{"id":2810,"date":"2022-06-07T17:31:39","date_gmt":"2022-06-07T21:31:39","guid":{"rendered":"http:\/\/centralwestoht.local\/?page_id=2810"},"modified":"2023-02-24T07:34:36","modified_gmt":"2023-02-24T12:34:36","slug":"pfac-recruitment","status":"publish","type":"page","link":"https:\/\/moxyinc.ca\/cwoht\/fr\/patients\/pfac-recruitment\/","title":{"rendered":"Recrutement du Conseil consultatif des familles de patients"},"content":{"rendered":"<p>[fusion_builder_container type=&#8221;flex&#8221; hundred_percent=&#8221;no&#8221; hundred_percent_height=&#8221;no&#8221; hundred_percent_height_scroll=&#8221;no&#8221; align_content=&#8221;stretch&#8221; flex_align_items=&#8221;flex-start&#8221; flex_justify_content=&#8221;flex-start&#8221; hundred_percent_height_center_content=&#8221;yes&#8221; equal_height_columns=&#8221;no&#8221; container_tag=&#8221;div&#8221; hide_on_mobile=&#8221;small-visibility,medium-visibility,large-visibility&#8221; status=&#8221;published&#8221; border_style=&#8221;solid&#8221; 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sticky_display=&#8221;normal,sticky&#8221; class=&#8221;&#8221; id=&#8221;&#8221; animation_type=&#8221;&#8221; animation_direction=&#8221;left&#8221; animation_speed=&#8221;0.3&#8243; animation_offset=&#8221;&#8221; filter_hue=&#8221;0&#8243; filter_saturation=&#8221;100&#8243; filter_brightness=&#8221;100&#8243; filter_contrast=&#8221;100&#8243; filter_invert=&#8221;0&#8243; filter_sepia=&#8221;0&#8243; filter_opacity=&#8221;100&#8243; filter_blur=&#8221;0&#8243; filter_hue_hover=&#8221;0&#8243; filter_saturation_hover=&#8221;100&#8243; filter_brightness_hover=&#8221;100&#8243; filter_contrast_hover=&#8221;100&#8243; filter_invert_hover=&#8221;0&#8243; filter_sepia_hover=&#8221;0&#8243; filter_opacity_hover=&#8221;100&#8243; filter_blur_hover=&#8221;0&#8243;]https:\/\/moxyinc.ca\/cwoht\/wp-content\/uploads\/sites\/29\/2022\/05\/Join-e1651699808518.png[\/fusion_imageframe][fusion_text columns=&#8221;&#8221; column_min_width=&#8221;&#8221; column_spacing=&#8221;&#8221; rule_style=&#8221;&#8221; rule_size=&#8221;&#8221; rule_color=&#8221;&#8221; hue=&#8221;&#8221; saturation=&#8221;&#8221; lightness=&#8221;&#8221; alpha=&#8221;&#8221; content_alignment_medium=&#8221;&#8221; content_alignment_small=&#8221;&#8221; content_alignment=&#8221;&#8221; hide_on_mobile=&#8221;small-visibility,medium-visibility,large-visibility&#8221; sticky_display=&#8221;normal,sticky&#8221; class=&#8221;&#8221; id=&#8221;&#8221; margin_top=&#8221;&#8221; margin_right=&#8221;&#8221; margin_bottom=&#8221;&#8221; margin_left=&#8221;&#8221; fusion_font_family_text_font=&#8221;Cabin&#8221; fusion_font_variant_text_font=&#8221;400&#8243; font_size=&#8221;18px&#8221; line_height=&#8221;&#8221; letter_spacing=&#8221;&#8221; text_transform=&#8221;&#8221; text_color=&#8221;&#8221; animation_type=&#8221;&#8221; animation_direction=&#8221;left&#8221; animation_speed=&#8221;0.3&#8243; animation_offset=&#8221;&#8221;]<\/p>\n<h3><strong>Qualifications<\/strong><\/h3>\n<ul>\n<li><span class=\"JsGRdQ\">Receiving or have received care, are or have been a family member\/caregiver within Brampton, north Etobicoke, west Woodbridge, Bramalea, or Malton;<\/span><\/li>\n<li><span class=\"JsGRdQ\">Comfortable speaking in a group and interacting with others;<\/span><\/li>\n<li><span class=\"JsGRdQ\">Able to generate ideas and build consensus on differences of opinion;<\/span><\/li>\n<li><span class=\"JsGRdQ\">Able to maintain confidentiality of patient and organizational information; and<\/span><\/li>\n<li><span class=\"JsGRdQ\">Not in a position of employment within health care.<\/span><\/li>\n<\/ul>\n<p>[\/fusion_text][\/fusion_builder_column][fusion_builder_column type=&#8221;1_2&#8243; layout=&#8221;1_2&#8243; align_self=&#8221;auto&#8221; content_layout=&#8221;column&#8221; align_content=&#8221;flex-start&#8221; valign_content=&#8221;flex-start&#8221; content_wrap=&#8221;wrap&#8221; spacing=&#8221;&#8221; center_content=&#8221;no&#8221; link=&#8221;&#8221; target=&#8221;_self&#8221; min_height=&#8221;&#8221; hide_on_mobile=&#8221;small-visibility,medium-visibility,large-visibility&#8221; sticky_display=&#8221;normal,sticky&#8221; class=&#8221;&#8221; id=&#8221;&#8221; type_medium=&#8221;&#8221; type_small=&#8221;&#8221; order_medium=&#8221;0&#8243; order_small=&#8221;0&#8243; dimension_spacing_medium=&#8221;&#8221; dimension_spacing_small=&#8221;&#8221; dimension_spacing=&#8221;&#8221; dimension_margin_medium=&#8221;&#8221; dimension_margin_small=&#8221;&#8221; 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rule_style=&#8221;default&#8221; rule_size=&#8221;&#8221; rule_color=&#8221;&#8221; content_alignment_medium=&#8221;&#8221; content_alignment_small=&#8221;&#8221; content_alignment=&#8221;&#8221; hide_on_mobile=&#8221;small-visibility,medium-visibility,large-visibility&#8221; sticky_display=&#8221;normal,sticky&#8221; class=&#8221;&#8221; id=&#8221;&#8221; margin_top=&#8221;&#8221; margin_right=&#8221;&#8221; margin_bottom=&#8221;&#8221; margin_left=&#8221;&#8221; font_size=&#8221;18px&#8221; fusion_font_family_text_font=&#8221;&#8221; fusion_font_variant_text_font=&#8221;&#8221; line_height=&#8221;&#8221; letter_spacing=&#8221;&#8221; text_color=&#8221;&#8221; animation_type=&#8221;&#8221; animation_direction=&#8221;left&#8221; animation_speed=&#8221;0.3&#8243; animation_offset=&#8221;&#8221;]<\/p>\n<h3 class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 24; line-height: 1.3; --minfontsize: 24;\" data-fontsize=\"24\" data-lineheight=\"31.2px\"><strong>Patient\/Family\/Caregiver Partner <\/strong><strong>Application<\/strong><\/h3>\n<p>As part of a commitment to place the needs of patients\/clients first, the Central West Ontario Health Team (CW OHT) aims to engage and empower patients\/clients, families, and caregivers in helping to shape their local system of healthcare.<\/p>\n<p>With this important objective in mind, the CW OHT Patient Family Advisory Council (PFAC) is seeking to increase its membership to:<\/p>\n<p><strong>1)<\/strong> broaden diversity across PFAC members related to geography, health care sector representation as well as community characteristics, <strong style=\"color: var(--body_typography-color); font-family: var(--body_typography-font-family); font-size: var(--body_typography-font-size); font-style: var(--body_typography-font-style,normal); letter-spacing: var(--body_typography-letter-spacing);\">2)<\/strong><span style=\"color: var(--body_typography-color); font-family: var(--body_typography-font-family); font-size: var(--body_typography-font-size); font-style: var(--body_typography-font-style,normal); font-weight: var(--body_typography-font-weight); letter-spacing: var(--body_typography-letter-spacing);\"> be able to respond to the high value for patient and family engagement in key CW OHT initiatives.<\/span><\/p>\n<p>[\/fusion_text][fusion_text columns=&#8221;&#8221; column_min_width=&#8221;&#8221; column_spacing=&#8221;&#8221; rule_style=&#8221;default&#8221; rule_size=&#8221;&#8221; rule_color=&#8221;&#8221; content_alignment_medium=&#8221;&#8221; content_alignment_small=&#8221;&#8221; content_alignment=&#8221;&#8221; hide_on_mobile=&#8221;small-visibility,medium-visibility,large-visibility&#8221; sticky_display=&#8221;normal,sticky&#8221; class=&#8221;&#8221; id=&#8221;&#8221; margin_top=&#8221;&#8221; margin_right=&#8221;&#8221; margin_bottom=&#8221;&#8221; margin_left=&#8221;&#8221; font_size=&#8221;18px&#8221; fusion_font_family_text_font=&#8221;&#8221; fusion_font_variant_text_font=&#8221;&#8221; line_height=&#8221;&#8221; letter_spacing=&#8221;&#8221; text_color=&#8221;&#8221; animation_type=&#8221;&#8221; animation_direction=&#8221;left&#8221; animation_speed=&#8221;0.3&#8243; animation_offset=&#8221;&#8221;]<\/p>\n<p>Through the sharing of unique health care stories, opinions, perspectives and lived and living experiences, the voices of patients\/clients, family members and caregivers will help to inform, influence and actively co-design initiatives, programs and services within the CW OHT.<span style=\"color: var(--body_typography-color); font-family: var(--body_typography-font-family); font-size: var(--body_typography-font-size); font-style: var(--body_typography-font-style,normal); font-weight: var(--body_typography-font-weight); letter-spacing: var(--body_typography-letter-spacing);\"><br \/>\n<\/span><\/p>\n<p><span style=\"color: var(--body_typography-color); font-family: var(--body_typography-font-family); font-size: var(--body_typography-font-size); font-style: var(--body_typography-font-style,normal); font-weight: var(--body_typography-font-weight); letter-spacing: var(--body_typography-letter-spacing);\">Patients\/clients and family\/caregivers who receive care or been a caregiver in Brampton, North Etobicoke, West Woodbridge, Malton, and Bramalea, and who are interested in guiding the direction of the CW OHT are encouraged to complete and submit an application for consideration.<\/span><\/p>\n<p>Members of health service provider Boards, elected representatives, practicing health care professionals, paid employees of health charities, employees of companies in health industries, elected officials and employees of provincial and federal health ministries are <strong>NOT ELIGIBLE<\/strong> for membership.<\/p>\n<p>Successful candidates will be required to provide a Vulnerable Sector Check and sign a Confidentiality Agreement.<\/p>\n<p>Currently, meetings are virtual, held monthly for 1.5 hours and are typically held during business hours. 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dimension_spacing_small=&#8221;&#8221; dimension_spacing=&#8221;&#8221; dimension_margin_medium=&#8221;&#8221; dimension_margin_small=&#8221;&#8221; margin_top=&#8221;&#8221; margin_bottom=&#8221;&#8221; padding_medium=&#8221;&#8221; padding_small=&#8221;&#8221; padding_top=&#8221;&#8221; padding_right=&#8221;&#8221; padding_bottom=&#8221;&#8221; padding_left=&#8221;&#8221; hover_type=&#8221;none&#8221; border_sizes=&#8221;&#8221; border_color=&#8221;&#8221; border_style=&#8221;solid&#8221; border_radius=&#8221;&#8221; box_shadow=&#8221;no&#8221; dimension_box_shadow=&#8221;&#8221; box_shadow_blur=&#8221;0&#8243; box_shadow_spread=&#8221;0&#8243; box_shadow_color=&#8221;&#8221; box_shadow_style=&#8221;&#8221; background_type=&#8221;single&#8221; gradient_start_color=&#8221;&#8221; gradient_end_color=&#8221;&#8221; gradient_start_position=&#8221;0&#8243; gradient_end_position=&#8221;100&#8243; gradient_type=&#8221;linear&#8221; radial_direction=&#8221;center center&#8221; linear_angle=&#8221;180&#8243; background_color=&#8221;&#8221; background_image=&#8221;&#8221; background_image_id=&#8221;&#8221; background_position=&#8221;left top&#8221; background_repeat=&#8221;no-repeat&#8221; background_blend_mode=&#8221;none&#8221; render_logics=&#8221;&#8221; filter_type=&#8221;regular&#8221; filter_hue=&#8221;0&#8243; filter_saturation=&#8221;100&#8243; filter_brightness=&#8221;100&#8243; filter_contrast=&#8221;100&#8243; filter_invert=&#8221;0&#8243; filter_sepia=&#8221;0&#8243; filter_opacity=&#8221;100&#8243; filter_blur=&#8221;0&#8243; filter_hue_hover=&#8221;0&#8243; filter_saturation_hover=&#8221;100&#8243; filter_brightness_hover=&#8221;100&#8243; filter_contrast_hover=&#8221;100&#8243; filter_invert_hover=&#8221;0&#8243; filter_sepia_hover=&#8221;0&#8243; filter_opacity_hover=&#8221;100&#8243; filter_blur_hover=&#8221;0&#8243; animation_type=&#8221;&#8221; animation_direction=&#8221;left&#8221; animation_speed=&#8221;0.3&#8243; animation_offset=&#8221;&#8221; last=&#8221;true&#8221; border_position=&#8221;all&#8221; first=&#8221;true&#8221;][fusion_text columns=&#8221;&#8221; column_min_width=&#8221;&#8221; column_spacing=&#8221;&#8221; rule_style=&#8221;default&#8221; rule_size=&#8221;&#8221; rule_color=&#8221;&#8221; content_alignment_medium=&#8221;&#8221; content_alignment_small=&#8221;&#8221; content_alignment=&#8221;&#8221; hide_on_mobile=&#8221;small-visibility,medium-visibility,large-visibility&#8221; sticky_display=&#8221;normal,sticky&#8221; class=&#8221;&#8221; id=&#8221;&#8221; margin_top=&#8221;&#8221; margin_right=&#8221;&#8221; margin_bottom=&#8221;&#8221; margin_left=&#8221;&#8221; font_size=&#8221;18px&#8221; fusion_font_family_text_font=&#8221;&#8221; fusion_font_variant_text_font=&#8221;&#8221; line_height=&#8221;&#8221; letter_spacing=&#8221;&#8221; text_color=&#8221;&#8221; animation_type=&#8221;&#8221; animation_direction=&#8221;left&#8221; animation_speed=&#8221;0.3&#8243; animation_offset=&#8221;&#8221;]<\/p>\n<p><strong>SUBMISSION INSTRUCTIONS:<\/strong><\/p>\n<p>If this opportunity matches your interest and experience, please submit your resume, brief cover letter and completed application below.<\/p>\n<p>The CW OHT is committed to an inclusive, barrier-free process and providing equal opportunities to all applicants. If you require any accommodations, please contact us by email at <a href=\"mailto:Wilhelm.Wojcik@williamoslerhs.ca\">Wilhelm.Wojcik@williamoslerhs.ca<\/a> or by calling 416-904-7380 between 9 AM and 5 PM. We thank all applicants. There will be follow-up communication with any applicant that will be offered an interview.<\/p>\n<p>You can also access a PDF version of the <a href=\"https:\/\/moxyinc.ca\/cwoht\/wp-content\/uploads\/sites\/29\/2022\/05\/CW-OHT-PFAC-Patient-Partner-Application-and-Position-Description.pdf\">Position Description and Application<\/a>.<\/p>\n<p>[\/fusion_text]<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of 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class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/cwoht\/fr\/wp-json\/wp\/v2\/pages\/2810' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_6_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_1'>First Name<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_6_1' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_3'>Last Name<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_6_3' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_4'>Full Mailing Address<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_6_4' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_5'>Primary Phone Number<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_6_5' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_6'>Email Address<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_6_6' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_7\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Are you a paid employee of a health care related agency?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_7'><div class='gchoice gchoice_6_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='Yes'  id='choice_6_7_1'   aria-describedby=\"gfield_description_6_7\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_1' id='label_6_7_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.2' type='checkbox'  value='No'  id='choice_6_7_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_2' id='label_6_7_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_6_7'>If \"yes,\" please pause on completing the rest of the application as we are only looking for those candidates who do not have other means to make change within the health care system and related services. We thank you for your interest in wanting to be a volunteer and encourage you to consider other volunteer opportunities. <\/div><\/fieldset><fieldset id=\"field_6_9\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Which of the following best describes you? Please check all that apply.<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_6_9'><div class='gchoice gchoice_6_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='I am a patient\/client or former patient\/client'  id='choice_6_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_9_1' id='label_6_9_1' class='gform-field-label gform-field-label--type-inline'>I am a patient\/client or former patient\/client<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='I am a family member of patient that is receiving care or has received care'  id='choice_6_9_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_9_2' id='label_6_9_2' class='gform-field-label gform-field-label--type-inline'>I am a family member of patient that is receiving care or has received care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_9_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.3' type='checkbox'  value='I am a caregiver of patient that is receiving care or has received care'  id='choice_6_9_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_9_3' id='label_6_9_3' class='gform-field-label gform-field-label--type-inline'>I am a caregiver of patient that is receiving care or has received care<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_9_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Tout s\u00e9lectionner\" data-label-deselect=\"Tout d\u00e9s\u00e9lectionner\">Tout s\u00e9lectionner<\/button><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What part of the health care system have you experienced? Please check all that apply.<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_10'><div class='gchoice gchoice_6_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Assisted Living Services'  id='choice_6_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_1' id='label_6_10_1' class='gform-field-label gform-field-label--type-inline'>Assisted Living Services<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='Community Health Centre'  id='choice_6_10_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_2' id='label_6_10_2' class='gform-field-label gform-field-label--type-inline'>Community Health Centre<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.3' type='checkbox'  value='Community Mental Health and Addictions Agency'  id='choice_6_10_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_3' id='label_6_10_3' class='gform-field-label gform-field-label--type-inline'>Community Mental Health and Addictions Agency<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.4' type='checkbox'  value='Community Support Services Agency'  id='choice_6_10_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_4' id='label_6_10_4' class='gform-field-label gform-field-label--type-inline'>Community Support Services Agency<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.5' type='checkbox'  value='Home and Community Care'  id='choice_6_10_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_5' id='label_6_10_5' class='gform-field-label gform-field-label--type-inline'>Home and Community Care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.6' type='checkbox'  value='Hospice Palliative Care'  id='choice_6_10_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_6' id='label_6_10_6' class='gform-field-label gform-field-label--type-inline'>Hospice Palliative Care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.7' type='checkbox'  value='Hospital'  id='choice_6_10_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_7' id='label_6_10_7' class='gform-field-label gform-field-label--type-inline'>Hospital<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.8' type='checkbox'  value='Long-term Care Home'  id='choice_6_10_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_8' id='label_6_10_8' class='gform-field-label gform-field-label--type-inline'>Long-term Care Home<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.9' type='checkbox'  value='Other'  id='choice_6_10_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_9' id='label_6_10_9' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.11' type='checkbox'  value='Primary Care (Family Physician\/Nurse Practitioner)'  id='choice_6_10_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_11' id='label_6_10_11' class='gform-field-label gform-field-label--type-inline'>Primary Care (Family Physician\/Nurse Practitioner)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.12' type='checkbox'  value='Retirement Home'  id='choice_6_10_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_12' id='label_6_10_12' class='gform-field-label gform-field-label--type-inline'>Retirement Home<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_11'>Without sharing any personal health information, briefly describe your experience with the health care system and what unique perspectives you would bring to being a PFAC member.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_6_11' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_6_24\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please indicate your experience in the following areas. If \u201cyes\u201d, please provide a brief description of your background and experience.<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_24'><div class='gchoice gchoice_6_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='Leading or participating in a formal committee, council or group.'  id='choice_6_24_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_24_1' id='label_6_24_1' class='gform-field-label gform-field-label--type-inline'>Leading or participating in a formal committee, council or group.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_24_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.2' type='checkbox'  value='Leading, participating or experiencing change management.'  id='choice_6_24_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_24_2' id='label_6_24_2' class='gform-field-label gform-field-label--type-inline'>Leading, participating or experiencing change management.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_24_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.3' type='checkbox'  value='Being part of a decision-making process that required dialogue, listening and engaging with different opinions.'  id='choice_6_24_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_24_3' id='label_6_24_3' class='gform-field-label gform-field-label--type-inline'>Being part of a decision-making process that required dialogue, listening and engaging with different opinions.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_24_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.4' type='checkbox'  value='Interest and ability to be the voice of diversity within the CW OHT community.'  id='choice_6_24_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_24_4' id='label_6_24_4' class='gform-field-label gform-field-label--type-inline'>Interest and ability to be the voice of 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