FCHS 2024-2025 Limited Criminal History Search
New Albany-Floyd County Consolidated School Corporation
Utilizing the Indiana State Police Website
For Volunteers/Chaperones
Results Valid July 1st, 2024 - June 30th, 2025.
*Please only complete this form ONCE for the school year. 
If you have any questions, please contact Mrs. Jacobs at kjacobs@nafcs.org. 
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Legal First Name: *
Middle Initial:
Legal Last Name: *
Date of Birth *
MM
/
DD
/
YYYY
Race *
Gender *
Maiden Name:
Other Married Name(s):
School(s) requesting to volunteer with: (Mrs. Nevin from HHMS will have access to the results from this form)
Sport/Club/Event volunteering for: (Please note that you will NOT need to submit an additional form if you are participating in other events throughout the year that you do not initially list here. Only one form per year is necessary for all activities.)
Associated Students:
The New Albany-Floyd County Consolidated School Corporation affirms that the Limited Criminal History information requested through the Indiana State Police website will be used as specified and will not utilize it for any other purpose. Information received will be confidential and utilized only by authorized personnel.
(Please type your name to acknowledge and authorize.)
 *
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