FLA OHT Volunteer Application

Thank you for your interest in volunteering with the Frontenac, Lennox & Addington Ontario Health Team (FLA OHT).

The FLA OHT recognizes that people, patients, families and care partners, by virtue of their lived experience, are natural leaders; therefore a key role of our community volunteers involves keeping the experience of a person at the forefront of all discussions and vetting organizational expectations against those experiences.

For more information on our Community Council, current projects and other collaborative work with our partners, visit www.flaoht.ca.

Please complete all sections of this form. If you have any questions, contact:
Anastassiya Khrokova, BA
FLA OHT Executive Assistant
anastassiyak@kchc.ca
 

Please provide the following information:

Note: Email is the primary communication method for the FLA OHT. Please let us know if you require an alternative method of communication. *

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1. How did you hear about the FLA OHT? *

 

2. Why would you like to get involved with the FLA OHT? What motivates you? *

 

3. FLA OHT has two types of community volunteer involvement:
  • Community Member Volunteer: assigned to a specific project / group and participate in regular monthly virtual meetings (1-2 meetings a month, commitment of about 4-6 hr/month). This volunteer automatically becomes a member of the FLA OHT Community Council. 
  • Associate Community Member: willing to contribute their experience and knowledge through email/surveys/focus groups and other ongoing engagement opportunities. This doesn’t involve regular meetings. Recruitment for this volunteer position is ongoing and doesn’t have a term.
Please select the volunteer type you are interested in: *

 

4. There are many groups in place that welcome volunteer involvement. We will do our best to match your volunteering interests with the needs of the FLA OHT groups. 

In #3, if you selected: 
  • Community Member Volunteer, please choose the groups below that interest you.
  • Associate Community Member, please choose the option: I don’t have an interest in a specific group.

 

5. FLA OHT seeks out ways to be inclusive of perspectives from different community members.

Do you identify with any of the following groups? (Select all that apply. If none apply, please check - Not applicable)

 

6. Which race/ethnicity best describes you?

 

7. Is there anything else you would like to share?

 
Thank you. We will contact you to discuss the details of existing opportunities as they arise.

Note: We will add your email to our newsletter distribution database. Please send an email to us when you are no longer interested in receiving the FLA OHT newsletter.