I release, indemnify and forever hold harmless the North American Mission Board, SBC, their agents or assigns from any and all claims and/or liabilities that may arise as a result of these investigations. Further, I release, indemnify and forever hold harmless any person, corporation, company, institution or individual and their agents and assigns who may act upon authority of this release.

I authorize and certify that a photocopy or electronic facsimile of this Release shall serve with the same authority as the original. Further, if any county or state requires a notarized copy of this document before a background check can be completed, such notarized copy will then be provided.

County of Residence: 

State of Residence: 

By typing your name below you are signing this form:

Signed    DATE