The following information is REQUIRED:
First and Last Name, Date of Birth, Social Security, Green Card, or Visa number, Gender, Address, City and County of Residence, State, Zip Code, Home phone number, and email address.
Previous addresses are required if you have lived less than 5 years at your current address.
You must answer all questions truthfully. FAILURE TO PROVIDE TRUTHFUL, ACCURATE, ANSWERS TO THE QUESTIONS ON YOUR RISK MANAGEMENT APPLICATION AND ON ANY SUPPORTING INFORMATION PROVIDED ON YOUR RISK MANAGEMENT APPLICATION COULD RESULT IN THE IMMEDIATE DENIAL OF YOUR RISK MANAGEMENT APPLICATION.
YOU MUST ASSIGN YOURSELF TO THE MEMBER ASSOCIATION YOU WILL BE PARTICIPATING WITH EACH YEAR.
Only the NCYSA Risk Management Coordinators and NCYSA Risk Management Administrators have access to SS, Green Card or Visa #’s. The local associations DO NOT have access to this information nor does the remainder of the NCYSA staff.