fact will constitute grounds for unfavorable consideration of my application or dismissal from volunteering with the Meridian Service Metro District Recreation programs. Volunteer Waiver Release of Liability Agreement This Release Agreement shall be effective as of the date set forth below and shall be binding upon me, my successors, representatives, heirs, executors, assigns and transferees. In consideration of being permitted to perform the below described volunteer activity for Meridian Service Metropolitan District (District), I acknowledge, represent, and agree as follows: • I understand that said activities are or may be dangerous and do or may involve risks of injury, loss, or damage. I further acknowledge that such risks may arise from a variety of foreseeable and unforeseeable circumstances connected with these activities. Activities to be performed include Youth Sports Head Coach or Assistant Coach - team supervision during practices and games. By signing this Release Agreement, I hereby expressly assume and release the District from all such risks of injury, loss, or damage to me. • I hereby also grant the District and its agents the right and license to use my and/or my child’s name, image, likeness and comments in internal and external communications, not limited to advertisements, brochures, news releases newsletters, videos or websites. I understand that signing this form constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. I understand that my digital signature is the legal equivalent of my handwritten signature. Print Name (required) Date (required) There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
