Forms

Office of Research Services

Lakehead University Agricultural Research Station (LUARS): Agricultural Research Capacity Development Program

Who should use this form: Faculty
The Vice-President Research and Innovation (VPRI) is pleased to announce another call for proposals through the LUARS Agricultural Research Capacity Development Program. Areas of research priority for LUARS to be supported include, but are not limited to: agriculture, agribusiness, environmental studies, water management, soil science, food security, natural resources management, and other areas that can demonstrate the project has an agricultural focus. In addition, research projects that are based at LUARS and address the emerging regional research needs of the economy of Northwestern Ontario will receive priority.

1 Step TB Skin Test Form

Who should use this form: Students

This form should be used for 1 step TB Skin tests and is to be fully completed by the Health Care Provider ONLY.  Your Health Care Provider can use their own stationary but it must show:  Date administered;, Date read;, and Result;, along with Administered by: (name printed with signature), and name of clinic with full address (stamp with all info accepted).

2 Step TB Skin Test Form for 1st Year Nursing Students

Who should use this form: Students

Your 2 Step TB Skin test should be recorded on this form.  Form is to be fully completed by the Healthcare Provider Only.  When clinic uses their own stationary they must provide the same information:  Dated Administered:, Date Read:, Result: (for both tests), along with Administered by:  (name printed plus signature) and name of clinic with full address (stamp with information allowed). Skin Tests provided on immunization records not accepted.  A 2 Step TB Skin test requires 4 visits to the healthcare provider to have the test completed.

ACADEMIC INTEGRITY IN WRITING DECLARATION POLICY

Who should use this form: Students

Academic Integrity in Writing Declaration Policy

Access Request Form

Who should use this form: Alumni, Faculty, Students, Staff

Use this form if you are requesting access to General Records or access to Own Personal Information.

This form is also intended for the Public.

Department: Risk Management and Access to Information

Health & Safety

Accident Report Form

Who should use this form: Faculty, Staff

Health & Safety Accident Report Form - for an injury with or without medical aid. For an incident, without injury.

Financial Services

Account Set-up Form

Who should use this form: Faculty, Staff

Use this form when you need a new cost centre account.

Office of Research Services

Acknowledgement of Research Agreement Terms & Conditions

Who should use this form: Faculty, Students

This form should be used by faculty and students who are involved in research projects which involve a legal Agreement with the funder.

Helpdesk

Android Wireless Instructions Pamphlet

Who should use this form: Faculty, Students, Staff

Instructions for connecting to wireless via android OS

Office of Research Services

Animal Care: Animal Incident Reporting Form

Who should use this form: Faculty, Students, Staff

Use this form to report incidents that occur when caring for/working with animals.

Office of Research Services

Animal Care: Animal Utilization Protocol (AUP) Application Form

Who should use this form: Faculty, Students, Staff

Applications for approval of a protocol from the Animal Care Committee are available through the Romeo Research Portal.  Please log in by first logging into MyInfo.

https://myinfo.lakeheadu.ca/

Appropriate Use of Electronic Devices Policy

Who should use this form: Students

Appropriate Use of Electronic Devices Policy

Enrolment Services - Academic Advising, Records and Registration

Audit a Course

This form should be used by students who are interested in Auditing a Lakehead University course.

Completed forms must be returned to Enrolment Services - Academic Advising, Records and Registration.

Audit fees are non-refundable and once registration occurs, must be paid in full online or at Financial Services during regular business hours: Monday-Friday, 8:30AM - 4:30PM.  

Submission of a request to Audit a Course does not guarantee acceptance as some courses have limited capacities and/or restrictions.

Financial Services, Payroll Services

Banked Overtime Adjustment Form

Who should use this form: Staff

OPSEU Banked Overtime Adjustment Form

Risk Management and Access to Information

Basic Risk Management for Field Trip

Who should use this form: Faculty, Students, Staff
If your Faculty/Department has an official risk management manual, this list should be used only as a supplement to it. For more detailed information please contact the Office of Risk Management.
Financial Services, Payroll Services

BH Full-time bi-weekly hourly (IUOE, OPSEU, UNIFOR, UUSW) Pay Schedule

Who should use this form: Staff

Pay Schedule for United Steelworkers Union (USWA), International Union of Operating Engineers (IUOE), Ontario Public Service Employees Union (OPSUE), and UNIFOR Employees

Health & Safety

Biosafety Facility Self Audit Form

Who should use this form: Faculty

Self Audit Biosafety form for Lakehead University Faculty.

Helpdesk

Blackberry Wireless Instructions Pamphlet

Who should use this form: Alumni, Faculty, Students

Instructions for connecting to LakeheadU wireless on Blackberry devices.

Human Resources

Blank Evaluation Form (PDF) - CUPE

Who should use this form: Faculty, Staff
This form is meant to be an aid to both the employee and the supervisor in discussing the issues surrounding the employee’s review. The six factors identified should provide a good starting point for discussion. We would encourage you to discuss these and any additional factors you determine are relevant to the position. Attachments are encouraged. Any concerns regarding the Employee Performance Review may be directed to the Department Chair/Director or the Faculty Dean.
Nursing

Blank Student Schedule

Who should use this form: Students

This form can be used to plan your schedule for the fall term and winter term on paper before beginning to register on-line.

Financial Services, Payroll Services

BM Bi-Monthly Salary for Graduate Assistants (CUPE), and Post-doctoral Fellows Pay Schedule

Who should use this form: Staff

BM Bi-Monthly Salary for Graduate Assistants (CUPE), and Post-doctoral Fellows

Breach of Privacy

Who should use this form: Alumni, Faculty, Students, Staff

In cases where a significant breach of privacy has occurred, that is, disclosure of personal information contrary to the law, please complete this form (can be done entirely electronically) and send it confidentially, ideally as an email attachment, to the Director of Risk Management and Access to Information at mshaw1@lakeheadu.ca.

Please submit the report as soon as possible after the breach has occurred.

Department: Risk Management and Access to Information

Financial Services, Payroll Services

BS Full-time bi-weekly salary (COPE) Pay Schedule

Who should use this form: Staff

BS Full-time bi-weekly salary (COPE)

BScN UNIFORM POLICY

Who should use this form: Students

LAKEHEAD UNIVERSITY SCHOOL OF NURSING 

 BScN UNIFORM POLICY

Financial Services

Budget Transfer

Use this form to request transfer of budget dollars from one department to another.

Enrolment Services - Academic Advising, Records and Registration

Business Declaration of Program

Who should use this form: Students

This form is to be used by Honours Bachelor of Commerce students in the Faculty of Business Administration who are declaring their major or changing to the Bachelor of Administration program. Please review the current program requirements found in the Lakehead University Academic Calendar prior to declaring your program. If you have any questions about your program requirements, discuss your decision with your program Chair.

Note: only forms approved by the Faculty of Business will be processed. Once a program has been updated, the student will be sent an email notification to their Lakehead University email account.

Cancelled Clinical Policy

Who should use this form: Faculty, Students, Staff

While the School of Nursing is committed to maintaining its scheduled clinical placement experiences at all times, it may need to make changes and/or cancel clinical shifts or rotations if continuing with normal operations poses a danger to students, staff, and faculty. 

Technology Services Centre, Helpdesk

Cell Phone Reimbursement

Who should use this form: Faculty, Staff

To be used for Cellular (Mobile) Telephone Reimbursement Request

Enrolment Services, Enrolment Services - Academic Advising, Records and Registration

Change of Mark Form

Who should use this form: Faculty

To be used for official record changes to a student marks.

Financial Services, Accounts Payable

Cheque Requisition

Use this form to submit a cheque requisition, requesting payment for non-travel and non-hospitality charges, not made on a Lakehead Purchasing Card. Payments are reimbursed in either Canadian dollars or U.S. dollars.

Financial Services, Research & Trust Accounting

Computer Justification Form

Who should use this form: Staff

Justification Form for Computer, Software and Electronic Equipment Purchases from Research Fund Accounts.

Confirmation of Eligibility to Work in Canada

Use this form to confirm your eligibility to work in Canada. This form should accompany your resume when applying for a position at Lakehead University.

Enrolment Services - Academic Advising, Records and Registration

Confirmation of Enrolment (Enrolment Verification)

Who should use this form: Students

 
The Confirmation of Enrolment (Enrolment Verification) letter is accessed through myInfo and is specific to you based on your current registration for the current term.  

If you require a Confirmation of Enrolment (Enrolment Verification) for previous terms, or are a graduate student requesting a letter, please submit a Request for A Special Letter.

Confirmation of Enrolment for Government Student Loans:

This form does not satisfy the required confirmation for government student financial assistance (e.g. OSAP, Canada Loans & Provincial student loan programs). If you are seeking to confirm your student loans, please note that your provincial government will communicate directly with us and we will confirm with 5 - 10 business days of receipt (excluding Quebec, Northwest Territories and Nunavut, please submit your paper documentation to Student Central). If you are trying to keep your loans in interest and/or payment-free status, please log into your OSAP portal for Ontario students, or the NSLSC portal and submit a confirmation of interest free status electronically.

Financial Services, Purchasing

Conflict of Interest and Non-Disclosure Agreement

Conflict of Interest and Non-Disclosure Agreement

Health & Safety

Contractor Safety Checklist

Who should use this form: Staff

Contractor Safety Checklist

Financial Services

Corporate Travel and Entertainment Card Application

Who should use this form: Faculty, Staff

Please visit the designated Visa Card Program webpage for more details on the corporate card program. There you can find the corporate card Visa application link.

Correction Request Form

Who should use this form: Alumni, Faculty, Students, Staff

Use this form to request correction of Personal Information under the Freedom of Information and Protection of Privacy Act.

Department: Risk Management and Access to Information

Financial Services, Payroll Services

CPT-30

Election to stop Contributing to the Canada Pension Plan, or Revocation of a Prior Election

Enrolment Services - Academic Advising, Records and Registration

Creed and Religious Accommodation Agreement - Exams

Who should use this form: Students

A student who is unable to write an examination during the formal exam period (e.g. December, April) for religious or creed-based holidays, leaves and ritual observances, must submit a Creed and Religious Accommodation Agreement (Exams) to Enrolment Services no later than three (3) weeks prior to the start of the final examination period for that term.

 Upon approval, Enrolment Services, in conjunction with the instructor, will schedule an alternative exam date within the examination period for that term. Students will be notified of the rescheduled date via their lakeheadu email. 

You may also refer to the University Regulations, IV Examinations for more information.

Financial Services, Research & Trust Accounting

Delegation of Signing Authority: Research Funds (Fund 50)

Who should use this form: Faculty, Staff

To delegate signing authority to another researcher for expenditures up to $5,000

Visual Arts

DEPARTMENT OF VISUAL ARTS Contract Lecturer Job Posting F/W 2021/22

JOB POSTING FOR VISUAL ARTS 4019

Financial Services

Departmental Transfer

Use this form to request transfer expenses from one department to another.

Graduate Office

Doctoral Dissertation Forms

Doctoral Dissertation Forms

Financial Services, Accounts Payable

Electronic Payment Form

Electronic Payment Form for vendors or persons to submit their direct deposit information. Please ensure to include a void cheque or a financial institution direct deposit transfer form when returning the Electronic Payment Form to Accounts Payable.

Health & Safety

Employee Safety Orientation - Physical Plant & Residence

Who should use this form: Staff

Responsibility and Accountability for Safety checklist to be discussed with supervisor

Employment Standards in Ontario (Poster)

Who should use this form: Faculty, Staff

Ministry of Labour Employment Standards in Ontario

Financial Services, Research & Trust Accounting

Endowed or Trust New Account Request Form

Who should use this form: Faculty, Staff

Use this form when you need a new endowed or trust account

Enrolment Services - Academic Advising, Records and Registration

Examination Cover Page

Who should use this form: Faculty, Staff


The Examination Cover Page is to be used by faculty, instructors and staff when submitting exams to the Scheduling Office within Enrolment Services - Academic Advising, Records and Registration.  This form is also available through myInfo.

Office of Research Services

External Research Funding: CFI IOF Application Form

Who should use this form: Faculty, Staff

Use this form to propose expenditures that will ensure the effective operation and maintenance of CFI-funded infrastructure.

Office of Research Services

External Research Funding: CFI Request for Quotation

Who should use this form: Faculty, Staff

This form is used to help faculty members when approaching equipment suppliers to meet the guidelines set by the federal government to govern CFI/ORF funding (for example, related to eligible in-kind contributions).

Faculty of Science and Environmental Studies Newsletter

Our Science and Environmental Studies Newsletter showcases a variety of activities involving our current students, Faculty, staff and Alumni, sharing news, successes and innovation. 

For each issue of our Science and Environmental Studies Newsletter, see the following:

Financial Services, Payroll Services

Federal TD1 Personal Tax Credits Return

Federal TD1 Personal Tax Credits Return

Graduate Office

Financial Support for Continuing Students

Who should use this form: Faculty

Financial Support for Continuing Students (PDF)

This form is initiated by the Graduate Coordinator/Chair for students continuing their graduate program beyond one year. It should be submitted to the Faculty of Graduate Studies. One form per student. Additions to the form must be made on the same original form. Please adjust your printer settings to print this form on different paper sizes.

Health & Safety

Functional Abilities Form

Who should use this form: Faculty, Staff

Planning early and safe return to work - this form is filled out by health professionals to identify patient's functional abilities and work restrictions which will assist in their return to work.

Gender and Women's Studies

Gender and Women's Studies Collaborative Application Form

Who should use this form: Students

The Gender and Women’s Studies Program at Lakehead University offers a Specialization in Gender and Women’s Studies to students accepted into graduate programs in the academic units of Education, English, Social Justice, Psychology, Social Work and Sociology.  The Gender and Women’s Studies Graduate Committee will assess your application based on the information you provide.

Gender and Women's Studies

Gender and Women's Studies Collaborative Masters Program Form

Who should use this form: Faculty, Students

Please complete the required information on the top of the sheet. When the student’s proposal has been approved by the Home Unit, the Supervisor will sign and date and then forward it along with a copy of the Proposal to the Gender and Women’s Studies Graduate Coordinator for review.

General Claim Submission Form - Green Shield

Who should use this form: Faculty, Staff

Use this form to submit your medical, dental or vision expenses that are covered through your Green Shield benefits. Use mailing address located at the bottom of the form.

Graduate Office

Graduate Assistant Assignment of Work

Who should use this form: Students, Staff

Graduate Assistant Assignment of Work (PDF Format)

Graduate Coordinators: Please complete one form for each Graduate Assistant in your program. Keep one copy for your files and send the original to the Office of Graduate Studies.

Graduate Office

Graduate Assistant Employee Performance Review

Graduate Assistant Employee Performance Review (PDF)

This form is meant to be an aid to both the employee and the supervisor in discussing the issues surrounding the employee's review. Attachments are encouraged. Any concerns regarding the Employee Performance Review may be directed to the Department Chair/Director or the Faculty Dean.

Enrolment Services - Academic Advising, Records and Registration

Graduate Request for Program Change

Who should use this form: Students


This form is to be used by graduate students who would like to change their route, option or specialization. Please fill in the form and discuss your decision with your Graduate Coordinator.

If you are looking to change your degree or your major, please contact the Faculty of Graduate Studies for assistance.

Note: graduate program change forms received after the last day to withdraw from courses in a given term will be effective at the start of the next graduate term.

Enrolment Services - Academic Advising, Records and Registration

Graduate Request for Program Withdrawal

Who should use this form: Students

This form is to be used by graduate students who are officially withdrawing from their graduate program. Please fill in the form and discuss with your Graduate Coordinator and the Faculty of Graduate Studies.

Graduate program change forms received after the last day to withdraw from courses in a given term will be effective at the start of the next graduate term.

Note: Withdrawal from a graduate program does NOT affect course registration. Course add and drop dates must be adhered to. Fees may still apply.

 

Graduate Office

Graduate Student Progress Report

Graduate Student Progress Report (PDF Format)

This form is to be completed at the initial registration of each graduate student and updated each May 1st. The form must also be retained by the Graduate Coordinator with a copy to be sent to the Office of Graduate Studies.

Human Resources

Green Shield Change Form

Use this form to update your Green Shield information.

Human Resources

Health Care Spending Account - Green Shield

This form should be used when claiming reimbursement under your Health Care Spending Account, Health Care Expense Account or Health Services Spending Account for eligible expenses which are not covered (or not covered in full) by your Health or Dental Plan. 

Helpdesk

Helpdesk Website Content Submission Form

Who should use this form: Faculty, Staff

Form is designed to assist with Content Submission to the Helpdesk for changes related to TSC helpdesk website.

Financial Services, Accounts Payable

Hospitality (Entertainment) & Working Expense Pre-Approval

Who should use this form: Faculty, Staff

As per Lakehead University’s Hospitality Expense Policy, all special events to be in any way funded by the University require prior approval from VP or President in advance. Please  complete the form with appropriate clarification to support selective, efficient, effective and  sustainable spending to benefit the University and/or its students.

Financial Services, Accounts Payable

Hospitality (Entertainment) & Working Expense Statement

Who should use this form: Faculty, Staff

To be used for university related reception and hospitality expenses. Reception and hospitality expenses must be charged to a University account designated for such expenses. The purpose of the event, including the name of the group, the number of individuals involved, or the names of the guests, must be listed on the Hospitality Expense Statement along with original itemized receipts.

Financial Services, Payroll Services

How to access T4 and T4A on myInfo

How to access T4 and T4A on myInfo

Financial Services

How to complete the TD1IN - Information sheet

Who should use this form: Staff

How to complete the TD1IN - Information sheet

Human Resources

How to Conduct a Performance Review

Who should use this form: Faculty, Staff

As you prepare, conduct and follow-up on employee performance evaluation sessions as a supervisor, use this guideline to help you increase the likelihood of having a positive and productive exchange with your employees. Remember, the employee performance appraisal meeting is an opportunity to recognize achievements, identify and correct problems, and set specific goals and objectives for the coming year.

Financial Services, Payroll Services

How to Obtain your Record of Employment (ROE)

How to Obtain Your Lakehead University Record of Employment (ROE)

Financial Services

How to view your T4 on MyInfo

How to view your T4 on MyInfo

HSPnet Consent Form

Who should use this form: Students

Form to be completed by all Nursing Students to give permission to use and disclose student related personal information and personal health information in the HSPnet System.

HSPnet Identified Purposes Summary

Who should use this form: Students

This document provides an overview of the collection, use and disclosure of Personal Information and Personal Health Information.  Each nursing student should review prior to signing the HSPnet Consent form.

Office of Research Services

Human Ethics: Final Report

Who should use this form: Students
 
For those submitting a Final Report to an undergraduate level Research Ethics Committee, this Form should be used.
 
Office of Research Services

Human Ethics: Renewal Request

Who should use this form: Students
 
Those renewing their protocol with an undergraduate level Research Ethics Committee should use the Request for Renewal Form.
 
Office of Research Services

Human Ethics: Request for Amendment

Who should use this form: Students

Those requesting amendments through an undergraduate level Research Ethics Committee should use the Request for Amendment Form.

Office of Research Services

Human Ethics: Undergraduate REB application form

Who should use this form: Students

Those applying to an undergraduate level Research Ethics Committee should use the Researcher Agreement Form.

Health & Safety

Individualized Accommodation Plans for Emergencies

Who should use this form: Faculty, Staff

Accommodation form for individuals requiring assistance in emergency situations.

Risk Management and Access to Information

Informed Consent Template

Who should use this form: Faculty, Students, Staff

For field trips with significant risks (i.e. most field trips), it may be advisable to require participants to read and understand, complete, and sign an informed consent or waiver.

Interim Criminal Offence Declaration

Who should use this form: Students

If you are unable to obtain a "Criminal Records Check with Vulnerable Sector Screening" due to age restriction, you must complete this form and submit with clinical document package to Synergy.  If you become of age during your 1st year you must provide a "CRC with VSS" at that time.

Interim Criminal Offence Declaration for Nursing Students

Who should use this form: Students

If nursing students are unable to obtain a "Criminal Records Check with Vulnerable Sector Screening" due to age restriction, you must complete this form and submit with clinical document package.  If at any time during your 1st year you become of age you must, at that time, provide the "CRC with VSS".

Office of Research Services

Internal Research Funding (SRC): Publication Assistance Fund

Who should use this form: Faculty

To access the Publication Assistance Fund guidelines, click here.

Applications for this internal funding opportunity are only available through the Romeo Research Portal. To access the portal, please log into MyInfo and select "Romeo Research Portal" on the right.

 
Office of Research Services

Internal Research Funding (SRC): Conference Travel Fund

Who should use this form: Faculty

To access the Conference Travel Fund guidelines, click here.

Applications for this internal funding opportunity are only available through the Romeo Research Portal. To access the portal, please log into MyInfo and select "Romeo Research Portal" on the right.

 
Office of Research Services

Internal Research Funding (SRC): Research Development Fund

Who should use this form: Faculty

This internal fund can be used to  develop a research project.  To access the RDF guidelines, click here.

Applications for this internal funding opportunity are only available through the Romeo Research Portal. To access the portal, please log into MyInfo and select "Romeo Research Portal" on the right.

 
Office of Research Services

Internal Research Funding (SRC): Research Grant in Lieu of Salary Program

Who should use this form: Faculty

Use this form to apply for a research grant in lieu of salary.

Click here to access the current guidelines and application form.

Please note that Canada Revenue Agency Interpretation Bulletin IT-75R4 has been replaced with Income Tax Folio S1-F2-C3  (http://www.cra-arc.gc.ca/tx/tchncl/ncmtx/fls/s1/f2/s1-f2-c3-eng.html).  All applicants are advised to seek further advice from a taxation specialist if they have any questions regarding the program.

Office of Research Services

Internal Research Funding (SRC): Visiting Scholar Fund

Who should use this form: Faculty, Staff

This internal fund can be used to invite recognized scholars and/or research professionals to Lakehead University. Click here to access the guidelines.

Applications for this internal funding opportunity are only available through the Romeo Research Portal. To access the portal, log into MyInfo, then select Romeo Research Portal on the left.

 
Office of Research Services

Internal Research Funding: Vice-President (Research and Innovation) Strategic Fund (Form and Guidelines)

Who should use this form: Faculty, Staff
The Vice-President, Research and Innovation (VPRI) Strategic Fund is a Lakehead University
internal fund, received on an annual basis from operating funds received from the Ministry of
Advanced Education and Skills Development’s Research Overhead Infrastructure Envelope.
 
The size of this fund is determined by a formula based on a three-year rolling average of total
CIHR, NSERC, and SSHRC grants received by all researchers.
 
There are three components for this internal fund: (1) Research Facilitation Fund; (2)
Emergency Research Equipment Repair Fund; and (3) Lakehead University Research
Bridge Fund.
 
Applications for this internal funding opportunity are available through the Romeo Research Portal. To access the portal, please log into MyInfo and select "Romeo Research Portal" on the right.
Office of Innovation, Partnerships and Economic Development

Invention Disclosure Form

Who should use this form: Alumni, Faculty, Students, Staff

Invention Disclosure forms are used by faculty members, researchers, inventors, and students when they are ready to disclose their invention/product/idea to the Office of Innovation, Partnerships and Economic Development.

All information submitted within this disclosure form shall be treated as confidential. Lakehead University reserves the right to release disclosed general information for the purpose of generating statistics, as long as such disclosure shall not adversely affect the scope of protection available to intellectual property.

Helpdesk

iOS Wireless Instructions Pamphlet

Who should use this form: Faculty, Students, Staff

Instructions for connecting to LakeheadU wireless via iOS  

Graduate Office

Leave of Absence Request

Who should use this form: Students

Students can request a leave of absence using this form.

Enrolment Services - Academic Advising, Records and Registration

Letter of Permission

Who should use this form: Students

 

A Letter of Permission is formal authorization for a student to take a course at another accredited postsecondary institution for credit towards their Lakehead University degree or diploma. 

 How to Apply for a Letter of Permission

  1. Review the Letter of Permission University regulations. Not all requests will be approved. If you have questions, please contact Student Central prior to submitting your request.
  2. Fill out the Letter of Permission request form and submit to Student Central. 
  3. The Letter of Permission fee will be charged to your student account upon submission. Pricing information can be found in the "Fees" section of the Academic Calendar under "Schedule of Miscellaneous Fees".  
  4. Course description and/or teaching outline must accompany the request. 
  5. If you are requesting to take a course at more than one institution, you must complete a separate request for each new institution.  Incomplete requests will not be assessed.
  6. Equivalencies must be "signed-off" by the Chair/Director of the course subject you are expecting to get as an equivalency. This must be completed prior to request submission.

International Exchange Students
Please make sure you have already spoken with Lakehead International about your exchange.  Upon submission of a request for Letter of Permission, submit the completed "Lakehead University International Exchange Program Department Information Sheet" in addition to your request.

Explore Program Candidates
Be sure to include your institution "choices" as well as the approval of the Chair of Languages.

Important Facts About Letters of Permission

    • Students must currently be pursuing a Lakehead University degree or diploma and must be in good academic standing in order to be considered for a Letter of Permission.
    • The course to be taken may not be a duplication of material already covered.
    • Equivalent courses offered at Lakehead University at either campus or online will not be considered for a Letter of Permission.
    • A Letter of Permission may potentially be granted if the student has taken or plans on taking no more than 5 full course equivalents at another institution (for transfer students, this number may be lower, depending upon the number of courses transferred upon admission to the university).
    • Students wishing to take a course on a Letter of Permission in their final year of study must have approval from their Department Chair and their Faculty Dean. Faculty Dean approval must include a written statement as to how/why the program could not be completed at Lakehead University.
    • Letters of Permission take a minimum processing time of three weeks during regular periods. During peak office periods of April-June and August-October, processing time will increase.
    • Letter of Permission final decisions will be emailed to your Lakehead University email account.  It is the student's responsibility to apply to and register for the approved course at the external institution. Some institutions require a Letter of Permission for admission purposes, so make sure to submit your request well in advance of when it is needed.
    • Immediately following completion of the approved external course, it is the student's responsibility to ensure an official transcript is sent directly from the host institution to Enrolment Services. Mailing information is included in the document.
    • Deadlines for transcripts to be received for graduation purposes are: May 1st for spring graduation, October 1st for fall graduation.
    • Credit will be granted for a course successfully completed with an equivalent grade of 60% or above as indicated on the document.
    • Transfer credit will be annotated with "TCR" for the equivalent Lakehead University course.
    • Transfer credit has no numeric value and will not be included in average calculations for academic purposes except in the calculation of First Class Standing.
    • Converted transfer credit grades will be used in the calculation of the weighted average for entrance scholarship renewal purposes.
    • Students are expected to complete the approved course during the term specified in the letter.  Any extensions and/or changes to a Letter of Permission will require submission of a new request and new payment.
    • Students will not be considered for a Letter of Permission if they already have one on file that is outstanding.
Enrolment Services - Student Awards and Financial Aid

Limited Continuing Power of Attorney

Students can use this form if they want to authorize another eligible person to sign for and negotiate the Ontario portion of their Canada-Ontario Integrated Student Funding Certificate.

Helpdesk

MAC OSX Wireless Instructions Pamphlet

Who should use this form: Faculty, Students, Staff

Instructions for connecting to LakeheadU wireless via MAC OSX

Graduate Office

Master's Thesis Forms

Master's Thesis Forms

Office of Innovation, Partnerships and Economic Development

Material Transfer Questionnaire (MTA) (Receiving)

Who should use this form: Faculty, Staff

To be used when a Lakehead researcher is receiving materials from someone else, and is being asked to sign a contract or other paper related to the materials. For agreement creation, please contact Ellen MacKay, Director, Innovation Development in the Office of Innovation, Partnerships and Economic Development, emackay@lakeheadu.ca.

Office of Innovation, Partnerships and Economic Development

Material Transfer Questionnaire (MTA) (Supplying)

Who should use this form: Faculty, Staff

To be used when a Lakehead researcher is supplying or sending materials to someone outside of the University.   For agreement creation, please contact Ellen MacKay, Director, Innovation Development in the Office of Innovation, Partnerships and Economic Development, emackay@lakeheadu.ca.

Medication Administration Policy

Who should use this form: Students

Medication Administration Policy

Graduate Office

Membership Nomination Form

Who should use this form: Faculty

Membership Nomination Form (PDF)

Complete this form if you are a Faculty member who wishes to apply for membership to the Faculty of Graduate Studies. Applications are to be submitted to your Graduate Coordinator.

Financial Services, Accounts Payable

Mileage Claim Form

Who should use this form: Faculty, Staff

Mileage claim form for business use of a personal vehicle.

Financial Services, Accounts Payable

Missing Receipt Form

Who should use this form: Faculty, Staff

Use this form as a placeholder for missing receipts, when submitted paper-based travel or hospitality claims and reconciled purchasing card statements. This form must be signed by the traveller/cardholder, as well as their direct supervisor, in addition to the claim form or the statement.

Financial Services

Moneris Mobile Terminal Procedure Manual

Moneris Mobile Terminal Procedure Manual

Payroll Services

My Late Timecard Form

 

My Late Timecard Form

Use this form to submit hours worked that could not be entered to the online myTimecard system.

Nursing Records Check Letter for BScN Students

Who should use this form: Students

This letter is to be used when applying for Criminal Records Check with Vulnerable Sector Check.  It is a pdf fillable form and you must enter the date and your name once you have downloaded this form. If the date and your name is not entered, the form may could be rejected. 

If you are completing your CRC through the Toronto Police Service you will need apply online.  Please use this link  www.tps.to/police-checks for more information and to access the online application website. You will need to apply with the Lakehead University School of Nursing agency code which is just below. 

202401TPSON09486 

 

Enrolment Services - Student Awards and Financial Aid

OSAP

For a full list of all OSAP forms including the paper application, visit the OSAP website.

Payroll Direct Deposit Direction Bank Form

Who should use this form: Staff

Payroll Direct Deposit Direction Bank Form 

Payroll Services

Payroll Frequently Asked Questions and Troubleshooting

Who should use this form: Faculty, Students, Staff

A document of Frequently Asked Questions regarding payroll.

Review this form for payroll's frequently asked questions trouble shooting information.

Pension Member Name or Beneficiary Change Form

Who should use this form: Faculty, Staff

This form is for changing your name or your beneficiary for pension purposes.

Human Resources

Performance Evaluation Review (SchII, Technicians, OPSEU, Technical and Contract Staff)

Who should use this form: Faculty, Staff

Performance Evaluation Form and Instructions (Word Document)

PHIPA Correction Request Form

Who should use this form: Alumni, Students

Use this form to request correction to your personal Health Record under the Personal Health Information Protection Act.

Department: Risk Management and Access to Information

Financial Services, Accounts Payable

Professional Expenses Claim Form: Sessionals

Who should use this form: Faculty

Professional Expenses Claim Form for Sessionals/Contract Lecturers (PDF)

Office of Research Services

Project Intake Form for Research Ethics between SJCG and Lakehead

Who should use this form: Faculty, Students, Staff

The completion of this Form enables the St. Joseph's Care Group (SJCG) REB and LU REB to proceed through a Board of Record review process (if the project is applicable) such that the LU REB accepts the REB approval of the SJCG REB.

Office of Research Services

Project Intake Form for Research Ethics between TBRHSC and Lakehead

Who should use this form: Faculty, Students, Staff

The completion of this Form enables the TBRHSC REB and LU REB to proceed through the reciprocity review
process (if the project is applicable) such that each institutional REB accepts the REB approval of the institution deemed the REB of Record.

Financial Services

Provincial TD1 Ontario Personal Tax Credits Return

Provincial TD1 Ontario Personal Tax Credits Return

Payroll Services

PT Part-time Bi-Weekly Hourly (non-union, COPE, UUSW) Pay Schedule

PT Part-time Bi-Weekly Hourly (non-union, COPE, UUSW) Pay Schedule)

Financial Services

Purchasing Card Application

Who should use this form: Faculty, Staff

Please visit the designated Visa Card Program webpage for more details on the purchasing card program. There you can find the purchasing card Visa application link.

Financial Services

Purchasing Card Procedures Guide

Who should use this form: Faculty, Staff

Operating as an addendum to the purchasing Procurement Policy, the Visa Purchasing Card Procedures guide details how the purchasing card is to be used by cardholders.

QN - Quaestiones Naturales Magazine

Who should use this form: Alumni, Faculty, Students, Staff

Our annual publication of the QN - Quaestiones Naturales showcases research achievements of undergraduate students in the Faculty of Science and Environmental Studies.

For each issue of our QN Magazine, see the following:

Reading Course/Special Topic Setup

Who should use this form: Faculty

This form should be used when setting up a reading course or special topic course for an individual student. This form will be used to setup the course and to register the student.

Payroll Services

Record of Employment (ROE) Information Sheet

Who should use this form: Faculty, Staff

Record of Employment (ROE) Information Sheet

Technology Services Centre, Helpdesk

Remark Exam Intake Sheet

Who should use this form: Faculty, Staff

Intake sheet for the NEW Remark processing system.  Form must be emailed to helpdesk@lakeheadu.ca when complete.

Financial Services, Accounts Receivable

Request for External Invoice

Who should use this form: Faculty, Staff

Request for External Invoice

Financial Services, Accounts Receivable

Request for External Invoice Multi Vendor

Who should use this form: Faculty, Staff

Request for External Invoice Multi Vendor

Financial Services

Request for Payment of Invoices by Bank Transfer

Who should use this form: Faculty, Staff

This form should be used for payment of invoices by bank transfer to international vendors (or payment in a currency that is not Canadian Dollars CAD or United States Dollars USD. If a payment needs to be made in CAD or USD, please submit a cheque requisition (or purchase order), including the vendor's bank account details for EFT payments made in CAD.

Health & Safety

Request for Release of Funds Prior to Biosafety Approval Form

Who should use this form: Faculty, Staff

This form has been developed to enable researchers to request access to their funding prior to obtaining Biosafety approval. Funds may only be accessed to cover expenses to be incurred before hazardous materials are used. This form is only available through the Romeo Research Portal.

Please contact the laboratory and biosafety specialist for more information labsafety@lakeheadu.ca

Human Resources

Request to Hire - non academic

Who should use this form: Faculty, Staff

Required Clinical Placement Documents for the BScN Program Year 1 Students

Who should use this form: Students

Checklist to assist students in completing and submitting their required clinical placement documents.

Required Clinical Placement Documents for the BScN Program Year 2-4 Students

Who should use this form: Students

Checklist to assist students in completing and submitting their required clinical placement documents.

Office of Research Services

Research Forms: Visiting Professor / Visiting Research Student / Short-term Visiting Researcher Appointment / Re-Appointment Form

Who should use this form: Faculty, Staff

This form should be used when appointing a visiting professor, visiting research student, or short-term visiting researcher.

Office of Research Services

Research Forms: Postdoctoral Fellow Appointment/Re-Appointment Form

Who should use this form: Faculty, Staff

Fill out this form to apply for the appointment/re-appointment of a post-doctoral fellow.

Office of Research Services

Research Forms: Release Time Request Form (RTRF)

Who should use this form: Faculty, Staff
This form must be completed, signed, and attached to the Research Approval Form if the applicant is applying for release time as part of their application. If more than one person is requesting release time, please complete a separate copy of this form for each individual.
Office of Research Services

Research Forms: Research Proposal Approval Form (RPAF) - Lakehead University

Who should use this form: Faculty, Staff

This form, plus a copy of your proposal, must be submitted to the Office of Research Services at least two weeks prior to the granting agency’s deadline (including applications where Lakehead faculty are co-investigators on applications submitted by another institution).  This form alerts the Office of Research Services about whether or not research projects have specific ethics, release time, personnel, space, or other requirements. This shortens the application process for the researcher by making them aware of any internal requirements for the submission of their grant application ahead of time.

Health & Safety

Return to Work - Employee Medical/Work Limitation

Who should use this form: Faculty, Staff

For Employees with Non-Occupational Injuries or Illnesses, Workplace Accommodations Can Be Arranged in Many Cases. Lakehead University will review the accommodations required to meet the restrictions, limitations or precautions which you place on this employee's return to work.

Risk Management and Access to Information

Risk Management Planning & Approval for Special Events ON CAMPUS

Who should use this form: Alumni, Faculty, Students, Staff

Use this form if you are planning, on a Lakehead University campus in either Thunder Bay or Orillia, a Special Event, that is, a discrete activity or set of activities that is not a prescribed course component or which falls outside the University's regularly scheduled academic and research activities (all activities bearing significant risk should have risk management, but academic and research units' own risk management forms and procedures should be utilized for the activities that they normally organize and undertake - with Risk Management's Field Trip Planning and Approval Form as a fallback or supplementary resource).

The Risk Management Planning & Approval Form for Special Events On Campus should be completed and submitted to the Office of Food and Conference Services.  It is highly recommended that you submit the Form at the same time as you seek approval for hosting your Special Event.

Department: Risk Management and Access to Information

Science and Environmental Science Studies Speaker Series

Date: Tuesday, November 15, 2022

Time: 7:00pm

ATAC 1001 / Zoom

To view the poster and register Click Here

  Past Speaker Series Events:

For each of our past Speaker Series Events, see the following:

2024:

2023

2022

2021 

2020

2019

2018

2017

 

2016

2015

2014

2013

2012

2011

2010

 

 

 

 

 

 

 

Short Term Account Request Form

Who should use this form: Faculty, Staff

This form is to request to move a portion of your pension into the Short Term Account.

Short Term Renewal Form

Use this form to extend an expiring contract by 30 days or less.

Financial Services, Purchasing

Single/Sole Source Certification Form

Who should use this form: Alumni, Faculty, Staff

Anyone purchasing items with an aggregate value above $5,000 from one supplier without procuring 3 competing bids for the purchase.  This form is required by the Broader Public Sector Directive on Procurement.

Payroll Services

SM Semi-monthly Salary; faculty (LUFA), staff, contract staff Pay Schedule

Who should use this form: Staff

Lakehead University Full Time Staff, Contract Staff, and Faculty Pay Schedule

Office of Research Services

Standard Terms of Use for NSERC Engage Projects

Who should use this form: Faculty

Under the NSERC program terms for Engage awards, any Intellectual Property (IP) arising from the project (“Arising IP”) must belong to the company. To reflect these requirements, Lakehead University has developed an agreement which provides for the assignment of the Arising IP to the company. Consistent with NSERC policies and Lakehead’s policies and practices, this agreement also provides for a license to each of the creators of the Arising IP, and to Lakehead, to use the Arising IP for non-commercial research and academic purposes only.

Enrolment Services - Student Awards and Financial Aid

Student Budget Form

Use this form to complete your budget showing your resources and expenses.

Students Injured or Exposed in Clinical Setting Policy (with form)

Students Injured or Exposed in Clinical Setting Policy (with form)

Visual Arts

Successful Candidate for VISU 4019 FDE (zoom) 2021/2022

Posting Date: 3 August 2021
Faculty of Social Sciences and Humanities, Department of Visual Arts
Please find below the successful candidate for the course, VISU 4019, for 2021/22 in the
Department of Visual Arts, Lakehead University. This will be posted for 5 business days
before a contract will be issued. Any questions or concerns can be directed to Department
Chair Dr. Kristy Holmes at kholmes@lakeheadu.ca
Thunder Bay Campus
VISU 4019 FDE (Zoom) Issues in Contemporary Art
Dr. Leanne Carroll

Financial Services

System Access Form for G/L Security or P.O. Requisition

Who should use this form: Faculty, Staff

System Access Form to request access of myBudgets (G/L security) and purchase order requisitions for new users, or updates for current users. Approver access can also be requested along with signing authority. Approver access includes access to myBudgets and to creating and approving purchase requisitions. Signing authority should be included with approver access, since a requisition requires approval by someone who has budget signing authority on the budget code used.

TB Status Declaration Form

Who should use this form: Students

This declaration form can be used by any student in the BScN or MN and NP programs who has previously had a positive TB skin test. 

University Advancement

Third Party Event Proposal

The Office of University Advancement is pleased to work with various departments and organizations as you plan events in support of Lakehead University. The following Third Party Event Proposal will assist you during the event planning process. This form must be completed and submitted to the Office of University Advancement prior to organizing your event.

Graduate Office

Time Extension Requests

Time Extension Requests (PDF Format)

To be considered for a Time Extension a student must be registered.

Financial Services, Payroll Services

Timecard and Leave Approval Proxy Designation

Who should use this form: Students, Staff

Timecard and Leave Approval Proxy Designation instructions for supervisors of employees who enter hours worked to the online timecard system 

Financial Services, Payroll Services

Timecard Approval Instructions

Who should use this form: Students, Staff

Timecard Approval Instructions for supervisors of hourly employees who enter time worked to the online timecard system

Financial Services, Payroll Services

Timecard Entry Instructions

Who should use this form: Students, Staff

Timecard Entry Instructions for hourly employees to enter hours worked to the online timecard entry system

Financial Services

Travel Authorization Form

Who should use this form: Faculty, Staff

Travel Authorization Form to accompany Travel Expense Statement From.

Full-time employees must submit their travel expenses through Concur.

Financial Services

Travel Expense Statement

Who should use this form: Faculty, Staff

Travel Expense Statement for reimbursement of travel expenses, including travel related to research. A Travel Authorization Form must accompany the Travel Expense Statement.

Full-time employees must submit their travel expenses through Concur.

Technology Services Centre, Helpdesk

TSC Transfer of Funds Budget Form

Who should use this form: Faculty, Staff

When is this form used?

Human Resources

Tuition Waiver Form for Dependant

Tuition Waiver form for Employee or Dependent

Form link

Helpdesk

Ubuntu Wireless instructions Pamphlet

Who should use this form: Faculty, Students, Staff

Instructions for connecting to LakeheadU wireless via Ubuntu for Linux.

Enrolment Services - Academic Advising, Records and Registration

Using Marks Management

Who should use this form: Faculty, Staff

This document is to be used by faculty and staff who need assistance with using Marks Management

Using Marks Management

 

 

Enrolment Services - Academic Advising, Records and Registration

Voices from the Class - Application Form

Who should use this form: Students

This year, each of the four Convocation ceremonies will feature a student speaker. If you are graduating this spring and attending your Convocation ceremony, we invite you to submit an application to be the "Voice from the Class of 2018" at your ceremony.

Visit our page for more information.

Risk Management and Access to Information

Waiver Template

Who should use this form: Faculty, Students, Staff

Waiver Template

Windows 10 Wireless Instructions Pamphlet

Who should use this form: Faculty, Students, Staff

Instructions for connecting to LakeheadU wireless using Windows 10

Helpdesk

Windows 7 Wireless Instructions Pamphlet

Who should use this form: Faculty, Students, Staff

Instructions for connecting to LakeheadU wireless using Windows 7

Helpdesk

Windows 8 Wireless Instructions Pamphlet

Who should use this form: Faculty, Students, Staff

Instructions for connecting to LakeheadU wireless using Windows 8

Financial Services

Wireless POS Report

Wireless Point Of Sale Terminal Report

WSIB Student Declaration Form

Who should use this form: Students

All new and students who are returning to the Nursing program following a leave (who have not previously completed) must complete this form and hand in with their Preclinical Document Package.

[Publications]