2023 OHT Impact Fellows Program - Expression of Interest

Please complete this form to indicate your OHT’s interest in hosting an Impact Fellow.

The deadline for EOIs is February 24, 2023.

Interested OHTs are encouraged to reach out to program staff early on to discuss potential ideas. OHTs may submit more than one project idea in their EOI, but may only host one Impact Fellow at a time.

Please note that submitting an EOI does not guarantee that the OHT will be matched with a fellow. Priority will be given to OHTs who have not yet hosted a Fellow.

The Program Team will follow-up with OHTs once Expressions of Interest are submitted to confirm necessary details before sharing these with potential applicants via the program website.

1. OHT Name *

OHT Location *

City or geographic location of OHT

OHT Website (if applicable)

Are you a Ministry approved OHT from Cohort 1, 2, 3 or 4?*

YesNo

Did your OHT submit an Expression of Interest in a previous round of the program?*

YesNo

2. OHT Primary Contact*

First NameLast Name

Position/Title*

Primary Contact Email*

primary.contact@example.com

Are you willing to be contacted by prospective Fellows to discuss projects?*

YesNo

3. Host Mentor*

First NameLast Name

Host Position / Title*

Host Mentor Email*

host.mentor@example.com

4. OHT Priority Areas*

0/100

5. OHT Goals*

0/100

6. Proposed Projects*

0/500

Project Summary*

0/150

Project Resources*

0/150

Would you be willing to change or adapt the proposed project based on the skills or competencies of a fellow?*

YesNo

7. Desired Competencies*

0/300

Does your OHT Require a Fellow with Bilingual Proficiency?*

YesNoBilingual preferred but not required

8. OHT Environment*

0/300

Preferred Work Arrangement for Fellow*

In-person onlyVirtual onlyHybridFlexible depending on candidate needs

9. Opportunities for Professional Growth and Development *

0/150

10. Additional Information

File Upload

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