The Criminal Background Check process:
Anyone wishing to volunteer for any position within the PBYBA organization is required to submit to a Criminal Background Check. The background check is conducted by the Risk Mitigation Director. Volunteers fill out this form and submit it to the Risk Mitigation Director. This director conducts a background check on all volunteers. If information is obtained which disqualifies a volunteer from a position a special board meeting will be held to review each case. The identity of the potential volunteer will not be disclosed to other board members during the review process. If the board votes to disqualify the potential volunteer the volunteer may appeal in person at a special board meeting. At this meeting the vote will result in a final decision. As a nonprofit private organization the PBYBA reserves the right to reject any applicant for any volunteer position.
PBYBA follows the National Alliance for Youth Sports (NAYS) guidelines for disqualifiers in a background check.Automatic Disqualifiers:
Conviction, pending convictions of, or arrests for the following things should be considered automatic disqualifiers for a volunteer position. Violent Crime (assault / battery / domestic violence / resisting arrest with violence) Crime of a Sexual Nature (sexual assault, rape, possession of pornography) Drug or Narcotics Felony (within the last 15 years) Any crime, misdemeanor or felony, involving children as either an accomplice or victim. Animal Cruelty Weapons Violations, Falsification of Information on this Volunteer Application. Possible Disqualifiers:
Conviction, pending convictions of, or arrests for the following things will be reviewed by the board on a case-by-case basis. Driving under the Influence or while Intoxicated (within the last 15 years). Misdemeanor drug charges (within the last 15 years) Vehicular Manslaughter (no time limit) Petty Theft (within the last 15 years) Multiple Driving Citations/Accidents (within the last 15 years) I have read the above information:
(Please Print)
Name: _______________________________________ Date: ______________________
Signature: ____________________________________________________
Falsification of information on this form will result in disqualification for position of volunteer within the PBYBA organization. All information on this form is considered strictly confidential and will be destroyed at the end of each PBYBA season.
Authorization to perform a Criminal Background Check
I, ___________________________________ do hereby authorize the officers of the Palm Bay Youth Basketball Association to perform a criminal background check using my personal information voluntarily provided by myself below.
Name: _______________________________________ Date: ______________________
Position applying for (check):
Coach or Assistant Coach: _____ Other: _____
Personal Information (Please Print Clearly).
Full Name: ______________________________________ Home Phone #: ____________ Date of Birth: ______________________________________ Cell Phone #: ____________ (MM/DD/YYYY) FL DL# ______________________________________ E-mail: ______________________________________ Address: ____________________________________________________________________________
If at address for less than 10 years please provide previous addresses:
Address 2: ____________________________________________________________________________ Dates: ______________________ Address 3: ____________________________________________________________________________ Dates: ______________________ Employer: ____________________________________________________________________________
Have you ever been charged or convicted of an offense against the Law other than an occasional traffic violation?
YES: _____ NO: _____ (if yes, explain fully the charge(s), result, and other details on an attached sheet).