Medical Physics Residency Program Applicant Checklist
Please complete all sections of this fillable form and submit with your application directly to the Program to Tanya Webb
tanya.webb@utoronto.ca. This Checklist is required to process your application. Please submit this document along with
your application package by the April 30, 2021 deadline.
First Name:
Last Name:
1. EDUCATION
Degree or Certificate
Institution
Year of Completion/
Expected Completion Date
CAMPEP
Program (Y/N)
2. LEGAL STATUS IN CANADA
Canadian Citizen Permanent Resident Other________________
3. PROFESSIONAL REFERENCES (indicate if letter requested by checking off the check box)
4. RESIDENCY SITES
Princess Margaret Cancer Centre, University Health Network
5. SUBMIT DOCUMENTS – DEADLINE: APRIL 30, 2021
Medical Physics Residency Program Applicant Checklist (completed in its entirety)
Covering letter that describes the candidate’s background and motivation for applying to the Program
Detailed, current CV
Unofficial university transcripts from undergraduate and graduate schools (with the understanding that the
Program may request the official transcripts at any time)
Proof of English Language proficiency (if applicable)
Please complete the following table to summarize the degrees or certificate programs that are in progress or completed.
Reference #1
Reference #2
Reference #3
The Medical Physics Residency Program is seeking applicants for two (2) positions at one (1) participating site.
To be considered for admission, applicants must submit, by the April 30, 2021 deadline, the following documents:
Enter Reference Name, Title, Institution and email address
Enter Reference Name, Title, Institution and email address
Enter Reference Name, Title, Institution and email address