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Faculty Profile Update Form

Faculty Profile Form

Faculty Type*
- Professor
- Adjunct Professor
- Clinical Instructor
- Clinical Assistant Professor
- Clinical Associate Professor
- Clinical Professor
- Clinical Adjunct
- Emeritus/Emeriti
Name*
First Middle Last
Academic Title
Credentials*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
Website
Do you have a UBC CMS login account?
- Yes
- No
If YES, do you want to be in control of your Profile page?
- Yes
- No
Attach a photograph of yourself
Max. file size: 20 MB.
Biography*
Research Interests
Publications

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Department of Family Practice

3rd Floor David Strangway Building

5950 University Boulevard

Vancouver, BC Canada V6T 1Z3

Tel 604 827 4168

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