Please complete the form below to nominate yourself for program consideration. 

If you wish to nominate a colleague or if you have any questions, please email Kerry Ann Moore, Education and Development Coordinator at MedStaffDevelopment@islandhealth.ca

Please note: If you find that you don't have all the information readily available, you can scroll to the bottom of the form and click "Save & Return Later." This will provide you with a return code and instructions that enable you to come back later and finish completing your nomination once you have everything you need.

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