By signing this application, you attest to the following:
I affirm that I have not been convicted of any felony and that there is no pending charge against me for any felony or misdemeanor offense with the exception of traffic offenses. I hereby give my voluntary consent to a criminal history check. By providing my signature, I empower Suffolk Public Schools to be my designated representative for the purpose of obtaining my criminal history record information maintained by law enforcement agencies. I understand that certain information obtained as a result of the criminal history check may preclude my participation in the school system. I waive any claim for damages or injury against the school system or the provider of the report, except as mandated by the Fair Credit Reporting Act.
I further understand that Suffolk Public Schools and/or the Suffolk City School Board does not provide liability insurance, personal injury insurance, and/or workers' compensation insurance of any kind whatsoever for persons serving as a School Volunteer, but I do understand that I have the right to obtain any such insurance coverage on my own at my own expense while serving as a volunteer for Suffolk Public Schools. I further agree to hold Suffolk Public Schools and/or the Suffolk City School Board, its officers, employees, assigns and/or representatives harmless for any and all claims, liabilities, damages, lawsuits, and/or causes of action, of any kind, nature and/or description, including attorney fees, for any personal injury, violation of rights, violation of any law, bylaw, ordinance, regulation or decree, and for any damage to property, either real or personal, sustained by me or committed by me against a third party, whether intentional or unintentional, in tort or contract, law or equity, directly or indirectly resulting from my serving as a volunteer for Suffolk Public Schools.
I agree to abide by the rules and regulations of the Suffolk Public Schools Volunteer Program as listed in the Volunteer Handbook.