Read the following terms carefully before proceeding:
1. My signature below and submission of this form constitutes authorization to check all criminal history arrests, charges, convictions, pleas, and any related investigatory information possessed by an agency of law enforcement, local government, county government, state government or federal government.
2. My signature below and submission of this form further authorizes persons, agencies or entities contacted by Paoli Community School Corporation, or an agent gathering the above-referenced information on behalf of the school corporation, to fully provide any information on the matters set forth above.
3. My signature below and submission of this form indicates my choice to waive in connection with any request for or provision of such information, any claims, including and without limitation, defamation, emotional distress, invasion of privacy, or interference with contractual relations I might otherwise have against Paoli Community School Corporation, its agents and officials, or against any provider of such information.