Clinical Faculty (MD) Application Form

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; Former Chief of Staff or Program Director)

It is advised that all the required information is obtained prior to starting this process.