Advisory Council Nomination Form | Professional Association of Resident Physicians of Alberta

University of Alberta members, select the council position you are running for:

University of Calgary members, select the council position you are running for:

Candidate Name *

Candidate Email *

Candidate Phone Number *

Candidate University *

Candidate PGY *

Why are you interested in serving on the Advisory Council and what perspective, goals or priorities would you bring if elected? *400 words max

First Supporter Name *You are required to provide two resident physicians who support your nomination

First Supporter Email *

First Supporter Program *

Second Supporter Name *You are required to provide two resident physicians who support your nomination

Second Supporter Email *

Second Supporter Program *

I have read the PARA Code of Conduct and agree to abide by it. * Yes

I will make every effort to attend all Advisory Council Meetings *Meetings to take place: August 26, 2025 (in-person, Calgary), November 12, 2025 (virtual), February 11, 2026 (virtual), May 13, 2026 (virtual) Yes

I confirm that I am a member in good standing as per the PARA bylaws. * Yes