General Information

The OCFP values the benefits that diversity can bring to the Board, and aims to reflect the diversity of our membership. The Board is comprised of 13-16 Directors from across Ontario. We consider candidates whose perspectives, practice location, type and model, clinical and academic/professional backgrounds, years in practice, and cultural perspective complement and build upon existing Board characteristics to address potential gaps.

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* 1. Your Name

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* 2. Contact information

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* 3. General leadership skills: (consensus builder, ability to collaborate and work together effectively as part of a team; ability to convey perspectives and consider varying points of view; ability to chair a meeting effectively, able to manage conflict, etc.). Please share your perspective on your skills.

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* 4. Please list your three most significant leadership roles in domains such as: Universities, Community, Hospital, clinical group, community:

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* 5. Professional Experience: Education; Research and/or Quality Improvement

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* 6. Please provide some information about your roles and experience in education

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* 7. Please provide some information about your roles and experience in research.

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* 8. Please provide some information about your roles and experience in quality improvement.

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* 9. Please provide a brief overview of your family medicine experience.

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