By submitting this form, I hereby authorize the P.E.E.R.S board to conduct a security background check on me. I understand that this security check will cover information including, but not limited to, criminal history, and sex offender’s registry checks. I hereby release the P.E.E.R.S and its agents and assigns, as well as the Company performing the background checks, from any and all claims of liability for compliance. Such information will be held in confidence in accordance with the organizations guidelines. I certify that the statements made by me on this form are true, complete and correct to the best of my knowledge, and beliefs and are made in good faith. I understand that any false statements herein could void my considerations as a volunteer for the Juneteenth Celebration.
*Juneteenth conducts a criminal background check for all youth program volunteers or workers. A “yes” response will not automatically disqualify an individual from consideration.