London Regional Cancer Program
Community Advisory Group

“YOU can help to make a difference”

The London Regional Cancer Program (LRCP) provides high quality cancer care to patients and their families across Southwestern Ontario. LRCP is currently recruiting community members to serve on a Community Advisory Group.

We are looking for individuals to provide LRCP with their perspective and ideas on how we can better serve patients and family members. We want to know about your experience at LRCP. Your input will help us to make improvements in the planning, delivery and evaluation of cancer care for patients in London.

The Community Advisory Group will be made up of twelve positions including nine positions for patients, family members, cancer survivors, or care givers of cancer patients. LRCP will be appointing three individuals to participate in the Community Advisory Group as advisors and liaisons to Hospital leadership teams.

The Community Advisory Group will meet four times per year. The first meeting will take place at the London Regional Cancer Program.

Committee Members will be required to:

  • Attend four meetings per year – videoconferencing will be available if members are unable to attend in person
  • Commit to a two-year term (Some members may be asked to accept a one-year term to ensure adequate succession planning)
  • Share their experiences as a cancer patient¸family member of a patient, cancer survivor or care giver of a cancer patient

Interested individuals are asked to complete the attached Community Advisory Group Application

For additional information, please contact:
Nicole Karma Bridge, Administrative Assistant
London Regional Cancer Program - 519.685.8600, Ext. 54007

Community Advisory Group Application

Name: / Telephone:
Cell Phone:
Address:
Email:
Gender  Female  Male
Which of the following will you be able to represent (please check all that apply):
 Urban  Breast Cancer
 Rural  Colorectal Cancer
 Diverse  Prostate Cancer
 Other (Please specify)______ Lung Cancer
 Other type (specify)______
Why do you wish to volunteer to serve on this Community Advisory Group?
What skills and/or background will you bring to the Group? If you have experience on other boards, advisory groups or committees, please include this information.
Is there anything else you would like us to know about you or your desire to make a contribution to the work of this Group?
How did you hear about the Community Advisory Group?
Applicant’s signature: ______Date: ______
Thank you for your interest. Someone will be in touch with you. Please understand that if we receive many applications, it may take some time to process them.
Please mail, fax or email your application to:
Nicole Karma Bridge, Administrative Assistant
London Regional Cancer Program
790 Commissioners Road East, Room A3-939B
London, Ontario N6A 4L6
Fax: (519) 685.8808
Email: