I understand that:
a) The camp may deny employment to any person who answers "yes" to any one of question 2-7. If hired and the employer later discovers circumstances that would indicate a "yes" answer to any of the above questions, employment may be terminated immediately.
b) The information provided on this form is subject to verification, which may include a criminal history check and request from any Central Registry of child abusers.
c) The camp may terminate employment or volunteer service of any person if that person is found, regardless or when discovered, to:
1. Have a history of complaints of abuse of a minor
2. Have a resigned, been terminated, or been asked to resign from a position whether paid or unpaid, due to complaint(s) of sexual abuse of a minor; and/or
3. Have falsified or omitted information in this disclosure statement.
d)This disclosure statement must be updated yearly and immediate notification provided to the camp if any information provided changes.
State Law Notices Relating to Your Background Report
Washington State Applicants only: You also have the right to request from the consumer reporting agency a written summary of your rights and remedies under the Washington Fair Credit Reporting Act.
California, Minnesota, and Oklahoma Applicants Only: Please inform Camp CARE if you would like a free copy of any REPORT obtained from Sterling Volunteers. Please note you can access your completed report at any time by setting up your profile on the Sterling Volunteers website.
New York Applicants Only: By signing the authorization, you acknowledge that you have received a copy of New York Correction Law Article 23-A. You have the right, upon written request, to be informed whether an investigative consumer REPORT was requested. If such a REPORT was requested, you will be provided with the name and address of the consumer reporting agency that prepared the REPORT and you can contact that agency to inspect or receive a copy of the REPORT.
Typing your name below will act as your digital signature.