**Consent to Obtain Criminal Information from Volunteer Applicant** This Consent to Obtain Criminal Information ("Consent") is executed by Applicant, residing at Applicant's Address (above), hereinafter referred to as "Applicant," in favor of STAT Inc., a 501c3 public charity, located at 24 Stom Rd and 22 Horsepower Miracles Lane, both in Ligonier, PA 15658, hereinafter referred to as "Organization."
Purpose: The purpose of this Consent is to authorize the Organization to obtain and verify criminal information related to the Applicant as part of its volunteer applicant screening process.
Authorization: The Applicant hereby consents to and authorizes the Organization to request, obtain, and use any information regarding the Applicant's criminal record, including but not limited to information from local, state, and federal agencies. This information may include: - Criminal background checks - Arrest records - Convictions or other relevant criminal history information
Use of Information: The information obtained will be used by the Organization solely for the purpose of evaluating the Applicant's suitability for volunteer work and to ensure the safety and security of those who work for the Organization, those who the Organization serves, the property owner, as well as the animals that reside on the properties.
The Organization agrees to maintain the confidentiality of any criminal information obtained and will not use it for any other purpose. However, decisions can be made based on information included in criminal background checks and criminal history; i.e., an Applicant with any level of abuse to humans or animals will not be appropriate for a team member role of any level.
Release of Liability: The Applicant releases the Organization, its agents, employees, and representatives from any and all liability, claims, or demands that may arise from the acquisition, use, or release of criminal information obtained pursuant to this Consent, provided such use is in accordance with applicable laws and regulations.
Duration: This Consent shall remain in effect until the Organization completes its volunteer screening process or until the Applicant revokes it in writing, whichever comes first. Revocation of this Consent does not affect the information obtained prior to revocation.
Acknowledgment:
The Applicant acknowledges that they have read and understood this Consent and voluntarily agree to its terms. The Applicant understands that refusal to provide consent and/or content of the gathered information may affect their eligibility to volunteer with the Organization.