Rev. ϵ-ϱ-20
As a PDF, this is a fillable form. Download, save it to your computer. Once saved, open saved copy,
fill it out, save again. It can then be added as an attachment to be sent through the chain-of-command.
AREA DIRECTOR CHECKLIST
Name:
Section: Area:
Appointment: Reappointment:
If reappointment, years served: _______
Appointment/Reappointment less than 3 years? Yes No If YES include explanation:
____________________________________________________________________________________________________________
This section for AD to complete
If the AD is a “new elect”, all filled Area volunteer positions, as noted in table below, have 3 months to complete training. If the AD is
a “re-elect,” all filled Area positions must have training completed prior to submitting to Section Director
• For all positions listed and filled below, please identify the volunteer’s name and training information
• All volunteers must be registered for the current Membership Year (MY), prior to signing and submitting to the
Section Director.
All positions listed and filled must have completed:
• Safe Haven (SH - after 2011)
• CDC Concussion Training
• Sudden Cardiac Arrest (SCA) is now required for volunteers in the following states: California, Maryland, Ohio, Tennessee
and Washington
o For more specific information, please go to https://www.aysovolunteers.org/sudden-cardiac-arrest-sca-2/
• Training for their job specific duties (JST).
If you have the following positions filled, all boxes must be filled in & checked before form can be submitted to the Section Director.
*ADT-Area Director Training; *JST-Job Specific Training; *SH-AYSO Safe Haven; *CDC-Concussion Training; *SCA-Sudden Cardiac Arrest; *DR-
Dispute Resolution; *DP-Due Process; *T-Treasurer; *MY-Membership Year
This section for SD to complete, save, and forward to the Board Liaison
YES NO
Conflict of Interest Form (2 pages) initialed/signed as required and attached.
Area is using NAP Online & current year budget has been uploaded to NAP Online.
If not, upload or provide with this application or explain why no budget is being submitted.
AD Training completed (ADT).
PA residents - State required background clearances submitted. If not, submit with this application.
_____________________________________________ _____________________________________________ ______________
Area Director Section Director Date
