Step 3: Submission of Clinical Consent Package

Sign and send the Clinical Consent Package to Noreen Champagne. Please include the information from the Example Draft Email.

Download the Consent Form: Clinical Consent Package

Email to: noreen.champagne@senecapolytechnic.ca

EXAMPLE OF DRAFT EMAIL

Subject Title: Clinical Consent Package

Hi Noreen,

Please find attached signed Clinical Consent Package with the following information:

Name: Jane Doe

Student ID Number: 123456789

Program: Practical Nursing

Campus: King

First Clinical Term: Fall 2025

Thank you.

Note: If you do not submit the clinical consent package, you will not be able to receive important correspondence about your placement.