This is ONLY an example of  Authorization Release and actual form will be signed during Mentor Coordinator session.
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I, hereby authorize the Project ChalleNGe Program, along with the law enforcement departments, to conduct whatever background search may be deemed appropriate. This information is necessary to assist in determining my qualifications and suitability for the position I am seeking with the Project ChalleNGe Program.

I fully understand that the information you collect may be of a sensitive, confidential, and privileged nature, and may reflect on my suitability. I hereby release the Project ChalleNGe Program and its agents from the liability and damage that may result from the exchange of requested information between law enforcement departments and Project ChalleNGe Program.