In connection with my application for volunteer service with Touchstone Youth Resource Services, Inc., I authorize Touchstone Youth Resource Services, Inc. and, or, ACCUFAX Div., Southvest Inc., their agent, to solicit background information relative to my criminal record history. I understand that Touchstone Youth Resource Services, Inc. may conduct inquiries into my background that may include criminal records, motor vehicle records, personal references, and other public record reports pertaining to me. When requested by an employer motor vehicle records or a driving history may be obtained. American Driving Records will proide motor vehicle records from the state of Louisiana.
I authorize without any reservation, any person, agencty, or other entity contacted by Touchstone Youth Resource Services, Inc. or ACCUFAX Div., Southvest Inc., their agent for purposes of obtaining backround report informatioin, to furnish the above-mentioned information.
I release Touchstone Youth Resource Services, Inc. their respective employees or ACCUFAX Div., Southvest Inc. their agent and employees and all persons, agencies and entities providing information or reports about me from any and all liability arisinig out of furnishing any such informatioin or reports.
Requested by 615-386-0108 PLEASE PROVIDE INFORMATION BELOW