Health Care Professional Application
Please read before completing this form:
Submission of the following form will initiate your application to Schulich School of Medicine & Dentistry for a clinical faculty appointment. Specific information in regards to the following areas is required prior to completing this application:
- Personal and Contact Information
- Corporation / Practice
- Licenses
- Education
- Previous Hospital and Teaching Experience
- Practice Profile
- Educational Supports
- Current CV (CV Template)
- Contact Information for 3 References (i.e.: Assistant Dean, Rural & Regional Community Engagement; Associate Dean, Windsor Campus; Academic Director; Schulich Faculty member; Chief of Staff; Supervisor; Former Chief of Staff or Program Director)
It is advised that all the required information is obtained prior to starting this process.
