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I am an applicant for an internship/volunteer opportunity with the City of Durango, Colorado. The facts set forth in my application for internship/volunteer are true and complete. I understand that if selected, false statements on this application shall be considered sufficient cause for removal from internship or volunteer role. I understand that a confidential background check may be performed on me, and that appointment to any City internship or volunteer opportunity is dependent upon the satisfactory completion of this check. I release the City to check with any references listed on this application, schools or colleges, criminal justice records, or any other resource. I authorize all such resources to answer all questions and provide such information as requested by the City, and I release all such resources from any liability or consequences which may result from providing such information.
1. John Doe, attorney, 123 Main Ave., Anytown, USA, 555-555-5555.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
In accordance with the Colorado Open Records Act, this submission and all related correspondence may be subject to public disclosure.
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