Volunteer Application

USPA Volunteer Application Form

This form is required by all USPA volunteers who would like to be considered for the volunteer positions stated herein.

Name(Required)

First Last

Position for which you are volunteering:(Required)

Phone(Required)

Email(Required)

Date of Birth

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Have you lived at the above address for less than 5 years?(Required)

Yes

If yes, please provide the address, city & state for all places of residence for the last 5 years:

What special skills or experience do you bring to this position?

Are you First Aid certified?(Required)

Yes

If First Aid Certified, when does your certification expire?

Are you CPR certified?(Required)

Yes

If CPR certified, when does your certification expire?

Do you have any other certifications?

Yes

If you have any other certifications, please explain:

Have you ever been refused participation in any youth programs?(Required)

Yes

If yes, please explain why:

Do you have any physical or mental conditions that may prevent you from performing the duties described in your volunteer application?(Required)

Yes

If yes, please explain and advise of any special accommodations that may be required:

Other than minor traffic violations, have you ever been convicted of any violation of the law?(Required)

Yes

If yes, please explain:

USPA Code of Conduct

The United States Powerlifting Association (USPA) is committed to providing an inclusive, professional, and safe environment to its members and has adopted a zero-tolerance policy towards discrimination and all forms of harassment, including but not limited to sexual harassment. USPA members are prohibited from engaging in behavior or publishing material that, at the sole discretion of the USPA, is offensive or interferes with the rights of others or causes harm to any person or entity. Violating our rules of conduct may result in termination of membership, forfeiture of any membership fees that have been paid, and prohibition from attending or participating in any USPA sanctioned events.

Members include all participating athletes, meet directors, referees, certified coaches, or other officials and/or employees. All members are expected to treat each other with respect and dignity while upholding the integrity and professional standards of the USPA. All members are expected to observe all association rules as currently stated in the USPA Rule Book and adhere to the following principles: Discrimination.

There will be no unlawful discrimination based upon a person’s sex, sexual orientation, age, race, color, creed, national origin, veteran status, marital status, religion, political affiliation, disability, perceived disability, personal appearance or any other legally protected characteristic. Harassment.

Any form of harassment towards others that is illegal, threatening, harmful, abusive or otherwise objectionable will not be tolerated. This includes behaving, communicating, or publishing material that invades another’s privacy, is degrading, defamatory, hateful, fraudulent, libelous, obscene, sexually explicit, or is ethnically objectionable.

Sexual Harassment

Sexual Harassment will not be tolerated and includes unwelcome sexual solicitation, physical touching, transmission of offensive sexually graphic images or written material, or any conduct that’s sexual in nature that’s abusive, offensive, and intimidating. A member’s conduct will be considered unwelcome and in violation of the USPA Code of Conduct when the member should have known the conduct was unwelcome, or when the persons (s) subjected to the conduct objected.

As a condition of volunteering, I give permission for the USPA and its assigned agencies to conduct a background check on me, which may include a review of criminal records maintained by government agencies. I understand that my position is dependent upon receiving no inappropriate information on my background check. I am subject to suspension by the USPA at any time in the event of inappropriate behavior as outlined in the USPA Code of Conduct (see above) and Rulebook. The facts set forth in my application are true and complete. I understand that any false statements on this application will be considered sufficient cause for dismissal. *(Required)

Become A Volunteer

Volunteer Application

USPA Volunteer Application Form

USPA Code of Conduct

Sexual Harassment

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