Authorization

 

 

I understand that in connection with my volunteer application, a background investigation may be done that may include information regarding my driving records, court records (both civil and criminal), educational and professional credentials, and personal and professional references.  This information may come from either public or private sources, and may contain information regarding my character, experience, work habits, and/or other information relevant to volunteer service.  All information obtained will be treated with a high degree of confidentiality. 

I understand that , if I am approved for volunteer service by the Archdiocese of Portland, this background check authorization will be kept on file and may be used at any time during my service to procure further information when, in the judgment of the Archdiocese, such may be necessary.

I understand that the information I provide in connection with this volunteer application will not be used for any purpose other than determining my eligibility for volunteer service in an Archdiocesan parish, school, or other entity.

I hereby release and discharge to the extent permitted by law, the Archdiocese of Portland (including its churches, schools, and other entities), its employees, any individual or agency obtaining information for the Archdiocese of Portland, and any personal or professional references, from any and all claim, damages, losses, liabilities, costs, or other expenses arising from the retrieving, reporting, and/or disclosure of information in the connection with this background investigation.

I have read, understand, and consent to the above.  I further authorize that a photographic copy or a telephonic facsimile of this document shall be valid for all purposes present and future.

My signature below certifies that all information I have provided in connection with this background check is true, accurate, and complete to the best of my knowledge.

 

 

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                        Applicant’s Signature                                                                            Date