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Directory Results for I, , (Applicants Name) hereby authorize the Department of Public Welfare, ChildLine to release my Pennsylvania Child Abuse History Clearance directly to La Salle University Office of Ministry and Service to I, , (APrincipal) hereby appoint , to serve as my attorneyinfact (my "Agent"), giving to my Agent the power to accomplish the following specific acts in my name and for my benefit, as follows:

I, , (Applicants Name) hereby authorize the Department of Public Welfare, ChildLine to release my Pennsylvania Child Abuse History Clearance directly to La Salle University Office of Ministry and Service
I, , (APrincipal) hereby appoint , to serve as my attorneyinfact (my "Agent"), giving to my Agent the power to accomplish the following specific acts in my name and for my benefit, as follows: