Variety Children and Family
Donation
CONSENT TO RELEASE INFORMATION124

Programs
CONSENT TO RELEASE INFORMATION124
  • VARIETY CHILDREN & FAMILY  SERVICES  INC
  •  CONSENT TO RELEASE INFORMATION
  • Background Check
    For prospective employees/foster parents  and re-newing foster parents

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
Name:
Name:
First
Last
Prospective Employee/ foster parent/Re-newing foster parent
Prospective Employee/ foster parent/Re-newing foster parent
Date