I understand that the above information will be used to conduct a criminal record check and I hereby authorize all law enforcement agencies including the South Carolina Law Enforcement Division (SLED) and/or the Federal Bureau of Investigations (FBI) to release any and all records regarding me to Level Up Healthcare Academy. I further agree to release SLED and any law enforcement agency from liability for providing information to Level Up Healthcare Academy in response to this authorization

I give Level Up Healthcare Academy permission to release a copy of the results of this SLED/ FBI check to the clinical rotation facility. I understand that a copy of my SLED/FBI check will be kept on file at Level Up Healthcare Academy and may be shared with other clinical facilities, as South Carolina law and/or clinical contracts require. I further agree to release Level Up Healthcare Academy from liability for sharing this information with clinical sites or any lawful use of the information acquired as a result of a criminal records check.