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Northern Maternal Child Network (NMCN) Committees Application-Midwifery Expression of Interest

The overall composition of the Committees
will reflect a balance of skills, perspective and
leadership needed to achieve the defined Scope and
Deliverables.

Consideration of members include
representation from both community and
institutional setting, professional disciplines,
perspectives that represent geographical range
including representation from northeastern and
northwestern Ontario and provision of Indigenous
care from Indigenous members.

*1.Your Contact Information(Required.)

Last Name

First Name

Organization

Position/Title

Email Address

Phone Number

2.Your Assistant's Contact Information (if applicable)

Last Name

First Name

Email Address

Phone Number

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