Millville PAL Volunteer Application
All areas of this form must be completed prior to being submitted. If the form is not completed and submitted the application for membership will not be valid. Once completed and submitted you are still required to be fingerprinted for a background check and to be registered with our program. A fingerprint form will be provided with instructions on how to set an appointment. Once completed the form and receipt are to be turned in to a board member. 

If you work in Law Enforcement or are a current employee of Millville Board of Education, fingerprinting is waived, please contact a board member for the required form that needs to be completed. Once completed the form is to be turned in to a board member.  

All of these are to be completed prior to being board approved and allowed to participate in PAL programs. 
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Email *
Applicant First Name *
Applicant Last Name *
Applicant Date of Birth *
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Gender *
Applicant Address *
Applicant Phone Number *
E-mail Address *
Employer *
What would be the best way to contact you *
Required
Availability Times *
Required
Interests for Volunteering *
Required
Special Skills or Qualifications (list skills or qualifications acquired from education, employment, or previous volunteer work that may assist PAL) *
Experience Volunteering *
List a Reference #1 (Name, Address, and Phone Number) *
List a Reference #2 (Name, Address, and Phone Number) *
Emergency Contact Name *
Emergency Contact Address *
Emergency Contact Phone Number *

I hereby agree and fully understand that if I fail to conform my conduct to the foregoing, Millville Police Athletic League (PAL) - Code of Conduct policy, while attending, volunteering, coaching, officiating or participating in/at any Millville Police Athletic League event, I will be subject to disciplinary action, including but not limited to the following in any order or combination:

1.     Verbal warning issued by a Millville Police Athletic League representative or an official of a youth sports organization.

2.     Written warning issued by a Millville Police Athletic League representative or an official of a youth sports organization.

3.     Suspension or immediate ejection from any event issued by a Millville Police Athletic League representative or official who is authorized to issue such suspension or ejection by a youth sports organization.

4.     Suspension from multiple events issued by a Millville Police Athletic League representative, or official who is authorized to issue such suspension by a youth sports organization.

5.     Season suspension or multiple season suspensions issued by a Millville Police Athletic League representative, or youth sports organization.

6.     Expulsion from the program by a Millville Police Athletic representative.  An expulsion from the program includes, no re-enrollment and no reimbursement of application fee.

7.     Dismissal from any building, field, premises, or parking area of any Millville Police Athletic League event by a Millville Police Athletic League representative or official who is authorized by a youth sports organization.

8.     Any offense(s) that may lead to arrest occurring in the building, on the premises or in any capacity affiliated with the Millville Police Athletic League will result in prosecution if necessary.

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I have read and agree to be held to the standards written in the Millville Police Athletic League Code of Conduct Policy for Volunteers located above *

The purpose of the Millville PAL youth programs to mentor, teach fundamental skills, sportsmanship and elements of team play in a fun, safe and positive environment. To that end, we have adopted the following policies designed to reduce the likelihood of inappropriate behavior toward our program participants.

Pledge

All volunteers & coaches will sign and agree to abide by the tenets set forth in our pledge, specifically in regard to this policy:

 Timely communication with parents regarding events, practices and games.

 Refraining from abusive or disrespectful behavior of any kind.

Limit One on One Contact

 It is our policy that no activities shall take place involving one on one contact between a single volunteer/coach and a child, if such activities can be practically avoided.

 Instead, a buddy system is encouraged where two (2) adults should always be present during practices, games, carpooling, and special events.

Take Home / Pick up

 Take home/pick-up of athletes by league personnel is strongly discouraged because of the difficulty in limiting one on one contact between adult and child.

 Parents should provide transportation for their own children to and from scheduled events.

 The league will clearly outline the expected start and end time for all events and communicate this with all parents.

 Parents should be instructed to make back-up plans in the event they can’t provide transportation.

Touching

 Touching is acceptable only if it is "respectful and appropriate".

Sleepovers

 All sleepover activities are prohibited whether parties at parent’s homes, overnight parties, or traveling to away games. As an organization, we do not allow, endorse or approve of team sleepovers. Parents can have a sleepover providing it is outside the auspices of this organization.

Offsite Practices or Events

 Coaches are not to hold practices or other activities at a location other than provided and approved practice facilities.

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I have read and agree to be held to the standards written in the Millville Police Athletic League Abuse and Sexual Misconduct Prevention Policy located above *
Do you work in Law Enforcement or are you a current employee of Millville Board of Education? *

I agree to complete the NAYS program in accordance with the standards written in the Millville Police Athletic League Concussion Prevention Policy and understand that without compliance I can not be a PAL Volunteer. 

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Agreement and Signature:

By submitting this application, I affirm that the facts set forth in it are true and complete.  I understand that since I will be working with children, I am subject to a background check including, but not limited to, fingerprinting and reference checks, prior to participating in any volunteer activities.  By signing this application, I hereby give my consent for said background check to be conducted.  I also understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

I have read and agree to be held to the standards written in the Millville Police Athletic League Concussion Prevention Policy
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A copy of your responses will be emailed to the address you provided.
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