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Indication of Interest
In Serving on College Committees or Council
The College relies on volunteers to be appointed by Council to serve on committees. Several of
the committees also include members of the public. If you are interested in serving on College
committees or Council, please complete the following form and return it to the Saskatchewan
College of Paramedics (SCoP).
1. SCoP Committees
Further information on College Committees can be found on the College website at
www.collegeofparamedics.sk.ca under About Us.
Please check all committee(s) that you are interested in:
Audit
Nominations
Discipline
Legislation and Bylaws
Education
Professional Conduct
Note: If your preferred committee does not currently have a vacancy, your expression of
interest will remain on file for future reference in the event a position becomes
available.
2. SCoP Council
Are you interested in being nominated for election to Council?
Yes
No
3. Applicant Information (resume may be attached)
a. Year Graduated:
Program:
Institution:
Health Facility Based
Industrial
b. Current employer:
c. Previous EMS Employers:
d. Sector: Health EMS_
Educational
Other
Fire
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e. Current Service Location:
Interprovincial_
Urban
Rural_
Northern
f. Experience on Boards or Committees:
g. Other Relevant Experience, i.e.: Instructor status, volunteer work:
4. Why would you like to work on this SCoP committee or Council?
5. Please describe the skills and competencies you would bring to the College to support
its mandate.
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6. Character References - Please provide at least two character references including
contact information
7. Your Contact Information
Upon receipt of this form, you will be contacted directly by a representative of the
College or the Nominating Committee. Please provide your contact information below:
Name:
Email:
Phone:
Cell Phone:
Address:
Postal Code:
8. Validation
Please sign and date the form to fully validate your application. Email submissions
will be considered valid if received from a personal email address.
Signature
Date
Thank you for your interest in serving our profession! Kindly return this form to the College:
By email to: office@collegeofparamedics.sk.ca
Or by mail to: Saskatchewan College of Paramedics
202 – 1900 Albert Street
Regina SK S4P 4K8
Please Note: Although we appreciate all expressions of interest, applications must be received
by SCoP no later than midnight February 3, 2015.