CFMS 2020-2021 Board Nomination Form
Annual General Meeting, September 19-20, 2020. VIRTUAL
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First Name
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Last Name
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Email
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example@example.ca
Medical School
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Year of Study
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First year
Second year
Third year
Fourth year
Other
Position you are applying for
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Atlantic Regional Director
Quebec Regional Director
Ontario Regional Director Western Regional Director
Short Biography & Letter of Intent (250 words maximum)
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Attach a brief (no more than 2 pages) CV
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