ࡱ> 241 7bjbj΀ |{{{8.-//////$~"S{%`%%Sih%dl{-%-O, g'>~0###{hvTD&SS#%%%%# :  WHEREAS, The School of Law Enforcement and Justice Administration of ϲʷ¼, Macomb, Illinois, has entered into agreements with various municipalities, law enforcement and criminal justice agencies by which such governmental bodies or agencies have agreed to accept certain students in the School of Law Enforcement and Justice Administration as interns with such agencies for the purpose of furthering the education of such students, and WHEREAS, I have been accepted by  (Name of Agency Accepting Intern) as such an intern, and whereas, the internship training program will include riding in agency vehicle, and participating in other agency activities, as directed. NOW THEREFORE, I hereby, in consideration of my acceptance as such an intern by the above named agency or municipality, and the efforts of ϲʷ¼ in securing such placement, do release and waive any and all claims or demands of whatsoever nature that now I have or may in the future acquire against said ϲʷ¼, and   (Name of Agency Accepting Intern) together with the officers, agents, servants, and employees of ϲʷ¼ and the  (Name of Agency Accepting Intern) resulting from my service as such intern. I further covenant and agree, in consideration of my placement and acceptance as such intern, to indemnify and hold harmless said University and accepting Agency, their officers, agency, and employees from any liability that may be incurred by them or either of them, proximately resulting from any acts by me during such internship. I further represent that I am above the age of 21 years, full understanding of all risks involved, and agree that this waiver and release shall be binding upon my heirs, executors, administrators, and assignors.* Student Signature Parental Signature *Parental signature required if under age 21. Witness Signature     FORM VIII WAIVER AND RELEASE ϲʷ¼ School of Law Enforcement and Justice Administration 8 >  ! " # F  IJ"(*13f~hChhdjhdU hP >* hP 6 hP >*CJh!IhO'jhlUmHnHujhP >*UmHnHujhlCJUmHnHujhP UmHnHujhLnCJUmHnHuh hP hP CJ0    ! # E F IJ !"$a$$a$"1^*+,-./0$a$gdLn$a$$a$gdChgdChgdCh !*+,-./0123457hP hlhLnhlCJaJhLnhLnCJaJhdhLn hLnCJhqThCh hChCJ 01234567 !$a$gdlz+p,p-p.p1/R 4567:pCh/ =!"#$% ^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH 8`8 Normal_HmH sH tH BB  Heading 1$$@&a$>*CJDA`D Default Paragraph FontViV  Table Normal :V 44 la (k (No List 4>@4 Title$a$5CJ6J@6 Subtitle$a$CJ2B@2 Body TextCJ4@"4 Header  !4 @24 Footer  !<P@B< Body Text 2$a$CJHRH  0 Balloon TextCJOJQJ^JaJNaN  0Balloon Text CharCJOJQJ^JaJPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] 7  7 ||~~~7 "07 8  @  (  VB  C D"?VB  C D"?VB  C D"?t  c $#" `? t  c $#" `? t   c $#" `? B S  ?!7'Dt(t't(t m't(tlm!n$-opFq|rFs889*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName xS./588>,.//88>,.//8wCh H*}E!IqTe4dLnHq|ui/|hn_lTodP O'@P7p@UnknownG* Times New Roman5Symbol3. * Arial5. *aTahomaA BCambria Math"1h͊F͊F&% % !d4d2QHX?H*2!xx FORM VIIIValued Gateway CustomerWestern Illinois UniversityOh+'0 ( H T ` lx FORM VIIIValued Gateway Customer Normal.dotmϲʷ¼2Microsoft Office Word@F#@}@'>@'>%՜.+,0 hp|      FORM VIII Title  "#$%&'(*+,-./03Root Entry Fs'>51Table#WordDocument|SummaryInformation(!DocumentSummaryInformation8)CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q