All volunteers or employees whose position requires routine access to children must be screened by DRA. Your signature on this application signifies that you agree to allow DRA or an assigned agency to perform a criminal background screening. This screening will include a review of sex offender registries, child abuse, and criminal history records. I herby release and hold harmless from liability DRA, the officers, employees, agents, volunteers thereof, and any other person or organization that may provide such information in accordance with the laws of the United States. I further understand that previous acceptance as a DRA Coach/Volunteer does not obligate the DRA to accept my current application. I. I have not been convicted (including crimes the record of which has been expunged or pleas of “no contest”), disciplined, or discharged from employment for committing or attempting to commit crimes in the areas of: • Child abuse   • Sexual abuse of a minor   • Physical abuse • Murder     • Manslaughter     • Felony assault • Kidnapping   • Arson       • Criminal sexual conduct • Neglect    • Child exploitation     • Controlled substance crimes II. I have not been convicted of any offense in any other state or against the laws of the United States which if committed or attempted in this state would have been punishable as one or more of the foregoing enumerated offenses. III. I have not been adjudged liable for civil penalties or damages involving sexual or physical abuse of children. IV. I have not been subjected to any court order involving any sexual abuse or physical abuse of a minor, including but not limited to domestic order for protection. V. I have not ever had my parental rights terminated. VI. I understand that I have an ongoing obligation as a volunteer of this organization to promptly report any conviction in those areas described above. (If you have committed or attempted to commit any of these crimes, please explain the circumstance related to the situation on a separate sheet of paper.) Please acknowledge one of the check boxes below.