Background Check Form - Youth Sports

Please complete the following form to submit your background check form.

The City of Hermiston requires all potential Employees and Volunteers to authorize a criminal history check. Individuals applying for paid and/or volunteer positions where the job duties involve any contact with vulnerable persons, including but not limited to; children under 18, senior citizens, and disabled persons will be disqualified from consideration for:

All felony convictions
Misdemeanor violent crime convictions
Misdemeanor drug/alcohol related crime convictions*
*Allowable – 1 DUI in last 7 years

By submitting this form, I am authorizing the City of Hermiston to conduct a criminal history check.

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First Name: *

Middle Name:

Last Name: *

Street Address: *

City: *

State: *

Zipcode: *

Date of Birth:

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Email: *

Cell Phone: *

League/Sport *

Select the sport you want to volunteer coach for.

Coach Shirt Size:

Please indicate what size of shirt you will need for coaching.

Athlete First/Last Name:

If you are volunteering to coach a specific athlete (child, nephew/niece, grandchild) please let us know who that is.

Athlete Grade:

Contact Information *

Selecting Yes will allow us to post your name and link to your email so parents can contact you on our team website. (Email will not be posted separately on website).

Background Check Form - Youth Sports

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