VOLUNTEER APPLICATION

If you would rather download, print, and fill up a PDF Volunteer Application Form, please download the file from the link below.
PAL Membership applications and fees will be accepted at the following locations:
Mt. Pleasant: Harry Drew/Camille Howard
Lakeside: Kristi Abel Senior High/Memorial: Tina Benisher
The Millville Police Department: Officers Kenny Sharretts/Sean Guy

ONLINE VOLUNTEER APPLICATION

STEP 1 – Contact Information

Volunteer Name*

Date*

Street Address*

City*

State*

Zip Code*

Home Phone*

Cell Phone*

Employer*

Email*

Preferred Contact Type*

STEP 2 – Availability

During which hours are you available for volunteer assignments?

Monday Evening

Tuesday Evening

Wednesday Evening

Thursday Evening

Friday Evening

Saturdays

Sundays

STEP 3 – Interests

Tell us in which areas you are interested in volunteering (Select as many as you are available)

Basketball

Basketball Coaching

Flag Football

Football Coaching

Wrestling

Wrestling Coaching

Fishing/Boating

Event Coordinator

Event Chaperone

Fundraising

Event Community Relations/Campaign Director

Marketing/Social Media Support

STEP 4 – Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

If you have had previous volunteer experience, please list organizations, dates of service, and contacts.

STEP 5 – References

Name

Street Address

Phone

Name

Street Address

Phone

STEP 6 – Emergency Contact Person

Name*

Street Address*

City*

State*

Zip Code*

Home Phone*

Cell Phone*

Email*

STEP 7 – Certification

I hereby agree and fully understand that if I fail to conform my conduct to the foregoing, Millville Police Athletic League (PAL) – Code of Conduct policy, while attending, volunteering, coaching, officiating or participating in/at any Millville Police Athletic League event, I will be subject to disciplinary action, including but not limited to the following in any order or combination:

Verbal warning issued by a Millville Police Athletic League representative or an official of a youth sports organization.
Written warning issued by a Millville Police Athletic League representative or an official of a youth sports organization.
Suspension or immediate ejection from any event issued by a Millville Police Athletic League representative or official who is authorized to issue such suspension or ejection by a youth sports organization.
Suspension from multiple events issued by a Millville Police Athletic League representative, or official who is authorized to issue such suspension by a youth sports organization.
Season suspension or multiple season suspensions issued by a Millville Police Athletic League representative, or youth sports organization.
Expulsion from the program by a Millville Police Athletic representative. An expulsion from the program includes, no re-enrollment and no reimbursement of application fee.
Dismissal from any building, field, premises, or parking area of any Millville Police Athletic League event by a Millville Police Athletic League representative or official who is authorized by a youth sports organization.
Any offense(s) that may lead to arrest occurring in the building, on the premises or in any capacity affiliated with the Millville Police Athletic League will result in prosecution if necessary.

Name*

Date*

STEP 8 – Policy & Submission

Our Policy

It is the policy of this organization to provide equal opportunities in compliance with the New Jersey Law against
Discrimination (NJSA 10:1-3, et. seq.). Please submit your completed application to Officer Satero – PAL
Board Trustee You will be notified by email once your application has been approved.