Variety Children and Family
Donation
CONSENT TO RELEASE INFORMATION 114

Programs
CONSENT TO RELEASE INFORMATION 114

VARIETY CHILDREN & FAMILY  SERVICES  INC

CONSENT TO RELEASE INFORMATION

Background Check

  • I  hereby consent and give authorization to Variety Children & Family Services   (A Human Services Agency) to obtain any information that relates to my background and for any  pertinent information to be released to the agency as it relates to my application to be an employee/ professional foster parent .
CONSENT TO RELEASE INFORMATION
Foster Parent Name
Foster Parent Signature
Date :
Foster Parent Name
Foster Parent Signature
Date :