Academic Candidate Registration

Personal Details:

* First Name:

Middle Name:

* Last Name:

* Date of Birth (YYYY-MM-DD):

* Phone Number

* Personal Email:

* Personal email addresses have been collected by OPSOA and will be used solely by OPSOA for the purposes of the administration and implementation of SOQP.

* Board/Organization:

* Work Email:

Identify Learning Supports:

Home Address:

* Address Line 1:

Address Line 2:

* City:

* Province:

* Postal Code:

Professional Details:

* Panel:

* OCT Number:

SOQP Modules From Other Providers:

* Have You Completed SOQP Modules With Another Provider? (Y/N)

* Date of First SOQP Module Started (DD/MM/YYYY):

* Module Provider:

* Modules Completed

Module 1: Personal Leadership Perspective

Module 2: Leadership and Organizational Change Perspective

Module 3: Provincial Leadership Perspective

Module 4: System Leadership Perspective

SOQP Leadership Practicum