I do hereby authorize a review and full disclosure of all records concerning myself to any duly authorized officer of the City of Springfield, Missouri, and its Police Department, whether the said records are of public, private, or confidential nature.
The intent of this authorization is to give my consent for full and complete disclosure of traffic and criminal history records, and records involving any incident where I have been arrested or convicted of a crime. The records referred to in this paragraph shall include, but are not limited to, papers, documents, recordings and photographs, whether on paper or stored/transmitted electronically. I understand that any information obtained by a personal history background investigation which is developed directly or indirectly, in whole or in part, upon this release authorization, may be considered in determining my suitability for membership on the Greater Springfield Area Crime Stoppers Advisory Board, an unpaid, voluntary position. I understand that such information will not be used for any purpose other than for consideration of the above as a volunteer for the Greater Springfield Area Crime Stoppers Advisory Board, and this background check is required because of the nature of the particular position that I have made application to in that it involves sensitive information and is in an area where confidentiality and security is important. I also certify that any person(s) who may furnish such information concerning me shall not be held accountable for giving this information; and I do hereby release said person(s) from any and all liability which may be incurred as a result of furnishing such information. I further release any City of Springfield, Missouri, employee who conducts any part of my background investigation from any and all liability resulting from such investigation.