I certify that all statements on this Application are true and correct. As condition of volunteering, I give
permission for Lifecycles Louisiana to conduct a background check on me, which may include a review of sex
offender registries, child abuse and criminal history records. I understand that, if approved, my position is
conditional upon the ministry receiving no inappropriate information on my background. I hereby release and
agree to hold harmless from liability Lifecycles Louisiana, their officers, employees and volunteers thereof, or
any other person or organization that may provide such information. I also understand that, regardless of
previous appointments, Lifecycles Louisiana is not obligated to appoint me to a volunteer position. If appointed,
I understand that I am subject to suspension by the Director and removal by the Board of Director for violation
of Lifecycles policies or principles.