In connection with my application for volunteer service with Attic After School, I authorize Attic After School and/or their agent, to solicit background information relative to my background references, character, past employment, criminal history, criminal or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming information contained on my application and/or obtaining other information which may be material to my qualifications for service, and, if applicable, during my tenure of service with Attic After School.
I understand that Attic After School may conduct inquiries into my background that may include criminal records, personal references, and other public record reports pertaining to me.
I authorize without reservation, any person, agency, or other entity contacted by Attic After School, or their agent, for purposes of obtaining background report information, to furnish the above mentioned information.
I release Attic After School, their respective employees, their agents and employees and all persons, agencies, and entities providing information or reports about me from any and all liability arising out of furnishing any such information or reports.
The following is my true and complete legal name and all information is true and correct to the best of my knowledge.