District Background Screening Application

We appreciate your interest in applying for an employment or volunteer position. Simply complete and submit a background screening application.

It is very important that the information you enter on the application matches your government-issued identification card including your full legal name. It is important that you provide a valid email address so you can be notified as to the status of your application and for future communication. All information collected on the application will remain confidential and will not be shared outside the background screening process.

If you have any questions about the application, please call 812-486-3220 and someone will be able to help you.

Thank you,
Barr-Reeve Administrative Office

Personal Information

Legal First Name

Address Line 1

Legal Middle Name

I don't have a middle name

Address Line 2 / Apt # / Building #

Legal Last Name

City

Maiden Name

State/Province/Region

Gender

Postal/Zip Code

Date Of Birth

Phone Number Phone number is required

Affiliation

Please note: An email will be sent to the email address entered to inform you of the status of your application.

Please select the schools at which you wish to volunteer

Please select the functions from the list below. (select all that apply)

Please choose Employment or Volunteer.

Please select the organization(s) on behalf of which you are volunteering (if not applicable, select "None")

Please read the disclaimer below and provide your signature

To help ensure a safe environment and as required by state law, the Barr-Reeve School Corporation will obtain for each individual hired for employment or approved in a volunteer capacity that is likely to have direct, ongoing contact with children as a result of the individual’s position an expanded criminal background screening. The expanded criminal background screening will be obtained by the Corporation prior to the individual’s employment. The individual will be responsible for the cost to the School Corporation for obtaining the expanded criminal background screening. Each individual hired may be questioned about the individual’s expanded criminal background screening. Failure to answer honestly any questions related to the expanded criminal background screening maybe cause for termination of the applicant. Any information obtained from any type of criminal background screening is confidential and shall not be released or disseminated. All school employees and individuals or entities that have contracts for services with the Corporation are required by state law to report convictions of certain crimes enumerated in state law to the Corporation. The superintendent or designee is responsible for implementing regulations to notify the employees, including volunteers, and entities for contracted services of this duty.

By providing your signature, you authorize Barr-Reeve Community Schools, Inc. to complete a background screening.

Name

Signature

By signing your name you agree to all the above statements. Use the mouse or touch screen to sign.

Please enter your payment information

A criminal background check is required and there is a fee associated with the screening.
Fees may vary depending on the functions selected. Payment is necessary to complete your background screening application.

Volunteer Application

Name on Card

Postal/Zip Code

Indicates required fields

Thank You

Your background screening application has been successfully submitted and will be reviewed per the district’s policy.
If you have any questions about the application, please call 812-486-3220 and someone will be able to help you.

Thank you,
Barr-Reeve Administrative Office