Your signature indicates your approval for us to check references in regards to your internship at the Boys & Girls Clubs of South Central Texas (BGCSCT). The organization is not obligated to provide placement, nor are you obligated to accept the position offered.
Your signature here indicates that you have read the following statements as one aspect of the orientatioin process for interns of Boys & Girls Clubs of South Central Texas.
Confidentiality or the protection of children's and/or adults rights is an important tool in the treatment of these groups. Under no circumstances will the names of the children or adults, their problems, their conversations with staff or volunteers, their personal or family background be discussed with anyone outside BGCSCT. This prohibition includes discussions with other interns and staff who are not directly servicing the families or the Club members.
Intern seeking to gather or share information must first obtain a written release of confidentiality that is signed by a responsible adult directly related to the child, the Club, or the family, The accumulation of information or information sharing must only take place with the supervision of BGCSCT staff and must be directly related to the services performed in the capacity of a intern with BGCSCT. If a youth wants to share information with you but request the you not share it with anyone else, it is a good practice to inform the youth that you need to share it with other staff memebers. The it is up to the youth to determine if he or she wishes to continue the conversation. This practice will protect you from the manipulation on the part of the youth and protect the youth from a breach of confidentiality by you. If you have further questions, please feel free to discuss with Site Director.
By signing my name, I hereby give my permission in exchange for good and valuable consideration for the BGCSCT to obtain information relating to my criminal history record. I understand that this information will be used, in part, to determine my eligibility for an employment/internship position with this organization. I also understand that as long as I remain an intern here, the criminal history records check may be repeated at any time. I, the undersigned, do, for myself, my heirs, executors and administrators, hereby remise, release, and indemify and defend the BGCSCT and each of their officers, directors, employees, and agents and hold them harmless from and against any and all causes of actions, suits, liabilities, costs, debts, and sums of money, claims and demands whatsoever (including claims for the negligence, gross negligence, and/or liability of BGCSCT), and any and all related attorneys fees, court costs, and other expenses resulting from the investigation of my background in connection with my application to become an intern.