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Fingerprint application form

Office for Assistance Ministry 2026

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The document is a fingerprint application form for individuals seeking a criminal history record check through the Archdiocese of Chicago's Office for the Protection of Children and Youth. It outlines the necessary information to be provided by the applicant, including personal details and consent for the release of criminal history information. The completed form must be submitted along with a photo ID to a designated LIVE SCAN vendor.

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Click ‘Get Form’ to open the Fingerprint Application Form in the editor.
Begin by filling in your personal details. Clearly print your last name, first name, and middle initial in the designated fields.
Provide your date of birth, sex, race, hair color, eye color, height, and weight. Ensure all information is accurate for processing.
Enter your address along with your driver's license number and state. Include your place of birth (state or country) as required.
Fill in the school name and code along with the city and zip code where applicable.
Read the consent statement carefully. By signing it, you authorize the release of any criminal history record information regarding you.
Finally, sign and date the form at the bottom to complete your application before submitting it to the LIVE SCAN vendor along with a photo ID.

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