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MERIT Membership Application Form
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Application Type
*
Member
Scholar
Name
*
Your answer
Pronoun (e.g they/them)
Your answer
Preferred Email for MERIT communications / distribution list:
*
Your answer
Business Address
Your answer
Phone Number
Your answer
Admin Contact Person Name & Email Address
This would be an administrator who manages your calendar, if applicable.
Your answer
Credentials (
e.g. MD, PhD, etc.
)
*
Your answer
Home Department / Program:
(Include institution if outside McMaster)
*
Your answer
Affiliation
*
Assistant Professor
Associate Professor
Professor
Assistant Clinical Professor
Associate Clinical Professor
Other:
X (previously Twitter) handle
Your answer
Areas of Interest in Health Professions Education (choose all that apply):
*
Admissions
Assessment
Clinical Reasoning
Continuing Professional Development
Curriculum
Educational Technology
Graduate Education
Innovation
Postgraduate Education
Professionalism
Program Evaluation
Stimulation
Undergraduate Education
Other:
Required
(ELIGIBLE FACULTY ONLY)
Are you interested in supervisory & non-supervisory status for the Health Science Education M.Sc. program?
Questions about eligibility can be directed to hsed@mcmaster.ca
Supervisory
Non-supervisory
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