In connection with my application for employment, I hereby authorize Avery Humane Society and its designated agents and representatives to conduct a background investigation to procure information relating to my character, fitness, reputation and to verify to the accuracy of the information that I have provided on my employment application and/or resume.

I understand the scope of the investigation may include, but will not be limited to the following: Character References, Credit History, Criminal Arrest Record, Driving Record, Current and Past Residence Verifications, Education Verifications, Employment History, and License Verifications.

I authorize any business, individual, school or public agency to release any and all information, verbal or written, pertaining to me. I also hereby release the above entities from any and all liability for damages of any kind, regarding their release of any information relating to my past.

This authorization, in original or copy form, shall be valid for this and any future background investigations that be deemed necessary.