New Program Administrator / New Program Director Registration Form

Disclaimer: This information will be shared with the Faculty Affairs and Medtech offices in order to grant you IT access.

This form must be completed by a program administrator (PA) / program director (PD) replacing a current program administrator/director, or for anyone filling a new position and wishing to receive PGME correspondences and/or access to systems (i.e. PGME Forms Management System, One45, and Visa or Fellowship Application System).
Please select status
Personal Information
Do you have your Royal College Physicians and Surgeons of Canada certification?
Gender
Language of Correspondence
Are you a Canadian Citizen?
One file only.
5 MB limit.
Allowed types: pdf, doc, docx.

Template for the approval letter (PDF, 68KB)

One file only.
2 MB limit.
Allowed types: pdf, doc, docx.

(For Directors only)

Requested Access

(Please check all that apply)

One45
XTender
uoCampus
Docushare
Elentra
MTD Portal
Additional Information

*Upon processing of this request, the new PA/PD will be granted system accesses, while former PA/PD’s accesses will be terminated, unless otherwise specified.

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