Youth Club Leader/Volunteer Enrollment Form Step 1 of 2 50% Eligibility requirements include the following: Willing to be a Hudsonville Community Fair volunteer working with a youth club. This form is required to be placed on the leader list in fair office and to be added to the Hudsonville Community Fair liability policy for volunteers. Background checks may be completed at Hudsonville Community Fair’s discretion. A completed background check form is required to be submitted to fair office by January 1 of calendar year. This signed enrollment form and liability form must be turned in to fair office by January 1 of calendar year. (this applies even if only participating in still exhibits). Please mail to PO Box 189, Hudsonville MI 49426, attn: fair secretary or email to [email protected] A youth club leader enrollment form must be submitted each year to remain active on leader list. All volunteers must be actively involved in a leader role with an enrolled club. Volunteer Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Home Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number(Required)Email(Required) List club(s) that you will be affiliated with at the Hudsonville Community Fair. (must be actively involved in a leader role with an enrolled club) Add RemoveClick + sign to list more clubs. Please list 1 per line. Emergency Contact First Last Emergency Contact Phone NumberBackground CheckConsent(Required) I agree to this agreement.It is the policy of the Hudsonville Fair board that all Hudsonville Fair youth group volunteers/leaders may be subject to a background check. At a minimum, each subsequent 3 years, a new background check may be completed on each volunteer. All costs will be paid for by the Hudsonville Fair board. Particular areas of concern will be forgery, thief, sexual charges, issues regarding underage individuals and other violence. Each background check will be confidentially reviewed by the Youth Club Chair/Co-Chair. If they feel there are areas of concern, a confidential meeting will be held with the volunteer to discuss and clarify the areas of concern. If the concerns are not resolved or explained to their satisfaction, it will be brought to the Hudsonville Fair Board President and from there, may be a meeting of the Executive committee for disposition of the concerns. Copies of the background check will be secured in the Fair Board security box. By signing this agreement, the volunteer agrees to this policy and will abide by the decisions of the board regarding this policy.Name(Required) First Last Signature(Required)Date MM slash DD slash YYYY Date of Birth MM slash DD slash YYYY Δ
