RSVP: Expression of Interest-Oversight and Advisory Committee

Name*
First Last
Email*
Phone*
What skills and/or experience do you bring to the Oversight & Advisory Committee? (limit 250 words)*
Why is this work important to you? (limit to 250 words)*
How do you like to be engaged in group process? What would assist you to feel welcome and that your ideas are important and relevant? (limit 250 words)*
If there is a particular issue/initiative you have been highly involved in as a patient partner that you would like to share with us to highlight your experiences to date, please describe. (limit to 250 words)*
Please describe which cultural communities you identify with.*
Please indicate where you are geographically located within BC.*
- Lower Mainland
- Fraser Valley
- Vancouver Island
- Interior
- Northern
If you are invited to interview for the committee, how can we make the interview and conversation as comfortable and welcoming for you as possible?*
How long have you been a member of PVN?*
Have previously attended a PVN orientation session and signed the Volunteer Agreement?*
- Yes
- No
- Unsure
The majority of our meetings are done through the telephone. Are you comfortable using WebEx and participating in teleconferences?*
Thank you for your interest in the Oversight & Advisory Committee. If you have any questions please contact Tammy Hoefer, Director of Patient and Public Engagement, at thoefer@bcpsqc.ca or 250-617-3855. The BC Patient Safety & Quality Council will collect personal information via Word Press under section 26 (c) of the Freedom of Information and Protection of Privacy Act for the purposes of operating the Patient Voices Network. Personal Information submitted by volunteers will be saved and stored on file by BCPSQC for 5-10 years upon submission. If you have any questions about the collection of your personal information please contact: Tammy Hoefer at 250-617-3855.

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RSVP: Expression of Interest-Oversight and Advisory Committee

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