I hereby give permission for The Arc to obtain information relating to my criminal history record. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudications. I understand that this information will be used, in part, to determine my eligibility for a volunteer position with this organization. I also understand that as long as I remain a 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 administrator, hereby remise, release and forever discharge and agree to indemnify The Arc of the Capital Area, a service of United Way/Capital Area and each of their officers, directors, employees and agents harmless from and against any and all causes of actions, suits, liabilities, cost, debts and sums of money, claims and demands whatsoever, and any and all related expenses resulting from the investigation of my background in connection with my application to become a volunteer. I understand that any information released to me about any Arc of the Capital Area client is strictly confidential. I agree to keep this information confidential. I understand that The Arc of the Capital Area adheres to a tobacco free policy in all facilities where volunteer activities take place. I agree to not use tobacco products while volunteering or when on the premises. I hereby grant permission for The Arc of the Capital Area to use my name, likeness, written and spoken comments in informational, promotional, development, and fundraising materials to promote quality programs and community awareness for persons with disabilities.