Police Record Check Database Submission - Student Experience Office

Name*

First Last

Student ID Number*

Please enter a number from 100000000 to 999999999.

9 Digit Carleton University Student ID number.

Carleton Email*

Enter Email Confirm Email

Must be Carleton email address.

Date of Issue*

Date listed on your Police Record Check.

Program that you are volunteering with:*

Select all that apply.

Fall Orientation (Central, Sprosh, SciFrosh)
EngFrosh
First Year Connections (Paid Positions)
Global PALS Peer Advisors (Paid Positions)
International Welcome Week
SOAR Student Leadership Conference
ISSO Volunteer (Summer and/or Academic Year)
Other - Paid Staff
Other - Volunteer Staff

Other Volunteer Program

Please list what program you are volunteering for with the Student Life Team that requires a PRC.

Other Paid Staff

Please list what program or capacity you are working for in a paid position with the Student Life Team that requires a PRC.

Consent*

I agree to the Student Life Team keeping my PRC on record for up to 3 years for internal confirmation of volunteer eligibility. The Student Life team has identified that PRC will remain valid for up to one year of date issued. Program providers who are working with volunteers will have their list of student volunteers confirmed with our list of students who have successfully submitted a Police Record Check. This is in addition to any other requirements involved (such as Carleton Judicial check and Academic Standing confirmations).

Confirmation*

I understand next steps: upon successfully completing this form, students will receive an automatic email from prc@carleton.ca that they must respond to with a copy of their Police Record Check attached.

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