2023 CHIEF Executive Forum Advisory Committee Election

Question Title

* 1. Contact Information

Name

Company

Title

Province

LinkedIn Profile

Question Title

* 2. What type of membership do you have? (select one)

Executive Member (healthcare provider/government organization)

Corporate Member (vendor/supplier)

Question Title

* 3. Why do you want to join the CHIEF Executive Forum Advisory Committee at this point in your career?

Question Title

* 4. What unique skills, perspectives and contributions would you bring to the Advisory Committee?

Question Title

* 5. Can you commit to the CHIEF Advisory Forum advisory committee meeting schedule (every third Monday from 3-4pm ET)?
First meeting for new committee members will be April 17, 2023 3-4pm ET

Yes

No

Question Title

* 6. Will you endeavour to attend the two annual Symposia?

Yes

No

Thank you for your application!