VOLUNTEER/ INTERN WAIVER AND RELEASE
I understand that volunteering with PWI is contingent upon successful completion of a criminal background investigation and, if applicable, a reference check, copy of driverslicense, acceptable DMV record/printout, and acceptable auto insurance.
As Applicable To The Volunteer Duties:
- Driver’s license - you will need to show a valid driver’s license for those positions that are required to drive as part of their Voluntary/Intern job description.
- DMV record -An acceptable DMV record/printout (i.e., DMV record cannot have more than a total of three 1-point violations or any 2-point violation) can be obtained from the DMV and will be required for those positions that are required to drive as part of their Voluntary/Intern job description.
- Auto insurance -acceptable auto insurance, which meets or exceeds the state minimum requirement will be required for those positions that are required to drive as part of their Voluntary/Intern job description. Auto insurance documentation must include the name of the applicant and the dates (i.e., from and to) that the policy is effective.
I do hereby authorize verification of all information in my volunteer application from all sources of criminal history, or any part thereof, and authorize any duly authorized agent of IntelliCorp Records, Incto obtain, whether the said records are public or private and I release all persons from liability on account of such disclosures. Information appearingon this Authorization will be used exclusively by IntelliCorp Records, Incfor identification purposes and for the release of information, which will be considered in determining any suitability for volunteering.
I certify that I have made true, correct, and complete answers and statements on my volunteer application, any supplements to it and in any interview in the knowledge that they will be relied upon in considering my application for volunteering. I authorize without reservation, any party or agency contacted by IntelliCorp Records, Inc.to furnish the above-mentioned information (i.e., criminal history). This authorization is valid during the course of my employment to the extent permitted by law.
I have the right to make a request to IntelliCorp Records, Inc., upon proper identification, to request the nature and substance of all information in its files on me at the time of my request, including sources of information, and the recipients of any reports on me which IntelliCorp Records, Inc.has previously furnished within the two year period preceding my request.
I acknowledge that I am in good general health, with no medical or psychiatric conditions that would prevent me from performing my duties as assigned.
I will hold PWI, its Board, officers and employees harmless from all injuries, accidents or losses that may occur while I work as a volunteer or intern, except for injuries that occur due to negligent acts of PWI.
I understand and agree that any omission, false statement, misleading statement, or answer made by me on my application or any supplements to it and in any interviews will be sufficient grounds for rejection of volunteering.