It is Douglas County’s policy to conduct an investigation of the criminal history record and driving record history on final candidates for all County positions (including volunteer positions). I hereby authorize Douglas County to conduct a criminal record investigation and driving record investigation using the information I have provided below. I release Douglas County, its officers, employees, successors and assigns from any liability that may result from the conduct of such investigation, in order to facilitate such an investigation. I willingly provide the following necessary information.

It is necessary for this Agency’s records to contain personal and confidential data. It is the responsibility of all personnel, staff, and volunteers alike, to protect the confidentiality of this information and case material. A volunteer does not have the right to discuss any client’s case or release any information concerning a client or any facility activity to anyone except Douglas County Correctional Facility (DCCF) personnel.
If the volunteer comes into possession of information that he/she believes should be relayed to a source outside the DCCF (e.g., to a treatment resource or to a law enforcement agency), the volunteer is to provide this information to the Programs Coordinator, who will in turn forward it to the Administrative Captain.
If a volunteer is contacted by an outside source and requested to provide information concerning a client, the volunteer is not to share any information concerning a client. The volunteer instead is to direct the inquiry to the Administrative Captain.
Divulging confidential information to unauthorized persons or for unauthorized purposes, can result in liability against both the volunteer and the agency, and would be cause for termination of the volunteer.
I hereby acknowledge that I have reviewed this policy, fully understand its content, and agree to abide by this policy.

WHEREAS, the Douglas County, Kansas Sheriff (hereinafter the “Sheriff”) operates the Douglas County Jail (hereinafter the “Facility”); and
WHEREAS, in connection with operation of the Facility, the Sheriff has established certain programs in which community volunteers teach and interact with inmates and former inmates in certain areas, all of which are generally aimed at helping inmates and former inmates gain skills to better interact with family and others and/or to become self-sufficient and law-abiding citizens, some of which may continue after the inmate’s release from the Facility (hereinafter individually a “Program”); and
WHEREAS, signing this Release is a requirement to participate as a volunteer in a Program, and I sign this Release so the Sheriff will permit me to participate as a volunteer.
NOW THEREFORE, I hereby agree as follows:
1. I have been informed about the nature of the Program in which I wish to volunteer and, after gaining knowledge of the Program, I still wish to be a volunteer.
2. In consideration of being permitted to participate as a volunteer in the Program, I release and discharge the Sheriff, Douglas County, Kansas, their successors, agents, elected and appointed officials, and employees (collectively hereinafter the “Released Parties”) from any and all injuries, damages, costs and liability of any kind arising from or related to my participation as a volunteer in the Program, whether or not caused or contributed by the actual or alleged negligence of any of the Released Parties, including any and all injuries I may sustain as a result of the negligence or other wrongful conduct of any inmate or any family member of an inmate with whom I work in connection with the Program. This covenant shall bind my estate, my dependents, my heirs, and my personal representatives.
3. In signing this Release, I rely wholly upon my own judgment and knowledge of the nature of my decision to participate in the Program. I have not been influenced to any extent whatsoever in signing this Release by any representations or statements made by any of the Released Parties.
4. I promise to maintain the dignity of the inmates with whom I associate, including respect for their privacy, property, family and friends. I agree to abide by rules that the Sheriff or other representatives of the Facility may establish from time to time. I understand that the Sheriff, in the Sheriff’s sole discretion, may discontinue the Program in which I am volunteering at any time.
I certify that I have read the foregoing Release, understand its terms, agree to all of them, and that I sign it voluntarily.