ID Organization Name Type
102762 ussfnc Other

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2022 RM

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Every official who is 18 or older must consent to the running of a background check and also answer the following questions by indicating Yes or No in the field below.  Make sure you review ALL of the questions below.  If for any reason you need to answer yes to one or more of those questions please  click the send email link below to provide an explanation. (For officials under 18 please answer the questions as well but no background check will be run by NCSRA until you have turned 18).

Here are the questions:

A “Termination Act” is either (i) a conviction of or plea of no contest (or the equivalent) to a criminal charge of

(A) a felony physical assault upon another person,

(B) a misdemeanor physical assault upon a sports official (including match officials, coaches, assistant coaches and persons acting in similar capacities) in connection with a sports event,

(C) a felony involving fraud, embezzlement, robbery or other similar act,

(D) a felony resulting in death,

(E) a misdemeanor physical assault upon a spouse or other individual with whom you were living, including domestic partners, children or other relatives,

(F) a felony involving the possession and/or distribution of a controlled substance,

(G) a felony or misdemeanor for conduct with respect to a minor (including physical assault, sexual misconduct, reckless endangerment or other similar acts),

(H) two (2) or more convictions of operating a motor vehicle while impaired (or equivalent charges) within the three (3) year period ended the date of the review of the applicable Search by an Administrator; or, three (3) or more convictions within a five (5) year period ended such date, with at least one (1) such conviction occurring within the twelve (12) months preceding such date,

(I) two (2) or more convictions of drug possession and/or distribution or drug paraphernalia possession (or equivalent charges) within the three (3) year period ended the date of the review of the applicable Search by an Administrator; or, three (3) or more convictions within a five (5) year period ended such date, with at least one (1) such conviction occurring within the twelve (12) months preceding such date, or

(ii) the listing of such Covered Person in a sexual offender registry or data base of any governmental body.

Have you EVER been CHARGED with, CONVICTED of, or ENTERED A PLEA OF NO CONTEST (or the equivalent) to the following:

·         Physical assault upon another person? YES  NO

·         A misdemeanor or felony physical assault upon a sports official (including match officials, coaches, assistant coaches, match administrators, and persons acting in similar capacities) in connection with a sports event? YES  NO

·         A physical assault upon a spouse or other individual with whom you are/were living, including domestic partners, children, or other relatives?  YES  NO

·         Fraud, embezzlement, robbery, or OTHER SIMILAR ACT? YES  NO

·         A crime resulting in death? YES  NO

·         The possession and/or distribution of a controlled substance? YES  NO

·         Conduct with respect to a minor (including physical assault, verbal assault, sexual misconduct, reckless endangerment or other similar acts)?  YES  NO

·         Any misdemeanor or felony not referenced above?   YES  NO

Are you listed in a sexual offender registry or database of any governmental body? YES NO

Have you had two (2) or more charges or convictions of operating a motor vehicle while impaired (or equivalent charges) within the three (3) year period ended the date of the review of the applicable Search by an Administrator; or, three (3) or more charges or convictions within a five (5) year period ended such date, with at least (1) such charge / conviction occurring within the twelve (12) months preceding such date.  YES NO

Have you had two (2) or more charges or convictions of drug possession and / or distribution or drug paraphernalia possession within the three (3) year period ended the date of the review of the applicable Search by an Administrator; or, three (3) or more charges or convictions within a five (5) year period ended such date, with at least (1) such charge / conviction occurring within the twelve (12) months preceding such date.  YES NO

Send Email to report details of any YES response

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