Every candidate must complete:

1. Central Registry Release of Information Form (Child Protective Services)

Review the SAMPLE FORM and then follow instructions for completing the fillable form below.
Completing the fillable form

• Central Registry Release of Information Form

Follow the instructions below and complete each part of the form:

• Purpose of Search, check "Volunteer"
  
• MAIL SEARCH RESULTS TO:
  Name: Old Dominion University
  Address: Office of Clinical Experience, Education Building, Suite 1107, Norfolk, VA 23529
  Contact Name: Jennessa Libby-Reynolds
  Telephone: 757-683-3348
  Contact E-mail: oce@odu.edu

• PART I - Complete in PART I all answers requested pertaining to YOU
  
  • Print your information in the white blank spaces (not in the grey spaces)
    
  • If any answer is none, write "N/A"
    
• Print the form after you complete it front to back in one page. DO NOT print two pages.
• Print this form in full size, 8.5 x 11 inches paper. This is required by the Virginia Department of Social Services
  
• PART II and PART III
  
  • Sign the form, the presence of a Notary Public is no longer required.
• Payment Fee
  • $10.00 fee for the Central Registry Release of Information Form
    
  • Payment must be in the form of a money order payable to Virginia Department of Social Services. Credit Card, Personal check or cash will NOT be accepted
    
• Submit in person or by postal services the signed form with $10 Money Order to (Please include a note with your UIN in your paperwork):
  The Office of Clinical Experience
  Education Building, Suite 1107
  Old Dominion University
  Norfolk, VA 23529
  

**Please do not mail the form directly to the VA Department of Social Services.

2. Fingerprint Clearance Process

Step 1

Complete Form

• SP-325 National Criminal Record Request for Employees or Volunteers Providing Care to Children, the Elderly, or Disabled under the National Child Protective Act and the Volunteers for Children Act

• Review the SAMPLE FORM
  

Follow the instructions below to complete the form:

• Section I
  • Complete and sign Section I
• Section II
  • Do not complete Section II. Office of Clinical Experience will complete this section

SCAN the completed form to oce@odu.edu (include your UIN in the subject line).

Step 2

• Upon review of the completed form, you will be sent instructions to submit payment through OCE's UStore
  • Please follow up with oce@odu.edu if email is not received within 72 hours of submitting

Step 3

• Once payment is completed, additional information will be sent for scheduling and completing the fingerprint process.
  • Please follow up with oce@odu.edu if email is not received within 72 hours of submitting

Every candidate's name will be reviewed in the National Sex Offender Registry.

Every candidate MUST complete:

• Washington State Candidates are required to complete a pre-certification process. For information on this process, e-mail the Office of Clinical Experience, oce@odu.edu

• Military and Military Affiliated Students
  • Fingerprinting available at your nearest military base security office
  • Contact the security office to schedule an appointment
  • Bring two photo identification cards to your appointment (e.g. driver's license, military ID, or passport)
  • Fingerprinting must be completed using:
    APPLICANT FD258 (REV 3-1-10) 1110-0046 fingerprinting card
  • If the military base office does not have this fingerprinting card, you may request a blank one from Office of Clinical Experience, 757-683-3348