Expression of Interest - OCO Caregiver Advisory Group

The Ontario Caregiver Organization (OCO) is seeking applications for passionate and committed volunteers to actively participate on our Caregiver Advisory Group. The OCO is committed to embedding the caregiver voice in every program it supports. Volunteers must be or have been unpaid caregivers to family members, friend and/or neighbours, regardless of their health condition, age or where they live.

We are actively seeking applications from individuals of diverse backgrounds including but not limited to gender, gender expression, race, ethnicity, creed, colour, national origin, immigration status, sexual orientation, religion, abilities, professions, educational backgrounds, and location in Ontario.

*Deadline to submit interest: August 31, 2020

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1. Please enter your contact information.

First Name

Last Name

City/Town

Postal Code

Phone

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2. Are you currently a caregiver?

Yes

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3. If no, when were you last a caregiver?

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4. Who do you provide care to? Select all that apply.

Grandparent/Step grandparent

Parent/Step-parent

Parent in-law/Step parent in-law

Spouse/Partner

Sibling/Step-sibling

Child/Step-child (under 18 years)

Child/Step-child (18 years or above)

Extended Family

Friend/Neighbour/Colleague

Other (please specify)

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5. What is the main health condition(s) or challenge for which you are providing help? Select all that apply.

Accident or injury

Addiction to drugs or alcohol

Aging/frailty

Alzheimer's disease or dementia

Arthritis (ie. rheumatoid arthritis, osteoarthritis, lupus or gout)

Back problems

Cancer

Cardiovascular disease (including angina, heart attack, stroke and hypertension)

Developmental disorder or disability

Diabetes

Mental illness (ie. depression, bipolar disorder, schizophrenia)

Neurological diseases (ie. Parkinson's disease, multiple sclerosis, spina bifidia, cerebral palsy)

Physical disability

Recovery from surgery

Respiratory problems (including asthma, chronic bronchitis, emphysema or chronic obstructive pulmonary disease - COPD)

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6. Please tell us about your caregiving experience.

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7. Please tell us about your interest in becoming a member of the Caregiver Advisory Group.

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8. Please include anything else you would like us to know in the box below.

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9. In addition to completing the above, please attach a current copy of your resume for consideration.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

The purpose of the following questions is to support diversity and inclusion in our engagement opportunities. The data will be held confidential within OCO in accordance with our data privacy policy (https://ontariocaregiver.ca/privacy-policy/).

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10. What is your gender?

Male

Female

Nonbinary

Trans

Prefer to self-describe

Prefer not to answer

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11. In what year were you born?

2011-2015

2006-2010

2001-2005

1996-2000

1991-1995

1986-1990

1981-1985

1976-1980

1971-1975

1966-1970

1961-1965

1956-1960

1951-1955

1946-1950

1941-1945

1936-1940

1930-1935

Prefer not to answer

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12. What is your main ancestry of ethnic group?

Aboriginal/First Nations/Indigenous/Metis

African (Algeria, Angola, Botswana, Cameroon, Congo, Central African Republic, Chad, Egypt, Eritrea, Ethiopia, Ghana, Guinea, Gambia, Kenya, Ivory Coast, Libya, Liberia, Lesotho, Morocco, Malawi, Madagascar, Mozambique, Mali, Mauritania, Mauritius, Namibia, Niger, Rwanda, Senegal, Somalia, South Africa, Sudan, Swaziland, Tanzania, Togo, Tunisia, Western Sahara, Zambia, Zimbabwe)

Arab / West Asian / Middle East (Armenia, Afghanistan, Azerbaijan, Iraq, Iran, Jordan, Israel, Kuwait, Lebanon, Saudi Arabia, Syria, Turkey, Palestine, United Arab Emirates)

British and Isles/ Irish / Scottish / Welsh / English

Canadian/North American/American

Caribbean (Antigua, Aruba, Anguilla, Bahamas, Barbados, Cayman Islands, Cuba, Curacao, Dominica, Dominican Republic, Grenada, Guadeloupe, Haiti, Jamaica, Maarten, Martinique, Puerto Rico, St. Kitts, St. Lucia, St. Vincent, Trinidad and Tobago, Turks and Caicos, Virgin Islands)

Chinese

European (Central, East and West)

Japanese

Korean

Phillipines/Filpino

Russian

South & Central American (Mexico, Panama, Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, Guyana, Paraguay, Peru, Uruguay, Venezuela)

South Asian (East Indian, Sri Lanka, Pakistani, Bangladesh, Nepal)

Other South East Asian (Indonesia, Malaysia, Singapore, Cambodia, Laos, Vietnam, Thailand)

Don’t know

Prefer not to answer

Other (please specify)

We thank all applicants for their interest; we will contact those applicants selected for further consideration. The OCO will review all submissions to ensure a diverse representation of caregivers from across Ontario.