Candidate Information

CDA Board of Directors

Each candidate is required to complete this form for the CDA election. This information is intended to provide CDA Members with a standardized biographical profile of each candidate.

The information requested includes:

  • Academic affiliations
  • Clinical affiliations
  • Medical school and year of graduation
  • Residency training and year of completion
  • Professional activities – offices, appointments and honours with CDA
  • Other national, provincial and local dermatology societies
  • Other medical society, governmental and/or professional appointments, awards and honours
  • Other professional/academic activities
Optional Documentation

Each candidate may provide a Personal Statement (maximum 300 words) outlining their thoughts on the future of dermatology and/or the future work of the Canadian Dermatology Association.

Each candidate may also provide one letter of support (maximum 250 words) authored by a voting member of the CDA of the candidate’s choice. This letter of support is meant to provide the candidate with an opportunity to inform the membership of special qualifications and/or helpful information and insights about the candidate that would not have been read in their biographical profile or personal statement.

The above mentioned documents along with the candidate’s information will be placed on the Members’ section of the CDA website.

Contact Information

Name
Primary Office Address
Home Address

Candidate Information

Present affiliations

include name of school and year graduated
Other university degrees
Institution, Degree Obtained
Year
 
Residency training
List the institution(s) of residency, along with the year training started and the year it was completed.
Institution
Year
 

Professional Activities.

List, in order of importance, offices, appointments and honours, including years served.

include offices held and committee appointments.
Include the full name of the society, followed by the title of office or honour, and years.
no. of publications - include abstracts, articles, peer-reviewed articles.
Max. file size: 128 MB.
Each candidate may provide a personal statement (maximum 300 words) outlining their thoughts on the future of dermatology and/or the future work of the Canadian Dermatology Association.
Max. file size: 128 MB.
Each candidate may provide one letter of support (maximum 250 words) authored by a voting member of the CDA of the candidate’s choice. If not available at the time of completion of this form the letter may be sent to mamicone@dermatology.ca by March 17, 2025.
Max. file size: 128 MB.
Agreement
Deadline date for receipt of all Nominee documents at CDA National Office is Monday, March 17, 2025.
This field is for validation purposes and should be left unchanged.