I hereby attest to the accuracy of the information I have provided. I authorize Iowa State University Extension and Outreach to investigate the statements herein, including background checks, and release Iowa State University Extension and Outreach and all others from any associated liability. I understand that any misrepresentation or omission may be grounds for dismissal whenever discovered. I further acknowledge that my acceptance into the Counselor-in-Training program with Iowa State University Extension and Outreach is contingent upon satisfactory clearance of my background check. I waive my right to review references or recommendation, understanding that their contents are confidential and will not be available to me now or in the future. I am familiar with the general characteristics of the Iowa 4-H Center, the program offered, and the campers attending.