Please review our brochure before submitting an application for the Family Advisory Network (FAN).

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Your Information:
Full Name:
Phone:
 
E-mail Address:
Language of comfort:
Fluent in other language(s):
What is your availability to volunteer (days/times)?
How long can you commit to being a family advisor?
How did you hear about the FAN?
Have you ever been convicted of a criminal offence for which a pardon has not been granted?
 
What is your relationship and experience with SickKids? For example, tell us about your relationship to the patient, how long you have been coming to SickKids, units/clinics you have accessed, and/or any other experience that is important to you.
Why are you interested in joining the FAN?
Are there any types of opportunities in particular that interest you (e.g. specific committees/councils, staff and trainee education, hospital projects)?
Do you have any specific skills that you would bring to the FAN (include personal or professional experience and abilities)?
Have you ever worked for or volunteered at SickKids?
 
If so, in what capacity:
References:
Identify two people, preferably one from SickKids (staff or volunteer), who would be willing to provide a reference to support your application – please ensure they agreed to be contacted:
Full Name:   Phone:   E-mail:
 
Is the person a SickKids staff or volunteer?
Full Name:   Phone:   E-mail:
 
Is the person a SickKids staff or volunteer?
Signature


 
Date:
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