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Content
Criminal History Background Check Release Form
Volunteers and Interns
Name
Address
_
Length of time at this address
If less than three years, previous address
Date of Birth
I am the person named above; the information above is truthful. My
signature on this form grants AAADSW permission to run a criminal
background check on me. I understand that certain findings will restrict my
ability to work/volunteer/intern in some positions.
Signature
Date