Clinical Faculty 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.