AmeriCorps Application

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I understand that The Arc of Palm Beach County will attempt to verify statements made on my Intern application and made during my Intern interview. When contacted by The Arc of Palm Beach County I give permission for my professional and personal references to answer any and all questions based upon information available to them from this application. Nonetheless, in consideration of The Arc of Palm Beach County’s review of this application I agree to release, indemnify and hold harmless all persons and other entities (third parties) providing the information requested by The Arc of Palm Beach County, their agents, of cers or employees. I also agree to release, indemnify and hold harmless The Arc of Palm Beach County and their agents, of cers and employees from any and all liability in connection with its conducting such investigation as it deems appropriate and the use of the information received from Third Parties. I understand that my failure to sign this reference release so that The Arc of Palm Beach County can contact references and make a full background check of my previous work and Intern history will be deemed interference with and a withdrawal of my application for Interning. I further agree to hold harmless and indemnify The Arc of Palm Beach County, and its agents, of cers and employees from any and all liability that may be caused by The Arc of Palm Beach County relying on Inaccurate Information.

I understand that The Arc of Palm Beach County requires certain information about me to evaluate my quali cations to Intern. I understand that false, incomplete or misleading statements or omissions on this application or any other pre- or post-Intern form may be considered suf cient cause for dismissal of Intern services to The Arc of Palm Beach County, if and when discovered.

“I certify that all information submitted by me on this application is true and complete. I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and active Intern status may be terminated at any time. In consideration of my Intern application, I agree to adhere to the policies and regulations.