Iowa Soccer Association
Employment/Volunteer Disclosure Statement

The information that you provide on this disclosure is stored on a secure server and will only be visible to the Risk Management staff at Iowa Soccer Association.

Please fill out the form below and press Submit.
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(Check "Do not have Drivers License" checkbox if you do not have one)

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Please Answer Yes or No to the following question(s):

  Yes     No 
  Yes     No 

I understand that:

  1. Iowa Soccer Association may deny registration, membership and/or volunteer participation to any person who has been charged, found guilty, plead guilty or otherwise convicted of a crime.
  2. In applying for a position with Iowa Soccer Association, the information that I have furnished is subject to verification which may include a criminal history check and/or a check(s) with appropriate governmental agencies. Further, I agree to indemnify and hold harmless the persons(s) to whom this request is presented and Iowa Soccer Association from and against all claims, damages, losses and expenses, including reasonable attorney’s fees, arising out of or by reason of complying with this request.
  3. Falsification or omission of information on this form may be sufficient cause for suspension and/or disqualification.
  4. This information is held in strict confidence.

By completing and submitting this disclosure statement electronically via the Internet, I agree to its terms and conditions and my signature thereto may be implied. I further agree to the terms of the Iowa Code Of Conduct which can be viewed by clicking here.