Checklist to help students complete and submit their required clinical placement documents. The deadline for Year 1 BScN students to submit all documents is October 20th.
Checklist to help students complete and submit their required clinical placement documents. The deadline for Returning Year 2-4 BScN students to submit all documents is June 1st.
The form below is to be used when applying for a Criminal Record Check with Vulnerable Sector Screening. It is a fillable PDF form, and you must enter your name and the date after downloading it. If these fields are left blank, the form may be rejected.
If you are under the age of 18, please complete the Interim Criminal Offence Declaration form.
You must apply to the Police Agency where you currently live. If you are living out of town, you cannot apply with Thunder Bay Police. Once you are living in Thunder Bay attending school you can, at that point, apply for your CRC VSS with Thunder Bay Police. The Thunder Bay police refer to the CRC VSS as "Level 3:Police Vulnerable Sector Check (PVSC)".
If you are completing your CRC through the Toronto Police Service, you must apply online. Visit www.tps.to/police-checks for more information and to access the application. You will need to apply using the Lakehead University School of Nursing agency code, provided below.
If you are unable to obtain a Criminal Record Check with Vulnerable Sector Screening due to age restrictions, you must complete this form and submit it with your clinical document package to Synergy. If you turn 18 during the academic year, you are required to submit a Criminal Record Check with Vulnerable Sector Screening at that time.
Your 2-Step TB Skin Test must be recorded on the official form and fully completed by a healthcare provider. If the clinic uses its own stationery, it must include the following information for both tests: Date Administered, Date Read, and Result, along with the name and signature of the person who administered the test, and the clinic’s full name and address (a stamp is acceptable). TB Skin Tests recorded on immunization records will not be accepted. A proper 2-Step TB Skin Test requires four separate visits to the healthcare provider.
Do not get a TB Skin Test if you have ever had a documented positive TB Skin Test or history of TB infection. You will be required to submit a most recent chest x-ray indicating no active TB present and a TB Status Declaration Form.
Your 1-Step TB Skin Test must be recorded on the official form and fully completed by a healthcare provider. If the clinic uses its own stationery, it must include the following information: Date Administered, Date Read, and Result, along with the name and signature of the person who administered the test, and the clinic’s full name and address (a stamp is acceptable). TB Skin Tests recorded on immunization records will not be accepted. A proper 1-Step TB Skin Test requires two separate visits to the healthcare provider.
Do not get a TB Skin Test if you have ever had a documented positive TB Skin Test or history of TB infection. You will be required to submit a most recent chest x-ray indicating no active TB present and a TB Status Declaration Form.
This declaration form can be used by any student in the BScN, MN, or NP programs who has a history of a positive TB skin test or TB infection. These individuals should not receive a TB skin test and are instead required to complete this form and submit a most recent chest x-ray indicating no active TB present.
