Create your own site

SITE REMOVAL NOTIFICATION!

This site has not been updated and will be removed from the LeagueLineup network shortly. If you'd like to keep the site active please log in to the administration section.

Subscribe to our Newsletter

Coach Application

Applicant's Statement
I hereby authorize all employers, organizations, churches, and other entities and persons identified in this form to release any
information contained in their files or records concerning me.
In consideration of the receipt and evaluation of this application by HAACH, I hereby release HAACH and any individual,
church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both
collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to
me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that I may
have to inspect any information provided about me by any person or organization identified by me in this application.
I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF, AND I SIGN THIS
RELEASE AS MY OWN FREE ACT.
I understand and agree that it is critical to the mission of the HAACH Organization that all volunteers conform to the highest
standards of safety, interpersonal conduct, and sexual morality. I affirm that I will strictly comply with HAACH policies and
procedures, including those concerning child safety and protection, sexual abuse and misconduct, and interpersonal relationships.
I understand and agree that failure by me to abide by such policies and procedures may result in my immediate dismissal, or
disciplinary action, all in the discretion of the HAACH board.
My responses above are truthful and accurate. I understand and agree that if they are not truthful or accurate, HAACH may
determine that I am no longer qualified to be associated with its programs as a coach, or volunteer, in any capacity.
RELEASE AND CONSENT FORM
(AUTHORIZATION FOR CRIMINAL/COURT/AGENCY RECORDS CHECK)
1. In connection with my application for placement, I understand that an investigative report may be requested that will include
information as to my character, work habits, performance, and experience, along with reasons for disciplinary action or
termination of past employment. I understand that as directed by policy and consistent with the job described, you may be
requesting information from public and private sources about my criminal record, driving record, professional licensing and state
administration record, education and previous employment.
2. If you have a criminal record, factors such as age at the time of the criminal offense, seriousness and nature of the violation, time
elapsed, and subsequent rehabilitation will be taken into account. In certain states, applicants are not required to disclose the
contents of sealed or expunged criminal or arrest records.
3. I acknowledge that a telephonic facsimile (fax) or photographic copy shall be as valid as the original. This release is valid for
most federal, state, and county agencies.
4. I hereby authorize, without reservation, any law enforcement agency, court, institution, information service bureau, school,
employer, or other organization or person contacted by HAACH or its agent to furnish the information described in Section I to
the extent permitted under relevant state and federal law.
 

* indicates required fields