The information contained in this application is correct to the best of my knowledge. I, the undersigned, give my authorization to West Lansing Church of Christ or its representatives to release any and all records and information relevant to working with minors. The church may also contact my references. I authorize any references listed to give you any information they may have regarding my character and fitness for work with minors. I release all such references from liability from any damage that may result from such evaluations to you, and I waive any right to inspect these references.
I authorize West Lansing Church of Christ to perform a criminal records check for arrests, convictions, or other information the Department of Corrections and any other local, state, or federal criminal enforcement agency may have regarding me and release such information to West Lansing Church of Christ.
I release West Lansing Church of Christ and the above mentioned agencies from any liability or damages resulting from the release of this information. I waive any present or future claims of privacy resulting from this information for qualifications of volunteer work at West Lansing Church of Christ.
I understand that by placing my name in the "digital signature" area, I am officially signing this document with my own hand. This signature is binding according to law in the same way my own written signature is.