Join us and help transform how Canada cares for its older citizens living with frailty! Apply now Thank you for your interest in Canadian Frailty Network and the work we do to improve care for older Canadians living with frailty. Before completing the application form below, please: Take a minute to review the definitions of frailty and citizen representatives that Canadian Frailty Network uses. Click here to read the general eligibility requirements, and expectations, of Board and Committee members, and see the specific Terms of Reference for the Board and all our Committees. Canadian Frailty Network is currently looking for volunteer members in the following areas: HQP representatives on several Committees For all appointments, we hope to broaden the diversity of representation through this call. Therefore, we particularly welcome applications from under-represented groups within our Network community and in the application you will be asked to self-identify as such. How to apply Complete the online Application Form below. Click here to download and complete an Expression of Interest Form. Save the Expression of Interest as a Word document or PDF, and email to info@cfn-nce.ca with your résume or CV. If you are unable to apply online, please email CFN Headquarters or call us at (613) 549-6666, x.7986. Please note: CFN collects and uses the personal information you provide only in the manner we described, and in compliance with all applicable federal and provincial privacy laws in Canada – please visit /privacy-policy/ to read our complete Privacy Policy. Apply to be a volunteer CFN Board or Advisory Committee member Please read the instruction above carefully, and review the open positions using the links. Salutation/Form of Address* Dr. Hon. Mr. Mrs. Ms. First Name* Last Name* Email* Address Town/City* Province/Territory of Residence* AB BC MB NB NL NS NT NU ON PE QC SK YT Telephone # (Mon to Fri; 8 am to 4 pm)* Gender* Female Male Citizenship* Canadian Citizen or Permanent Resident Other Your employment status is: (Please check all that apply)* Retired Working full-time Working part-time Attending school full-time Attending school part-time Current employer, title and department (if applicable): Current post-secondary institution, program/level and supervisor (if applicable): Age* Under 25 25 to 49 50 to 64 65 to 79 80 or older Do you feel that you are frail, or have you been told that you are medically frail? (Please see definition of frailty above.)* Yes No Indicate the groups with which you feel you identify or represent. This list represents populations that may be considered less represented in the CFN Network community. (Select all that apply)* women members of indigenous communities individuals from northern, rural or remote communities people who speak English as a second language visible minority groups members of LGBTQ2 community (including but not limited to those identifying as lesbian, gay, bisexual, trans, queer and/or two-spirited) With respect to the life experience you bring to a CFN Committee or our Board, indicate the category that you identify most with. (Please choose one ONLY.)* Older Adult, Patient, Citizen, Consumer Family or Friend Caregiver for Older Adult Paid Caregiver, PSW, etc. Patient or Caregiver Advocate or representative of Advocacy Organization Clinician (Eg. nurse, physician, pharmacist, physical or occupational therapist, dietician, social worker, etc.) Non-clinical (e.g. administrative) role at care provider (in any care sector) Non-clinical decision making or policy role at a care provider (in any care sector) Academic or educator role at a post-secondary institution Researcher Policy maker -- federal government Policy maker -- provincial government Policy maker -- regional health authority Professional association Organization representing care provider orgnizations or industry Other organization CFN HQP Program participant/alumni Industry (health related such as consulting, device or pharmaceutical manufacturer or distributor; for-profit care facilty or care provider) Industry (for-profit not related to healthcare) Please indicate any other categories that you also identify with. (Select all that apply) Older Adult, Patient, Citizen, Consumer Family or Friend Caregiver for Older Adult Paid Caregiver, PSW, etc. Patient or Caregiver Advocate or representative of Advocacy Organization Clinicians (eg. nurse, physician, PT or OT, dietician, social worker, etc.) Non-clinical (eg. administrative) role at care provider (any care sector) Non-clinical decision making or policy role at care provider (any care sector) Academic or educator role at a post-secondary institution Researcher Industry (eg. healthcare consulting, device/pharmaceutical; NOT care facility/provider) Policy maker -- federal government Policy maker -- provincial government Policy maker -- regional health authority Professional association Organization representing care provider organizations or industry Other organization CFN HQP Program participant/alumni Industry (health related such as consulting, device or pharmaceutical manufacturer or distributor; for-profit care facilty or care provider) Industry (for-profit not related to healthcare) If your primary identification is as a Clinician, please indicate the category with which you identify. (Please choose one.) Physician -- Primary Care Physician -- Geriatrician Physician -- Other Specialty Nurse Nurse Practitioner Occupational Therapist Physical Therapist Dietician Social Worker Pharmacist If you are a paid caregiver, a patient advocate, a clinician or employed by a care provider, please identify the care setting in which you primarily serve that role. (Please choose one.) Home care Community/residential care or LTC Hospital -- urgent or acute care Hospital -- long-term or alternate level of care Hospital -- other inpatient Hospital -- outpatient services Palliative or hospice care (any setting) Primary care practice or community clinic If you are an HQP/HQP alumni, or an academic, educator or researcher, identify the primary discipline or field relating to that role. (Please choose one.) Bioengineering Biostatics/Health Informatics Educational/Curriculum Development Epidemiology/Life Sciences Ethics/Law Gerontology/Aging/Social Sciences Health Demography/Geography Health Economics Health/Public Policy Health Studies Knowledge Translation/Implementation Science Library & Information Sciences Medicine -- Critical or Acute Care Medicine -- Family Medicine Medicine -- Geriatrics Medicine -- Other Specialty Nursing Nutrition Pharmacy/Pharmacology Rehabilitation (OT or PT) Social Work Theology/Counselling/Psychology Highest degree or professional designation to be completed by September 30, 2017* The language of business for CFN is English. Please list any other languages that you speak. Please indicate all personal characteristics that apply to you:* Collegial, team player Consensus builder Creative Effective communicator Someone who possesses integrity Leader/motivator Someone with sound judgement Strategist and critical thinker Recipient of extensive health care – either you or a family member/close friend Committed to continuous quality improvement Someone who demonstrates continuous learning Are you applying to be a member of the CFN Board of Directors?* Yes No If you wish to be considered for membership on a CFN Advisory Committee, which Committee is your first choice? (select one) Citizen Engagement Committee Education and Training Committee Knowledge Translation Committee Research Management Committee Scientific Review Committee If you are applying as an HQP member, please describe your CFN Training Program experience (e.g. were you a Summer Student, Fellow or trainee on a research project; who was your Supervisor; did you attend any CFN events) View our Privacy Policy
Join us and help transform how Canada cares for its older citizens living with frailty! Apply now Thank you for your interest in Canadian Frailty Network and the work we do to improve care for older Canadians living with frailty. Before completing the application form below, please: Take a minute to review the definitions of frailty and citizen representatives that Canadian Frailty Network uses. Click here to read the general eligibility requirements, and expectations, of Board and Committee members, and see the specific Terms of Reference for the Board and all our Committees. Canadian Frailty Network is currently looking for volunteer members in the following areas: HQP representatives on several Committees For all appointments, we hope to broaden the diversity of representation through this call. Therefore, we particularly welcome applications from under-represented groups within our Network community and in the application you will be asked to self-identify as such. How to apply Complete the online Application Form below. Click here to download and complete an Expression of Interest Form. Save the Expression of Interest as a Word document or PDF, and email to info@cfn-nce.ca with your résume or CV. If you are unable to apply online, please email CFN Headquarters or call us at (613) 549-6666, x.7986. Please note: CFN collects and uses the personal information you provide only in the manner we described, and in compliance with all applicable federal and provincial privacy laws in Canada – please visit /privacy-policy/ to read our complete Privacy Policy. Apply to be a volunteer CFN Board or Advisory Committee member Please read the instruction above carefully, and review the open positions using the links. Salutation/Form of Address* Dr. Hon. Mr. Mrs. Ms. First Name* Last Name* Email* Address Town/City* Province/Territory of Residence* AB BC MB NB NL NS NT NU ON PE QC SK YT Telephone # (Mon to Fri; 8 am to 4 pm)* Gender* Female Male Citizenship* Canadian Citizen or Permanent Resident Other Your employment status is: (Please check all that apply)* Retired Working full-time Working part-time Attending school full-time Attending school part-time Current employer, title and department (if applicable): Current post-secondary institution, program/level and supervisor (if applicable): Age* Under 25 25 to 49 50 to 64 65 to 79 80 or older Do you feel that you are frail, or have you been told that you are medically frail? (Please see definition of frailty above.)* Yes No Indicate the groups with which you feel you identify or represent. This list represents populations that may be considered less represented in the CFN Network community. (Select all that apply)* women members of indigenous communities individuals from northern, rural or remote communities people who speak English as a second language visible minority groups members of LGBTQ2 community (including but not limited to those identifying as lesbian, gay, bisexual, trans, queer and/or two-spirited) With respect to the life experience you bring to a CFN Committee or our Board, indicate the category that you identify most with. (Please choose one ONLY.)* Older Adult, Patient, Citizen, Consumer Family or Friend Caregiver for Older Adult Paid Caregiver, PSW, etc. Patient or Caregiver Advocate or representative of Advocacy Organization Clinician (Eg. nurse, physician, pharmacist, physical or occupational therapist, dietician, social worker, etc.) Non-clinical (e.g. administrative) role at care provider (in any care sector) Non-clinical decision making or policy role at a care provider (in any care sector) Academic or educator role at a post-secondary institution Researcher Policy maker -- federal government Policy maker -- provincial government Policy maker -- regional health authority Professional association Organization representing care provider orgnizations or industry Other organization CFN HQP Program participant/alumni Industry (health related such as consulting, device or pharmaceutical manufacturer or distributor; for-profit care facilty or care provider) Industry (for-profit not related to healthcare) Please indicate any other categories that you also identify with. (Select all that apply) Older Adult, Patient, Citizen, Consumer Family or Friend Caregiver for Older Adult Paid Caregiver, PSW, etc. Patient or Caregiver Advocate or representative of Advocacy Organization Clinicians (eg. nurse, physician, PT or OT, dietician, social worker, etc.) Non-clinical (eg. administrative) role at care provider (any care sector) Non-clinical decision making or policy role at care provider (any care sector) Academic or educator role at a post-secondary institution Researcher Industry (eg. healthcare consulting, device/pharmaceutical; NOT care facility/provider) Policy maker -- federal government Policy maker -- provincial government Policy maker -- regional health authority Professional association Organization representing care provider organizations or industry Other organization CFN HQP Program participant/alumni Industry (health related such as consulting, device or pharmaceutical manufacturer or distributor; for-profit care facilty or care provider) Industry (for-profit not related to healthcare) If your primary identification is as a Clinician, please indicate the category with which you identify. (Please choose one.) Physician -- Primary Care Physician -- Geriatrician Physician -- Other Specialty Nurse Nurse Practitioner Occupational Therapist Physical Therapist Dietician Social Worker Pharmacist If you are a paid caregiver, a patient advocate, a clinician or employed by a care provider, please identify the care setting in which you primarily serve that role. (Please choose one.) Home care Community/residential care or LTC Hospital -- urgent or acute care Hospital -- long-term or alternate level of care Hospital -- other inpatient Hospital -- outpatient services Palliative or hospice care (any setting) Primary care practice or community clinic If you are an HQP/HQP alumni, or an academic, educator or researcher, identify the primary discipline or field relating to that role. (Please choose one.) Bioengineering Biostatics/Health Informatics Educational/Curriculum Development Epidemiology/Life Sciences Ethics/Law Gerontology/Aging/Social Sciences Health Demography/Geography Health Economics Health/Public Policy Health Studies Knowledge Translation/Implementation Science Library & Information Sciences Medicine -- Critical or Acute Care Medicine -- Family Medicine Medicine -- Geriatrics Medicine -- Other Specialty Nursing Nutrition Pharmacy/Pharmacology Rehabilitation (OT or PT) Social Work Theology/Counselling/Psychology Highest degree or professional designation to be completed by September 30, 2017* The language of business for CFN is English. Please list any other languages that you speak. Please indicate all personal characteristics that apply to you:* Collegial, team player Consensus builder Creative Effective communicator Someone who possesses integrity Leader/motivator Someone with sound judgement Strategist and critical thinker Recipient of extensive health care – either you or a family member/close friend Committed to continuous quality improvement Someone who demonstrates continuous learning Are you applying to be a member of the CFN Board of Directors?* Yes No If you wish to be considered for membership on a CFN Advisory Committee, which Committee is your first choice? (select one) Citizen Engagement Committee Education and Training Committee Knowledge Translation Committee Research Management Committee Scientific Review Committee If you are applying as an HQP member, please describe your CFN Training Program experience (e.g. were you a Summer Student, Fellow or trainee on a research project; who was your Supervisor; did you attend any CFN events) View our Privacy Policy
