BACKGROUND CHECK AUTHORIZATION
I hereby give my permission for Immanuel Baptist Church to obtain information pertaining to any charges and/or convictions I may have had for federal and state law violations. 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 this information will be used, in part, to determine my eligibility for a volunteer position with this organization. I also understand as long as I remain a volunteer at Immanuel Baptist Church, the criminal history records check may be repeated at any time. I understand I will have an opportunity to review the criminal history and a procedure is available for clarification if I dispute the records as received.
I, the undersigned, do, for myself, my heirs, executors, and administrators, hereby remise, release and forever discharge and agree to indemnify Immanuel Baptist Church and each of their officers, directors, employees, and agents harmless from and against any and all causes of actions, suits, liabilities, costs, debts, and sums of money, claims and demands whatsoever, and any and all 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.