After completing the application, you will be redirected to documents that you must sign electronically.

CNA Student Application

RELEASE TO OBTAIN LIMITED CRIMINAL HISTORY REPORT

Pursuant to Indiana State Code Section 18, IC 16-28-13 and Section 19 requiring that a criminal history report be obtained on any person working in a health facility, I give permission to Legacy CNA Training, LLC., to obtain my limited criminal history report from the Indiana Central Repository for Criminal History Information under IC 5-2-5 or another source allowed by law.

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