Faculty of Graduate and Postdoctoral Affairs Access to CULearn

University of Ottawa Joint Program Graduate Students Only

* Denotes mandatory field

First Name*

Last Name*

Previous Last Name (If Applicable)

Date of Birth (DD/MM/YYYY)*

Program and Degree Designation at the University of Ottawa*

Carleton ID (If Known)

Ex.101010101

Have you ever requested access to CULearn before?*

Yes
No

During which most recent term?*

(ex. Fall 2019)

Carleton Course Information*

This form is to be completed only after the finalization of registration.

Term (ex. Fall 2020)	Course Registration Number (CRN), If Known (ex. 33333)	Carleton Course Code and Section (ex. BIOL 5555 O)	Course Name (ex. Introduction to Biology)

If you withdraw from any course(s) listed above at the University of Ottawa, you must promptly notify Carleton University by emailing graduate.studies@carleton.ca. Be sure to include your nine digit Carleton ID and the relevant Carleton course code(s). Failure to do so may impact future access to CULearn.

Phone*

University of Ottawa Email Address*

Enter Email Confirm Email

“The personal information requested on this form is collected in accordance with Sections 38(2) and 41(1) of the Freedom of Information and Protection of Privacy Act (FIPPA), R.S.O. 1990, c.F.31 as amended. The information provided will not be used for any purposes other than those stated upon this form unless the applicant provides express written consent. Should you have any questions concerning your personal information, please contact Joanne Bree, FIPPA representative for the Faculty of Graduate and Postdoctoral Affairs, 512 Tory Building, 613-520-2525. Carleton University is fully compliant with FIPPA and endeavors at all times to treat your personal information in accordance with this law.”