Annual Offence Declaration | The Royal Conservatory of Music

Annual Offence Declaration

Date:
To:
From:	Human Resources
Re:	Annual Offence Declaration
	In order to maintain the currency of the Vulnerable Sector Screening Check (VSS) that the Royal Conservatory (RCM) has on file for you, you must complete this Annual Offence Declaration Form on an annual basis. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
DECLARATION (Please click on the applicable statement)	I declare, since the last Vulnerable Sector Screening Check dated collected by The Royal Conservatory, up to and including the date of this declaration, I have no convictions under the Criminal Code of Canada, or any comparable criminal legislation in any other jurisdiction or convictions for which a pardon has been issued or granted under the Criminal Records Act (Canada), or any comparable criminal legislation in any other jurisdiction. OR I declare, since the last Vulnerable Sector Screening Check dated collected by the Royal Conservatory of Music, up to and including the date of this declaration, I have the following convictions under the Criminal Code of Canada, or any comparable criminal legislation in any other jurisdiction for which a pardon under the Criminal Records Act (Canada), or any comparable criminal legislation in any other jurisdiction has not been issued or granted (list below):
List offences - if any	Use the field bellow to list the all the offences if any

	Type your full name and date below to confirm the information indicated above is accurate.
Full Name
Today's Date