Name, Relationship, Phone Number, and Email Address
I recognize that Vertical Encounter is relying on the accuracy of the information I provide on this application form. Accordingly, I attest and affirm that the information I provided is absolutely true and correct. I authorize Vertical Encounter to contact any person or entity listed on the application form, and I further authorize any such person or entity to provide Vertical Encounter with information, opinions, and impressions relating to my background and qualifications. I voluntarily release Vertical Encounter and any such person or entity listed on the application form from any liability involving the communication of information relating to my background and qualifications. I further authorize the organization to conduct a criminal background investigation if such a check is deemed necessary. I agree to abide by all policies and procedures of Vertical Encounter and the Vertical Encounter Safety Team and to protect the health and safety of the people assigned to my care or supervision at all times.