By submitting this application, I hearby authorize White River Humane Society and its designated representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the investigative consumer report may include, but is not limited to the following areas: verification of social security number; current and previous residences; employment history, education background, character references, drug testing, civil and criminal history records from any crininal justice agency in any or all federal, state county jurisdictions, driving records, birth records and any other public records.
I further authorize any individual, company, firm, corporation or public agency (including the Social SeSecurity Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me to White River Humane Society or its represetnatives. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corportaion or public agency may have, to include information or data received from other sources.
I release White River Humane Society, the Social Security Administation and its agents officials and representatives and related personnel both individually and collectively from any and all liability for damages of whatever kind, which may at any time result to me, my heirs, family or associates because of compliance with this authorization and request to release.