Rossville Consolidated School District - Limited Criminal History Check
By completing this form, I give my permission to Rossville Consolidated School District to request a Limited Criminal History Check to the Indiana State Police for the reason that I have volunteered services at a public school (as defined in IC 20-10.1.-1.2) that includes contact with, care of, or supervision over a student enrolled in the school.

I further understand that there is a penalty for the misuse of the information obtained and that any information obtained will be used for the stated purpose only and shall be kept confidential by Rossville Consolidated School District.

If you have any questions, please reach out to Judy Homco at 765-379-2990 x 1301 or via email at jhomco@rcsd.k12.in.us.
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