Volunteer Application Form This application form is required for Organization Heads, Division Coordinators, Head Coaches, Assistant Coaches, and other volunteers who will be working with, or near, youth participating in football and cheer programs operated by Dubuque Independent Football League (DIFL) in partnership with Youth Sports Foundation (YSF). After submitting this form, applicants will be notified of their progress in the selection process as well as instructions for required certification, training, background check, etc, as required for all DIFL/YSF volunteers.Rules for Coachs and Other VolunteersUse of tobacco, alcohol, or illicit drugs, while working with, or near, DIFL participants during practices, games, or other DIFL-related events, is strictly prohibited.Any use or involvement with the sale or distribution of illegal drugs is strictly prohibited and will result in immediate removal from the DIFL organization.Inappropriate behavior outside the DIFL (e.g. felony conviction, child abuse, etc.) will be subject to review by the DIFL Board of Directors and may result in discipline action up to and including dismissal from the league.Inappropriate language or behavior will not be tolerated. This includes foul language or disrespect shown to players, coaches, parents, or officials.All volunteers, including Organization Heads, Head Coaches, Assistant Coaches, etc, are subject to the rules and policies of the DIFL in partnership with the YSF, and must execute their assigned duties as described by their job description.Personal InformationName* First Middle Last Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Enter Email Confirm Email Telephone*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Do you have a valid driver's license?*YesNoWhat state issued your driver's license?*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificDriver's License Number*Volunteer InformationWhat team do you want to volunteer for?*No PreferenceMustangs Green (Hempstead organization, previously "Bears")Mustangs White (Hempstead organization, previously "Colts")Mustangs Gold (Hempstead organization, previously "Steelers")Rams Blue (Dubuque Senior organization, previously "Broncos")Rams Gray (Dubuque Senior organization, previously "Patriots")Rams Red (Dubuque Senior organization, previously "Rams")Eagles (Wahlert organization, previously "Eagles")What division do you want to volunteer for?*Each organization has a separate team for each division and each team name. Division I teams are for 5th- and 6th-graders, Division II teams are for 3rd- and 4th-graders, and Division III teams are for 1st- and 2nd-graders. If you would like to volunteer for a specific division, please state your preference, or select "No Preference." You may also include additional information in the comments section at the end of this form. For example, you can let us know about secondary preferences.No PreferenceDivision I (5th and 6th grades)Division II (3rd and 4th grades)Division III (1st and 2nd grades)What is the volunteer role for which you are applying?*You may also include additional information in the comments section at the end of this form. For example, you can let us know about secondary preferences.Organization HeadDivision Coordinator (3 per organization)Head Football Coach - Division 1 TeamHead Football Coach - Division 2 TeamHead Football Coach - Division 3 TeamAssistant Football Coach - Division 1 TeamAssistant Football Coach - Division 2 TeamAssistant Football Coach - Division 3 TeamHead Cheer CoachAssistant Cheer CoachOther VolunteerCriminal RecordHave you ever been charged with, or convicted of, child abuse, domestic abuse, sexual assault, or any other violent crime or sex-related crime, in any location or jurisdiction?YesNoHave you ever been charged with, or convicted of, a crime involving a controlled substance or illegal drug within five (5) years of the date of this application?YesNoHave you ever been charged with, convicted of, or in any way involved with a felony or other crime or activity that might be considered detrimental to the participants or reputation of the DIFL?YesNoCommentsComments and Additional InformationFeel free to include comments or other additional information here.Certification and SignatureBy selecting yes below, I agree to the follow the rules stated on this form, and I certify that yes the above information is true and correct. I allow the DIFL Board of Directors in partnership with YSF to investigate my background by hiring a third party to conduct a background check.*YesNoElectronic Signature*Enter your full legal name as the person signing this form electronically. First Middle Last Date of Signature*(i.e. the current date)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920PhoneThis field is for validation purposes and should be left unchanged.