Board of Directors Application

Yucaipa Pickleball, Inc

VOLUNTEER BOARD MEMBER APPLICATION

(Membership in Yucaipa Pickleball, Inc. required)

Name

Date of Birth

Address

Home Phone

Email

Work Phone

Present Employer

Employer Address

Position

Employment History / Duties

Please list the skills you have that you feel would be of benefit to the organization.

What experience do you have on community or business boards?

Why are you interested in volunteering for Yucaipa Pickleball Board of Directors?

What can you contribute to Yucaipa Board of Directors?

Please note: A background check may be completed as part of the review process.

Have you ever been convicted of or pled guilty to any crime?

If yes, please explain.

Have you ever been involved in an iincident of crime against a child?

If yes, please explain.

Have you ever or do you use drugs and/ or alcohol?

If yes, please explain.

I certify, that all the statements in this application are correct to the best of my knowledge. I also certify that I have not withheld any information that would affect my application.

I authorize Yucaipa Pickleball, Inc. to verify my prior employment, experience, references, criminal background, and any other information included on this application. I give my permission to Yucaipa Pickleball, Inc. to obtain information relating to my criminal history record and background. I release and agree to hold harmless Yucaipa Pickleball, Inc., in their attempt to verify the information in this application.

I understand that any person convicted of a felony or crime against a child will not be allowed to participate in activities in the Yucaipa Pickleball, Inc organization.

Print (type name)

Date

Please Sign

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