DUBLIN CITY SCHOOLS

WAIVER TO CONDUCT A BACKGROUND CHECK AND RELEASE INFORMATION I understand that as an employee with the Dublin City Schools I am required to be fingerprinted and have a criminal background check with accordance with the Official Code of Georgia Annotated 20-2-211(e)(1). I further understand that the information obtained from the criminal background check may be used in decisions pertaining to continued employment. I agree and consent for such background check and investigation to be conducted, I agree for the Dublin Police to release the results of the background check and investigation to the Dublin City Schools, and I agree to hold the Dublin Police Department and the Dublin City School System and all officials, representatives, and employees of the foregoing harmless from all claims for libel, slander, defamation of character, invasion of privacy, intentional infliction of emotional stress, negligence, and similar claims, except in instances of malicious intent.

Employee

Address

City,State,Zip

Date of Birth

SSNumber

Date

WAIVER FOR BACKGROUND CHECK 29sep2016.pdf

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