Volunteer Application and Background Check Consent

Southeast Region Form

Please fill out the form below. This form is secure and all of the data that you submit is fully encrypted. All fields are required unless otherwise specified.

Personal Information

Please select your country of citizenship.

Please enter your legal name as it appears on your government-issued photo ID.

Please enter your first name.
Please enter your first name.
(Optional)
(Optional)

Date of Birth

Please enter a valid month.
Please enter a valid day.
Please enter a valid year.
Please enter your date of birth.
Please enter your social security number. Numbers only; 9 digits.

Contact Information

Please enter your email address.
Please enter your address.
(Optional)
Please select your city.
Please select your country.
Please select your state.
Please enter your zip code.
Please enter your phone number.

Employer Information

Please select either Yes or No.
Please enter your employer's name.
Please enter your occupation.
Please enter your employer's address.
(Optional)
Please enter your employer's city.
Please select your employer's country.
Please select your employer's state.
Please enter your employer's zip code.

Emergency Contact Information

Please enter the contact's first name.
Please enter the contact's last name.
Please enter the contact's phone number.
Please enter your relationship.

Background Information

Please select either Yes or No.
Please select either Yes or No.
Please explain each crime in full.
(Answering "Yes" to this question does not automatically disqualify you as a volunteer.) Please select either Yes or No.
Please explain each crime in full.
(Answering "Yes" to this question does not automatically disqualify you as a volunteer.) Please select either Yes or No.
Please explain each crime in full.
(Answering "Yes" to this question does not automatically disqualify you as a volunteer.) Please select either Yes or No.
Please explain the refusal.
Government-Issued Photo ID

For non-US citizens, you must upload an image of your valid, non-expired passport.

You must upload a copy of your valid (non-expired), government-issued photo ID with your application. This ID must include your birth date.

Acceptable forms of photo identification for US citizens are:

  • a driver's license,
  • a state-issued photo identification card,
  • or a United States passport.

The name on the photo ID must match the name as it is entered above exactly. If you do not have a valid photo ID that matches the name listed on this form, you must include proof of the name change, such as a marriage certificate or documentation of a court-ordered name change as part of the included upload.

The image must be in at least 200dpi resolution, in color, and in JPEG or PDF format.

The photo ID file must not be larger than 20 MB
Please select your photo ID file to upload.

References

Please enter at least two personal or professional references for us to contact.

Reference #1

Please enter their full name.
Please enter their phone number.

Reference #2

Please enter their full name.
Please enter their phone number.

Reference #3

Please enter their full name.
Please enter their phone number.

Signature

AS A CONDITION OF BEING PART OF THE LITTLE LEAGUE INTERNATIONAL TOURNAMENT, I give permission for Little League Baseball, Incorporated 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 and child abuse and criminal history records. I understand that, if I participate, my position is conditional upon Little League Baseball, Incorporated receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability 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 Baseball, Incorporated is not obligated to appoint me to a position.

Type your full legal name as it appears above. Please enter your full legal name as it appears above.
Please select either Yes or No.
Please provide a parent/legal guardian signature.