I affirm that I have read this completed application, and I have not withheld any information and that the information is true and correct. I understand that falsification of any information I have provided for volunteer consideration may result in termination of volunteer service. I authorize West Side Community Services to verify any information I have furnished on this application and to contact any references. In consideration of my volunteer position, I agree to conform to the rules and regulations of West Side Community Services and that my volunteer position can be terminated at any time, at the option of either West Side Community Services or myself. By checking "yes" below, I agree to the text above.