Required Personal Information

*Date

*First Name

*Last Name

*Home Address

*City

*State

*Zip Code

*EMail Address

*Home Phone Number

*Mobile Number

*Business Phone

*Date of Birth
(MM/DD/YYYY)

*Social Security Number
000-00-0000

*Do you have a VALID drivers license? Yes No

If YES, driver's license number and state:

Driver's License
You can attach a JPG or PDF copy of your license.
You MUST submit a copy, either electronically or in person, for this form to be accepted.

Employer Information

*Occupation

*Employer

*Employer Address

Volunteer Information

*Do you have children in the program? Yes No

If YES, please list full name(s), division/team:

*Have you ever been convicted of, or plead guilty to, any crime(s)? No Yes

If YES, describe each in full:

*Have you ever been refused participation in any other youth programs? No Yes

If YES, explain:

Optional Personal Information

Special professional training, skills, hobbies:

Community affiliations (clubs, service organizations, etc.)

Previous volunteer experience (include baseball/softball, year):

In which of the following would you like to participate? League Official Coach Manager Scorekeeper Umpire Field Maintenance Concession Stand Other
Select ALL that apply. CTRL-click (PC) or CMD-click (Mac) for multiple selections.

Required Reference Information

   Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program:

*Reference:
(Name and Phone Number)

*Reference:
(Name and Phone Number)

*Reference:
(Name and Phone Number)

   2010 Little League® Volunteer Application.
Do not use forms from past years. Use extra paper to complete if additional space is required.
By selecting checkbox below, you agree to have read and agree with the terms and conditions listed below.

I agree:

Type FULL Name
Enter your full (first/last) name here.

*Enter Security Code

*Required Field