I authorize the Girl Scouts of Minnesota and Wisconsin River Valleys and Intellicorp to conduct a criminal history and sex offender record check (“Background Check”). I understand that the information obtained from this Background Check will be used, in part, to determine my eligibility to volunteer with the Girl Scouts of Minnesota and Wisconsin River Valleys. I understand that as long as I remain a volunteer for the Girl Scouts of Minnesota and Wisconsin River Valleys, the Background Check may be repeated. I understand that if the Girl Scouts of Minnesota and Wisconsin River Valleys chooses not to appoint me to a volunteer position or not reappoint or dismiss me based on the report that I will receive a summary of my rights under the Fair Credit Reporting Act and contact information for the reporting agency, Intellicorp.

I have carefully read and understand this authorization form and, by my signature below, consent to the release of consumer or investigative consumer reports, as defined above, to Girl Scouts of Minnesota and Wisconsin River Valleys (1) in conjunction with my application for volunteer service, (2) during the entire course of my volunteer service, if any, and (3) after any such volunteer service ends.

I understand and acknowledge that nothing in this notice and authorization is intended to be, or is, an offer or a promise of continued volunteer service

I authorize the release of consumer or investigative consumer reports by Intellicorp to Girl Scouts of Minnesota and Wisconsin River Valleys orally and in writing. I agree to release and discharge Intellicorp and Girl Scouts of Minnesota and Wisconsin River Valleys and the agents and employees of each to the full extent permitted by law from any claims, damages, losses, liabilities, costs and/or expense, or any other charge or complaint arising from the retrieving and/or reporting of the consumer report or investigative consumer report.