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Personal Information

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Business Information

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Contact Preferences

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Which do you wish to be your primary contact? Required field

Educational Background

Do you have a Post Secondary Degree? Required field

If yes, please list your post secondary degree(s):

Do you have at least 5 years experience working with Drug Abuse in an Education Setting? Required field

Please tell us how many years experience you have working with Drug Abuse in an Education Setting Required field

Are you a registered Canadian Pharmacist? Required field

If so please enter your licence number:

Language Skills

How well do you speak English? Required field

How well do you write English? Required field

How well do you speak French? Required field

How well do you write French? Required field

Do you speak language(s) other than English and/or French? Required field

Other

How well do you speak the language?

How well do you write the language?

Skills Set (please rate your skill sets in the following categories)

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Presentation Skills Required field

Listening Skills Required field

Ability to Engage Youth Required field

Ability to adapt in different classroom/environmental scenarios Required field

General knowledge of illicit drugs Required field

Knowledge of Community Required field

Leadership skills Required field

Ability to shift and changed based on your audiences needs Required field

Ability to work as part of a team Required field

Ability to work alone Required field

Upon completion I will email my professional resume to cce@drugabuse.ca

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