Emerging Leaders Committee Interest Survey
If you are interested in joining the CPHA Emerging Leaders Committee, please fill out this short form. The new cohort of Emerging Leaders will officially begin in October 2020. We will reach out when CPHA ELC Delegate applications open in June. All information collected here will be kept confidential and shared only between the Directors and CPHA Executive Board Liasion.
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Email *
Name *
Address *
Phone number
Best way to contact you *
Which Emerging Leader Delegate position are you interested in filling? Please choose your top 3. *
Just interested in being an Emerging Leader without the Delegate commitment? Select the checkbox below:
Please indicate any comments, questions, or feedback you may have!
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