Life Changers International Church
Authorization for Release of Information
I hereby give my permission to Life Changers International Church to obtain information relating to my criminal history records through the Track-1 Technology Inc; as well as reviewing my personal references and other public records pertaining to me. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudication. I understand that this information will be used in part, to determine my eligibility for an employment/volunteer position with this organization. I also understand that as long as I remain an employee or volunteer here, the criminal history records check may be repeated at any time. I understand that I will have an opportunity to review the criminal history and a procedure is available for clarification, if I dispute the record as received.
I, the undersigned, do for myself, my heirs, executors and administrators, hereby remise, release and forever discharge and agree to indemnify and hold Life Changers International Church and the Track-1 Technology Inc, and each of their officers, directors, employees and agents harmless from and against any and related attorney’s fees, court costs and other expenses, resulting from the investigation of my background in connection with my application to become a volunteer/staff member.
I authorize without reservation, and person agency, or other entity contacted by Life Changers International Church, or Track-1 Technology Inc, their agent, for purposes of obtaining background information, to furnish the above mentioned information.