International Faculty Development Program Application

**This application only accepts alpha characters.**

**Do not use caps lock when entering your information**

Student Information

First Name

Family Name/Surname

Birthdate

My Gender Identity is:

Phone Number

Citizenship

Are you applying for the In-Person Format or Online with Zoom?

In Person at UAlberta North Campus, Edmonton, Alberta, Canada

Online with Zoom

Name as it appears on passport

Important: provide your personal email address below and not an email address shared with other people. Once accepted into the program we will be using email as our primary way to communicate with you so please check it often for updates.

Email Address

Name of Sponsoring Institution

Name of Official Contact Person from Your Sponsoring Institution

Email Address of Official Contact Person from Your Sponsoring Institution

Are you applying for the Dental Track?

Yes

No

Please list your titles in the institution where you are currently working. Example: assistant professor, associate professor, full professor, physician, chief physician. What are your responsibilities in the institution where you are currently working?

What is your area of expertise?

What year did you graduate from Medical/Dental school?

Teaching Styles

What teaching styles do you use? Please check all that apply.

Please specify:

Please provide a value you associate with each of the following categories, on a scale of 1-5 with 1 being your favourite and 5 being your least favourite.

Lecture

Small group

Bedside

Exams simulating real life clinical simulations (OSCE)

Simulations (use of mannequins, actors, etc.)

Teaching & Learning

What kind of students do you teach? Please check all that apply.

Please specify:

Please list three things you want to learn from this course.

English Language Proficiency

Level of English Language Proficiency: Written

Low

Medium

High

Level of English Proficiency: Spoken

Low

Medium

High

Level of English Proficiency: Reading

Low

Medium

High

Other

Seats are limited for each class and some candidates could be allocated to the next group. If you are not selected for this class, please note that this does not imply rejection. We will be organizing another class in the near future whether online or in person. If you have any questions or concerns, please use this space to enter them.

Protection of Privacy

The personal information requested on this form is collected under the authority of the Alberta Post‑Secondary Learning Act and the Alberta Freedom of Information and Protection of Privacy Act for authorized purposes including admission and registration; administration of student records; consideration for scholarships and awards; and provision of student services. Personal information may be disclosed to academic and administrative units according to University policy; alumni relations and fundraising upon graduation; university planning and research in accordance with federal and provincial legislated reporting requirements; information sharing agreements; and to contracted service providers as required.

For further information on the use and disclosure of personal information, please contact the International Faculty Development Program, International Relations Office at ifdp@ualberta.ca.

Why UAlberta

How to Apply

Tuition + Scholarships

Events

Support + Advising

International Faculty Development Program Application

Are you logging in to review/continue a current application for admission or have applied to the University of Alberta previously and have an existing Launchpad account?

Are you a previous or continuing University of Alberta student that does not have an existing Launchpad account?

Are you applying to any of the following Professional Programs?

Are you studying or have completed any education in Alberta?

International Faculty Development Program Application

Are you logging in to review/continue a current application for admission or have applied to the University of Alberta previously and have an existing Launchpad account? YesNo

Are you a previous or continuing University of Alberta student that does not have an existing Launchpad account? YesNo

Are you applying to any of the following Professional Programs? YesNo

Are you studying or have completed any education in Alberta? YesNo

Are you logging in to review/continue a current application for admission or have applied to the University of Alberta previously and have an existing Launchpad account?

Are you a previous or continuing University of Alberta student that does not have an existing Launchpad account?

Are you applying to any of the following Professional Programs?

Are you studying or have completed any education in Alberta?