I authorize Foundation to contact all individuals, organizations and references listed on this Safety Application Form in order to verify the information I have provided. I agree to release from liability any person or organization providing information related to me, including those persons I have listed as references, as well as contact persons from my previous volunteer work or employment with children.
I specifically authorize Foundation to undertake a criminal background check concerning my past.
I understand and agree that any information received from the background check and application verification will not be disclosed to me except as required by law, and I hereby waive any right I may have to inspect any information provided about me by any person or organization identified by me on this form.
By signing this form, I certify and affirm that the information I have given on this form is true, complete and correct in all respects.