I attest that the information included in this application is true to the best of my knowledge. My signature below constitutes my authorization, waiver, and release for the Pike County School Corporation to check, and for all prior employers, supervisors, educational institutions, and state and federal agencies, and their present and former employees and agents, to divulge information relating to my qualifications for employment. Such information includes, but is not limited to, criminal history, information maintained by any teacher licensing agency, job performance evaluations, personnel file information, anecdotal records in the possession of supervisors, and any settlement agreement, by whatever name called, which resolved issues regarding my employment and any internal transfer or departure there from regardless of whether or not said agreement called for confidentiality.
My signature below also constitutes my express, voluntary waiver and release of any and all legal claims or causes of action against any and all state or federal agencies and present and former employers and their present and former employees and agents who sought or provided the above-indicated information, including the Pike County School Corporation to which I make this application for employment. Said claims or causes of action include, but are not limited to defamation, infliction of emotional distress, invasion of privacy, interference with contractual relations, and breach of contract. Further, said signature is my express, voluntary promise to hold said entities and individuals harmless from any and all liability, costs, or damages, including fees, resulting from said legal claims or causes of action. I have read and understood this Authorization, Waiver, and Release and expressly and voluntarily agree to its terms.