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CLHA Committee Volunteer Application Form 2027 - 2028

Application Information

Please use this form to apply for CLHA Committee positions for the January 2027 to December 2028 term.

This application and your resume will be reviewed by the CLHA Committee Recruitment Team before being presented to Council for consideration.

The CLHA is committed to safeguarding your personal information. We will manage this information in accordance with the Personal Information Protection Act (PIPA) and other applicable laws. For more information on the CLHA's Privacy Policy, please refer to our website at: CLHA Privacy Policy

Deadline for applications is October 8, 2026.

1.Your Contact Information(Required.)
2.Upload your Resume(Required.)
No file chosen
3.Do you have an Active Practice Permit from the CLHA?(Required.)
4.Which professional designation(s) do you currently hold?
Select all that apply.(Required.)
5.If you are an LPN, do you currently hold any of the following advanced practice authorizations?
Select all that apply.(Required.)