TC008-Long Term Care/ Soins de longue durée (inactive recruitment/recrutement inactif)

Technical Committee / Comité technique Remote, Canada

Please take the time to fill out the following form. After you have completed your application an email will be sent to you with information about how to check the status of your application. / Veuillez prendre le temps de remplir le formulaire suivant. Une fois que vous aurez envoyé votre candidature, vous recevrez un courriel avec des renseignements sur la façon de vérifier l’état de votre candidature.

Add Resume or Short Bio, as requested / Ajouter un CV ou une courte biographie, au besoin*

For Patient Partners, no resume is required. Please select "Type or Paste Resume" from the dropdown menu and provide short bio outlining your areas of interest. Thank you! / Pour les usagers partenaires, aucun CV n’est requis. Veuillez sélectionner « Tapez ou collez votre CV » dans le menu déroulant et fournissez une courte biographie décrivant vos domaines d'intérêt. Merci!

Personal Information

Do you identify as being a/an:*

**We are asking applicants to provide socio-demographic information, if you feel comfortable doing so, in an effort to support HSO develop a diverse and inclusive technical committee**

What is Your Age?
Do you identify as:
Do you identify as being First Nations, Métis, or Inuit?
Do you identify as being a visible minority?
Do you identify as being a person with a disability?
Do you require any form of support, including mobility or speech support, to be able to engage in Committee activities (for example, using the computer to access Zoom calls, participate in meetings, and provide written feedback on standard drafts)?
I attest that all information on this application is accurate and true.*
By submitting this application, I am aware and agree that my application to the HSO Committee will be shared with the CSA Group as part of a coordinated recruitment effort.*
I am also aware that I may be contacted to provide additional input on the National Long-Term Care Services Standards in future stages of development, including when they are made available for the public to review.*
Would you also like this application to be considered for the CSA committee?*

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