Volunteer - TheSeasons@Alexandria

Volunteer Application

Please mark your availability below:

Background Check

I have applied for employment in a position at a long-term care facility as defined by KRS 216.535(1), or a nursing pool providing staff to a nursing facility, or assisted-living community, involving direct services to a resident or client. I am requesting that the Kentucky State Police provide the employer with any record of conviction found in the files of the Kentucky centralized criminal history record information system. I know that i have the right to inspect my criminal history record and to request correction of any inaccurate information. If I do not exercise that right, I agree to hold harmless the Kentucky State Police and any Kentucky State Police employee(s) from any claim for damages arising from the dissemination of inaccurate information.