Authorization to Release Information

I certify that the answers given in the accompanying Camp Good News Staff Application are true and complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given in my application, discloser form or interview may result in discharge.

I understand that Camp Good News/Retreat Center to which I am applying or its agent will be investigating my background, references, character, employment, criminal or police records (including those maintained by both public and private organizations) and public records for the purpose of obtaining information which may be material to my qualifications for employment.

I herby authorize each employer, volunteer entity, and any other person or entity to release all such information to Camp Good News.

I understand that by releasing this information to Camp Good News or its agent that my employer, former employers, or any person or entity will not be vouching for its accuracy, and I agree not to bring any legal action against my current employer my former employers, volunteer entities, or any person or entity for their response to the Camp Good News network or its agent’s inquiry.

I understand and waive my right to privacy in this investigation and release and hold harmless Camp Good News /Retreat Center to which I am applying, Camp Good News, its agent and any person or entity which provides information in pursuant to this authorization from any liability.

I understand and agree that if hired, my employment will be at-will in nature and may be terminated, with or without cause, at any time, by myself or by Camp Good News. I also understand that this written statement supersedes any and all oral representations made by agents or representatives of Camp Good News.

It is my understanding that this employment application, or the granting of an oral interview, does not represent a contract of employment or a promise of future benefits.

I authorize the aforesaid parties to treat a photocopy of this release as though it is the original executed copy.

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Signature Print Name

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Date

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Signature of Parent or Guardian if applicant is under 18 years of age