Thank you for your interest in becoming a member of the the Niagara Ontario Health Team – Équipe Santé Ontario Niagara's PCFC Advisory Council .

The NOHT-ÉSON is a steadily growing network of more than 45 health care providers, social service agencies, educational institutions, and PCFC representatives in Niagara. We are committed to working together to build a more integrated, inclusive, and seamless health care system with a goal to improve health outcomes and the overall health system experience for people in Niagara.

PCFC advisors have lived experience accessing health care or social services in Niagara. As active participants, advisors provide unique perspectives and valuable feedback on the standard of care they receive. In collaboration with the NOHT-ÉSON, its partners, and staff, PCFC advisors offer direct input into policies, programs, and practices affecting care and service delivery in Niagara, as well as play a vital role in transforming health care and social services in Niagara.

As a representative, advisors have a seat at monthly PCFC Advisory Council meetings and are asked to join a minimum of one working group or committee.

READY TO MAKE A DIFFERENCE?

Please complete the application. It will be reviewed by members of the PCFC Advisory Council in a timely manner.

*Disclaimer: I understand that by filling out the PCFC Advisory Council Application Form that I am consenting to the NOHT-ÉSON’s collection of my email. The NOHT-ÉSON will not provide your email address to individuals outside of the NOHT-ÉSON without your consent. Your email will only be used for NOHT-ÉSON correspondence or to reply to your inquiries. Information collected will only be used in matters pertaining to the PCFC Advisory Council and the NOHT-ÉSON.

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* 1. Full name

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* 2. City/town/community of residence

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* 4. Primary phone number

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* 5. What is your preferred way of contact?

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* 6. I identify as a:

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* 7. Why do you wish to become a PCFC Advisor?

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* 8. Do you have previous experience as an advisor for health or social services? If yes, please briefly list your previous role(s).

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* 9. Which aspects of the health and social care system in Niagara do you have experience with?

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* 10. In addition to the PCFC Advisory Council, what working groups might be of interest:

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* 11. How did you hear about this opportunity?

It’s important to the NOHT-ÉSON and the PCFC Advisory Council that we recruit a range of people with lived experience. The following questions will help us learn more about you.

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* 12. What is your age?

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* 13. What is your gender? Gender refers to current gender identity which may be different from sex assigned at birth and may be different from what is indicated on legal documents. Select all that apply.

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* 14. Please check all that apply to you. I identify as:

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* 15. Please share any other information you would like us to know about your personal, volunteer or work life experience. Note: all applications will be considered regardless of prior experience.

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* 16. Would you like to receive email updates from the NOHT-ÉSON (i.e. newsletters, updates on new initiatives, etc.)?

Conditions of Application:
  • I understand that I am not guaranteed an advisory role with the NOHT-ÉSON
  • I understand that I may withdraw my application at any time
All information contained on this form is considered confidential and is only intended for use by NOHT-ÉSON staff and PCFC Advisors. You may be contacted to participate in an informal interview.

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* 17. I understand and agree to the conditions listed above:

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