hereby authorize CAASTLC, Inc. to contact, obtain and
verify the accuracy of the information contained in this
application from all sources. I also hereby release from
liability CAASTLC, Inc. and its representatives for seeking,
gathering and using information to make assignment decisions
and all persons or organizations for providing such information.
I am assigned as a volunteer, intern, or practicum student,
I acknowledge that there is no specific length of assignment
and that either I or CAASTLC, Inc. can terminate this
assignment at any time for any reason. I understand that
this application is only for requesting assignment at
CAASTLC, Inc. as a volunteer, intern, or practicum student.
understand that it is the policy of this organization
not to refuse or otherwise discriminate against a qualified
individual with a disability because of that person's
need for reasonable accommodation as required by the ADA.
understand that if I am accepted as a volunteer, intern,
or practicum student, I will be required to provide satisfactory
proof of identity. I represent and warrant that I have
read and fully understand the foregoing.