Each volunteer, volunteer applicant, or contractor who is to be screened, must sign an authorization/waiver/indemnity form, giving approval for the City of Southlake to perform the criminal background search.

I hereby give my permission for the City of Southlake to obtain information related to my criminal history record. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudication. I understand that this information will be used in part to determine my eligibility for a contract/volunteer position with the City of Southlake. I also understand that as long as I remain a contractor/volunteer with the City of Southlake, the criminal history records check may be repeated at any time. I understand that I will have an opportunity to review the criminal history and a procedure is available for clarification, if I dispute the record received.

I, the undersigned, do, for myself, my heirs, executors and administrators, hereby remise, release and forever discharge and agree to indemnify the City of Southlake and each of their officers, directors, employees, and agents harmless from and against any and all causes of action, suits, liabilities, costs, debts and sums of money, claims and demands whatsoever, and any and all related attorneys’ fees, court costs, and other expenses resulting from contractor/volunteer.