HICKORY HILLS YOUTH BASEBALL CHILD PROTECTION REGULATION
Regulation:
As a condition of service to the league, all Board Members, Managers, Coaches, or any other volunteers or hired workers
who provide regular service to the league and/or have repetitive access to, or contact with players or teams, must complete
and submit an official HHYB Volunteer Application to the Risk Management Director. Annual background screenings must
be completed prior to the applicant assuming his/her duties for the current season. Refusal to annually submit a fully
completed volunteer application must result in the immediate dismissal of the individual from the local league.
The Volunteer Application must be maintained by the Player Agent for all personnel named above for a minimum of the
duration of the applicant’s service to the league for that year.
Hickory Hills Youth Baseball shall not permit any person to participate in any manner, whose background check reveals a
conviction for any crime involving, or against a minor, crime against a person, drug related crimes, theft, gang related
activity as well as any crime involving moral turpitude. HHYB may prohibit any individual from participating as a volunteer
or hired worker, if the league deems the individual unfit to work with minors. Any individual who has been arrested but has
not plead or been found guilty of a crime involving a minor will be suspended from the league until such charges have been
dropped or the applicant has been found not guilty. Any person found to be under the influence of drugs or alcohol during a
sanctioned HHYB activity will be suspended until such matter has been reviewed by the HHYB board.
The Hickory Hills Police Department shall conduct the background checks using applicable government operated statewide
sex offender registries and criminal history databases. The police department will notify the Risk Management Director of
any convictions on an applicant’s background check. The Risk Management Director shall notify the Applicant by registered
letter. The applicant may appeal to the Executive Board only if he or she can provide proof that a mistake involving the
conviction has been made.
Hickory Hills Youth Baseball Volunteer Application
Name______________________________________________________Date__________________________
Address__________________________________________________________________________________
City___________________________________________________ State_________ ZIP________________
Home Phone_____________________________ Business hone____________________________________
Date of Birth_____________________________ Occupation_______________________________________
Employer_______________________________________
Employer Address__________________________________________________________________________________
Community
Affiliations_________________________________________________________________________________
Do you have a child in the program? Yes -------------No -------------------------What level?______________________________
Do you have a valid driver’s license? Yes ------------No -------------------------DL#____________________________________
Have you ever been convicted or plead guilty to any crime(s)? Yes _________No _________________________________
If yes, describe each in full_____________________________________________________________________________
Have you ever been refused participation in any other youth programs? Yes_______ No______
If yes, explain______________________________________________________________________________
In which area are you volunteering? Board Member ____ Mgr ____ Coach____Other (explain)_______________________
Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program;
Name________________________________________________ Phone_______________________________________
Name________________________________________________ Phone_______________________________________
Name________________________________________________ Phone_______________________________________
As a condition of volunteering, I give permission for Hickory Hills Youth Baseball to conduct a background check on me,
which may include a review of sex offender registries, child abuse and criminal history records. I understand that, if
appointed, my position is conditional upon Hickory Hills Youth Baseball receiving no inappropriate information on my
background. I hereby release and agree to hold harmless from liability Hickory Hills Youth Baseball, Pony Baseball
Incorporated, Hickory Hills Police Department, the officers, employees and volunteers thereof, or any other person or
organization that may provide such information. I also understand that, regardless of previous appointments, Hickory Hills
Youth Baseball is not obligated to appoint me to a volunteer position. HHYB has full rights to deny any person any position
directly involved with any team as well as any volunteer position. If appointed, I understand that, prior to the expiration of my
term, I am subject to suspension by and/or removal by the Board of Directors for violation of HHYB policies or principles.
Applicant Signature_______________________________________ Date_______________________________________
Applicant-Name (please print)__________________________________________________________________________
Note: Hickory Hills Youth Baseball will not discriminate against any person on the basis of race, creed, color, national origin,
marital status, gender, sexual orientation or disability. By signing this application, I acknowledge that I have reviewed and
agreed to abide by all HHYB regulations including but not limited to the Hickory Hills Youth Baseball Child Protection
Regulation.
League Use Only:
Background check completed on: Date___________________ Accepted by:____________________________________
System used for background check; Sex Offender Registry______ Criminal History Records_______________________
Only attach to this application copies of background check that reports or reveal convictions of this applicant.