I'd like to compete or practice with the following youth-serving organization:
Name and Contact Information
Upload headshot- (professional in nature)
format for each:
Year Rostered, Company (ie: XYZ Gymnastics), Team Name, Coach Names, List Two References From Each Team
max 10 MB
Your Emergency Contact
In the event of an emergency whom should we notify?
Potential Participation with Juvenile Athletes
Answering yes to this, does not automatically disqualify you as an athlete. Background Screening Criterion Offenses
A reportable record or disclosure that contains a disposition or resolution of a criminal proceeding, other than an adjudication of not guilty, or the existence of pending charges, for any of the below criminal offenses will be flagged as a Red Light Review, meaning it does not meet the initial screening criteria and the individual will be subject to the USASF’s policies and procedures to determine the individual’s level of access and involvement with regard to athlete interactions, USASF member facilities and Sanctioned Events (as defined below):
Any felony; and
Any misdemeanor involving:
All sexual crimes, criminal offenses of a sexual nature to include but not limited to; rape, child molestation, sexual battery, lewd conduct, possession and distribution of child pornography, possession and distribution of obscene material, prostitution, indecent exposure, public indecency, and any sex offender registrant;
Any drug-related offenses;
Harm to a minor, including, but not limited to, offenses such as child abandonment, child endangerment/neglect/abuse, contributing to the delinquency of a minor, and DUI with a minor;
Violence against a person, force, or threat of force (including crimes involving deadly weapons and domestic violence);
Stalking, harassment, blackmail, violation of a protection order, and/or threats;
Destruction of property, including arson, vandalism, and criminal mischief; and
Animal abuse, cruelty, or neglect.
Criminal offenses include "Attempted Crimes" in the above classifications.
(Answering yes to this, does not automatically disqualify you as a athlete.)
(If volunteer answered yes to this, the local youth-serving organization must contact your Sports Compliance Company Risk Manager.)
FORMAT: Full Name, Address, City, State, Zip, Phone, Email, How Many Years Known?
The Sports Compliance Company will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability.
upload two files- front and back of identification. Files must be under 10 MB.
FOR RISK MANAGER USE ONLY
Background check completed by risk officer _________________________ on _________________ (insert date)
System(s) used for background check (minimum of one must be checked):
Review all background check requirements-
JDP (Includes review of the US. Center of SafeSport’s Centralized Disciplinary Database and Sport Ineligible List)*
National Criminal Database check
National Sex Offender Registry
U.S. Center of SafeSport’s Centralized Disciplinary Database and sport federation Ineligible List
*Please be advised that if you use JDP and there is a name match in the few states where only name match searches can be performed you should notify volunteers that they will receive a letter or email directly from JDP in compliance with the Fair Credit Reporting Act containing information regarding all the criminal records associated with the name, which may not necessarily be the league volunteer.
Only attach to this application copies of background check reports that reveal convictions of this application.