I hereby authorize AnB Education to request and receive any and all background information about or concerning me, including, my criminal history, felony and misdemeanor records, sex-offender records, inmate records and arrest information and child abuse history. I understand that this information will be used to determine to be a local coordinator with AnB Education. This request is for criminal history and child abuse history only. No credit report will be requested or obtained.
I agree to indemnify and hold harmless the person to whom this request is presented and his/her agents and employees, from and against all claims, damages, losses and expenses, including reasonable attorneys fee, arising out of or by reason of complying with this request.
A photocopy of this release form will be valid as an original hereof, even though said photocopy does not contain an original writing of my signature. This authorization shall continue in effect until revoked by me writing.