Professional Documents
Culture Documents
The UOAConnection is a publication of the United Ostomy Association of Canada Inc. This bulletin is published 10 times a year in both English and French (future) to provide greater communication to the chapters. Limited funds only permit circulation to chapter leadership who are encouraged to share the information with their members by including items of interest in their newsletters.
NATIONAL OFFICE: United Ostomy Association of Canada Inc. 344 Bloor St. West, Suite 501 Toronto, ON M5S 3A7 Email info1@ostomycanada.ca 416-595-5452 FAX: 416-595-9924 TOLL FREE: 1-888-969-9698 WEBSITE: www.ostomycanada.ca PRESIDENT: Peter Folk VICE PRESIDENT: Ann Ivol TREASURER: Stephen Maybee SECRETARY: Carol Wells DIRECTORS: Ed Tummers Ruth Kenney John Molnar Lorrie Pismenny Andrea Manson Rosemary Gaffray
Presidents Message
Presidents Message 9 March 2014 Greetings all, Your UOAC board of directors met online on February 15, 2014. A great many items were discussed. Mark your calendars now the 2nd Annual Canada Ostomy Day will be held the first Saturday in October, 2014. We extend an invitation to all chapters across Canada to join in the Stoma Stroll Awareness Walk. We are in the process of updating the twelve page procedure manual and will send to all chapter presidents in the next while. UOAC will set up the walk webpage for your city, provide you with posters, postcards and pledge sheets, provide you with a certificate of insurance, pay for approved expenses such as permits and first aid staff. The board of directors will continue to hold monthly online meetings (usually a Saturday at 8:00 a.m. CST). Any chapter president that is interested in sitting in as an observer is welcome. Please send an email to the office to get an invitation. Our next online meeting is Saturday, March 15. The Canada Not-for-profit Corporations Act provides federal not-for-profit corporations with a new set of rules that are modern, flexible and better suited to the needs of today's not-for-profit sector. Our by-laws committee is working hard to have new by-laws ready for a vote at the AGM in St. Johns in 2014. Prior to that, we would like the chapters to look through and discuss the by -laws as well as the changes in the way that the organization will run. Packages have been emailed and mailed out to each chapter president as now our lawyers have had a chance to draft up the correct legal language. Member chapter feedback is requested, and a special online meeting was held with chapter representatives on March 8, 2014. You can still participate by sending an email or a letter. See the email that was sent from the national office for further details. Ive sent a letter to all Ontario chapter presidents announcing the formation of an Ad Hoc committee between members of the United Ostomy Association of Canada and Ostomy Toronto to advocate for an increase in the Assistive Devices Program (ADP) Grant. To ensure we are inclusive, we encourage you to review our request with your members for feedback. In addition, if you, or any
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of your members, would like to be involved in the process, please contact Jim Fitzgerald jimfitzgerald40@gmail.com , the committee chair, for more information. Jim is replacing Amy Taylor-Mitropoulos . We have sent a letter to the Ontario Premier and Health Minister, as well as the leaders of the Ontario NDP and Progressive Conservative parties and invite Ontario chapters to do the same. We are also doing an online petition and invite the Ontario chapters to spread the message to their members and to all interested parties. The online petition can be found at: http://chn.ge/1i1ZvkX or you can find a link to it on our website. A great many chapters are doing fund-raising to support sending youth to UOAC Ostomy Youth Camp. Ostomy Torontos president and vice-president, Jim Fitzgerald and Jason Boyd are embarking on a journey called GI J's - No Guts No Glory 2 guys 2 ostomies 130 km race by paddling a canoe for 130 km. You can follow their fund-raising efforts and donate if possible by visiting their webpage: https://www.facebook.com/ GI.Js.forever Good Luck Jim and Jason! Our letter to previous year campers is going out this week from the office. We have room for 70 campers, and many have graduated last year making room for many new campers. We are also looking for volunteers in the age range of 23-33ish with an ostomy or bladder extrophy to come out and support our campers. More information can be found on our website http://www.ostomycanada.ca/camp/camp1 or by contacting the by phone at 1-888-969-9698 or 416-595-5452 or by e-mail at info1@ostomycanada.ca In this issue of the UOAConnection, we are asking you to nominate someone from your chapter for the Maple Leaf Award. The Maple Leaf Award is the most prestigious award presented by UOAC. It is awarded to a UOAC member or associate who has done outstanding volunteer service for the benefit of UOAC and its members. Any UOAC member is eligible to receive this award, with the exception of members of the Executive council. Nomination forms are also available on our website. Deadline for nominations is April 30, 2014. We are also asking for nominations for the Enterostomal Therapist Recognition Award. The ET of the Year Award is awarded to an ET nurse who has supported ostomates via involvement with his/her local chapter's activities and national functions. The award also enables UOAC members to acknowledge their ET nurse for their support and services. Nomination forms are also available on our website. Deadline for nominations is April 30, 2014. And as always, you can nominate someone for the Unsung Hero Award. The Unsung Hero Awards are presented to those individuals who always work behind the scenes in any successful organization. They are also dedicated to UOAC, but do not seek the limelight. In fact they prefer to do their work and give their support in an unobtrusive manner. Past winners of these awards are listed on our website. All of these awards, plus the President`s Award, will be presented at the Awards Luncheon at the conference in St. John`s Newfoundland this summer. Our next biennial conference will be in St. Johns Newfoundland in 2014. Dates are July 31 to August 2. Our conference administrator is Delilah Guy, conference chair is Carol Wells. The St. Johns and Gander chapters are working together to put on a great conference. We hope to see you all there and take some time to tour around the Rock and enjoy the unique experience that is Newfoundland. Conference and hotel registration forms are already on our website, along with links to websites that show some of the other things you can go see when you visit Newfoundland. The link is: http://ostomycanada.ca/events/ biennial_conference_of_uoac Again this year we will be asking for donations from individuals and chapters for raffle and auction items. And we will be asking for advertisements for the program booklet. Janet Paquet has agreed to do the program
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book this year. The theme this year is Ostomates Connect on the Rock. Hope to see you there! Peter Folk President, United Ostomy Association of Canada Inc. peter.folk@ostomycanada.ca
Website/Social Networking
During 2011,we have had 660,359 hits from 19,160 unique visitors. During 2012, there were 728,083 hits on our website by 27,019 unique visitors. During 2013, there were 513,260 hits on our website by 20,245 unique visitors. For an online map of chapters and districts, click here: http://www.ostomycanada.ca/maps/map.html You can type your postal code in the bottom right hand search box to locate your city or town and then zoom in to find your nearest chapter or satellite. If you have any comment on our website, please contact: John Molnar or Peter Folk through the national office email info1@ostomycanada.ca Our website is very popular, a great source of information and at least 6,350 other websites directly link to ours. More and more people are using the Internet to get Ostomy information and our contact form is used regularly to contact the office.
Item Unique web visitors (Year to Date) Number of Web Visitors (Year to Date) Web Hits (Year to Date) Facebook page likes Facebook group members Facebook Parents group members Facebook 20/40 group members Discussion Board members Twitter Followers LinkedIn group members LinkedIn followers Google+ Circle members uoac1 group members Blog followers (Includes Twitter and Facebook followers) Blog Posts Blog Hits
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Contd from Page 1 OFFICE COORDINATOR Carole Pew OFFICE CHAIR Stephen Maybee NATIONAL OFFICE ADDRESS 344 Bloor St. W., Suite 501 Toronto, ON M5S 3A7 OUTREACH Administrator: Andy Manson AWARDS : Ann Ivol (Leader) Delilah Guy (Member) PARENTS OF CHILDREN WITH AN OSTOMY: Lyn Atkins (Leader) Corry Stewart Dorosh (CoLeader) Pat Cimmeck , Karen Lindsay (Members) PROFESSIONAL ADVISORY (INDUSTRY, MEDICAL OTHER) Delilah Guy, Jo-Ann Tremblay, Rory Hornstein, RD, Julie Singer, Karen Bruton RN BScN MCISc-WH CETN(C),Shabita Teja, Contacts from Hollister, ConvaTec, Coloplast and Salts, Current CAET President, Contacts from Crohn's and Colitis, Colorectal Cancer Assoc., Bladder Cancer Canada, etc. SASO: Betty Woolridge (Leader) Ann Ivol, Vacant (Members) YOUTH CAMP: Pat Cimmeck (Camp Administrator) Lisa Gausman, Karen Spencer (Members) 20/40: Angie Schickerowski (Leader) Andreja (Andy) Lampreht
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Contd from Page 4 GOVERNANCE: Administrator: Ann Ivol BYLAWS: Ed Tummers (Leader) Carol Wells, Lorrie Pismenny (Members) MEMBERSHIP Andrea Manson (Leader) Ann Ivol, Steve Maybee, Ruth Kenney (Members) NATIONAL OFFICE: Steve Maybee (Leader) Peter Folk, UOAC Office (Members) NOMINATIONS & ELECTIONS: Peter Folk (Leader) Ann Ivol (Member) POLICIES & PROCEDURRES: Ann Ivol (Leader) Delilah Guy, Rosemary Gaffray (members) STRATEGIC PLANNING (ANNUAL OPERATIONAL PLAN Executive Committee (Leader) Board of Directors, UOAC Office (Members) PRIVACY: Privacy Officer (Vacant) John Molnar (Member) COSS (DSS): Roger Ivol (Leader) Jean-Pierre Lapointe (Quebec Rep), Vacant (Pacific Rep), Angela McGinn (Atlantic Rep), Gerard Dakiniewich (Prairies Rep), John Molnar (Southern Ontario Rep (Niagara; Brantford; Halton-Peel; Toronto; London), Roger Ivol (South Ontario Rep (Hamilton; Stratford; Kitchener-Waterloo; Windsor; Sarnia), Richard Olley (North Ontario Rep) ADVOCACY: Ed Tummers Administrator Advocacy: Ruth Kenney (Leader) Delilah Guy, Lorrie Pismenny (Members)
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Donate to UOAC
The Canadian finance minister, Jim Flaherty, announced that the Canadian one cent coin is going to be phased out, so now's the perfect time to donate your pennies to charity! We have signed up to receive donations online through CanadaHelps.org. This is a handy way for you to make a donation without even leaving the comfort of your computer chair. Simply visit our website at: http://www.ostomycanada.ca/ and click on the image that looks like this:
This will bring up a secure website that will allow you to enter your credit card or PayPal information. Canada Helps will issue a donation receipt right away and email it to you. Have you set up your 2014 monthly donations yet? Set it and forget it. Heres how:
1. Set up or log in to your CanadaHelps MyCanadaHelps account. Remember that you need to save a credit card on file for monthly donation! 2. Click the Monthly Giving tab. 3. Search for UNITED OSTOMY ASSOCIATION OF CANADA INC. 4. Click DONATE MONTHLY. 5. Enter the details of your monthly donation.
Visit our donation page: http://www.ostomycanada.ca/donations You can now donate to the United Ostomy Association of Canada Inc. through PayPal
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Upcoming Events:
Deadline for Nominations to the Board of Directors April 15, 2014 Deadline for Maple Leaf and ET of the Year awards April 30, 2014 Regina Chapter 40th Anniversary May, 2014 Saskatoon Chapter 40th Anniversary June 2, 2014 Deadline UOAC Youth Camp Application June 3, 2014 UOAC Youth Camp June 29 -- July 5, 2014 Conference in St. Johns, Newfoundland July 31--August 2, 2014 Annual General Meeting Delta Hotel, St. Johns, Newfoundland August 2, 2014 Stoma Stroll Awareness Walk in conjunction with Canada Ostomy Day Oct 4, 2014 Deadline to comply with Canadas Not-for-Profit Act October 17, 2014
Note: If your chapter has an upcoming event that you would like added here or on the national website, please email the details to Carol Wells through the national office email.
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UOAC Ostomy Youth Camp UOAC Ostomy Youth Camp Mission Statement
To provide an opportunity for young people aged 9-18 with consideration to emotional growth and maturity, who have ostomies or other special related needs (intermittent catheterization; urinary or bowel incontinence; internal pouch; Crohn's disease, Cecostomy Tube or Ulcerative Colitis), to attend camp and participate in camp activities under professional supervision Provide formal/informal education on: anatomy and physiology self esteem and coping sexuality Encourage independence and self confidence with personal care and camp activities Provide individual ET and UOAC counselling on physical and psychosocial needsActivities: formal/informal education sessions swimming camp out outdoor recreation rafting arts and crafts dance rap sessions
WHEN: Camp dates for 2014 are Sunday June 29 - Saturday July 5. We will be bringing in the kids in on Sunday so that we have an extra day of activities. WHERE: Camp Horizon, Bragg Creek Alberta (southwest of Calgary) WHO: Children between the ages 9 - 18 who have had or who will have bowel or bladder diversionary surgery or who have related special needs (i.e. self catheterization, bowel and bladder incontinence), due to birth defects, trauma or disease (e.g. Crohn's disease, Ulcerative Colitis, Cancer, Spina Bifida). COST: Registration fee is $590.00/child plus airfare (transportation to and from camp, room and board are included). Note increase from last year. CONTACT: UOAC office at info1@ostomycanada.ca or phone 403-680-9551 APPLICATION FORMS: Available upon request from UOAC office at info1@ostomycanada.ca DEADLINE FOR APPLICATION: June 3, 2014
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CONFERENCE: Delilah Guy (Administrator) Carol Wells ,St. Johns, & Gander Chapters (Members) INTERNATION RELATIONS: Pat Cimmeck (Leader) Lisa Gausman (Member) PUBLIC AWARENESS (INCLUDES COD&WOD): John Molnar (Leader) Delilah Guy, Carol Wells, Lorrie Pismenny (Members) FINANCE & FUNDRAISING Administrator: Vacant FINANCE: Steve Maybee (Leader) Executive Committee (Member) FUNDRAISING: John Molnar (Leader) Carol Wells, Andrea Manson, Roger Ivol, Steve Manson, John Delaney (Members) BURSARY: John Molnar (Leader) Roger Ivol, Andrea Manson, Rosemary Gaffray MARKETING & COMMUNICATION Administrator: Carol Wells
By-laws Update
The Canada Not-for-profit Corporations Act provides federal not-forprofit corporations with a new set of rules that are modern, flexible and better suited to the needs of today's not-for-profit sector. Our bylaws committee is preparing a Special Resolution on Continuance for approval of new articles and bylaws at the AGM in St. Johns in 2014. When approved, this will allow Ostomy Canada to continue to function in much the same way as UOAC does now, subject to the new Act. If rejected, however, UOAC will lose its certification on October 17, 2014. To put it bluntly, voting NO means that you want UOAC to shut down, close its doors and be out of business. The proposed Bylaws, which have been reviewed by our legal advisor, had been sent to each chapter president. On March 8, all interested parties attended an on-line conference to discuss the feedback from the chapters. The minutes of that meeting have been circulated to all chapters. The Bylaws Committee is now reviewing the feedback of that online meeting and drafting revised bylaws for acceptance by the Board. It was agreed that the accepted revision of the Bylaws should be circulated to all Chapter Presidents in advance of the AGM package. The Board will then prepare the Special Resolution on Continuance and the required translations for distribution to all Member Chapters with the AGM 2014 package. The 2014 Conference Coordinator will include an information session to review the Special Resolution before the vote at the AGM. Ed Tummers, Bylaws Leader
CONNECTION: Carol Wells (Leader) Ann Ivol, Joel Jacobson, Lorrie Pismenny UOAC Office (Members) OSTOMY CANADA: Lisa Gausman (Leader) Lorne Aronson (Advertising), Elizabeth Lindner, UOAC Office (Members) PUBLICATIONS: Ann Ivol (Leader) Joel Jacobson, Andrea Manson (Members) SOCIAL MEDIA / WEBSITE: Peter Folk, John Molnar (Leaders) Andrea Manson, Lisa Gausman, John Molnar, Carol Wells
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PEG BOARD
LOOK FOR UNSUNG HEROES IN YOUR CHAPTERS. LET'S HONOUR THEM BY TELLING US WHAT THEY DO. Surely there have to be men and women in your chapters who are doing all the little things that make the chapter tick. Email Joel Jacobson, UOAConnection editor, through the national office email at info1@ostomycanada.ca with their story.
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To all Chapter Presidents regarding: NOMINATIONS for Maple Leaf Award and ET Recognition Award At the UOAC conference being held in St. Johns, NL this summer, there will be an Awards Luncheon to honor members and associates who have contributed to the continuous success of UOAC. By now, as chapter president, you will have received the nomination forms and selection criteria for the Maple Leaf and ET Recognition Awards. Please give serious consideration to nominating a person who you and your chapter members feel is worthy of receiving either of these awards. The final date for submission of the nomination forms is April 30, 2014. If your chapter decides to nominate more than one person for the same award, a separate nomination form will be needed for each nominee. Thank you, Ann Ivol, Awards Leader
Please type or print all information/S.v.p., crire linformation en caractres dimprimerie If you need more room for responses, please attach a separate sheet/Si vous avez besoin plus despace, vous pouvez ajouter une page spare. Nominating Chapter/Association proposante ______________________________________________________________________________________________ Contact Person/Personne responsable ____________________________________________________________________________________________________ Phone/Tlphone ____________________________________Email/Courriel____________________________________________________________________ NAME OF NOMINEE/NOM DE LA PERSONNE PROPOSE:____________________________________________________________________________ 1. Is the nominee a member of your chapter? Yes No Est-il/elle membre de votre association locale ? Oui Non If yes, how long?/Si oui, depuis quand?_________________________________________________________________________________________________
2. Does the nominee hold/held any of the following positions at the local level? Dtient-il/elle ou a-t il/telle dj tenu un des postes suivants au niveau local? President/Prsident _____year(s)/anne(s) Treasurer/Trsorier _____ year(s)/anne(s Secretary/Secrtaire _____ year(s)/anne(s) Board member/Membre du conseil _____ year(s)/anne(s) Other-please specify/Autre-veuillez prciser__________________________________________________________________________________________
3. Does the nominee hold/held any of the following positions at the national level? Dtient-il/elle ou a-t- il/elle dj tenu un des postes suivants au niveau national? President/Prsidente _____ year(s)/anne(s) Treasurer/Trsorier _____year(s/anne(s) Secretary/Secrtaire _____ year(s)/anne(s) Board member/Membre du conseil _____ year(s)/anne(s) Other-please specify/Autre-veuillez prciser__________________________________________________________________________________________ 4. Has the nominee promoted UOAC awareness at the: Local level Yes No National level Yes No Fait-il/telle la promotion de l'ACPS au: niveau local Oui Non niveau national Oui Non If yes, please describe. Si oui, laborer________________________________________________________________________________________________ 5. Has the nominee been involved in the Chapter Outreach Support Services (COSS) Program (DSS)? Yes No A-t-il/elle particip au Programme de service de soutien des associations dans sa region? Oui Non As a visitor Trainer/Formation des visiteurs As a trained/certified ostomy visitor/un visiteur certifi stomis As Chapter Visiting Coordinator/coordinateur de visiteurs locaux As a COSS (DSS) Rep/comme reprsentant de COSS(DSS) Other-please specify/Autre-veuillez prciser__________________________________________________________________________________________
6. Has the nominee attended the UOAC Annual General Meetings as delegate? Yes No Est-il/elle all(e) des assembles gnrales annuelles comme un dlgu de lassociation? Oui Non Has the nominee attended the UOAC biennial conferences? Yes No Est-il/elle all(e) au congrs biennal de lACPS? Oui Non If yes, please specify which conferences and in what capacity/ Si oui, veuillez prciser quel congrs et dans quel rle. ________________________________________________________________________________________________________________________________ 7. Has the nominee participated in chapter/national fundraising? Yes No A-t-il/elle particip aux campagnes de leve de fonds au niveau local/national ? Oui Non
If yes, please describe/Si oui, laborez________________________________________________________________________________________________ 8. Has the nominee been involved in the UOAC program/services? Please check all that applies.
Ostomy Canada Magazine UOAConnection Chapter Newsletter Ostomy Youth Camp SASO 20/40 Friends of Ostomates Worldwide Other-please specify/Autre-veuillez prciser__________________________________________________________________________________________
Please describe the nature of the involvement/S.v.p. laborer le genre de participation _______________________________________________________________________________________________________________________________ 9. Briefly comment on why you feel the nominee should receive the UOAC Maple Leaf Award on a separate sheet. Brivement, indiquer pourquoi il/elle mrite le trophe Maple Leaf de LACPS dans une page spare. Completed Maple Leaf Award nomination form to be sent to UOAC National Office: 344 Bloor St. West, Suite 501 Toronto, ON, M5S 3A7, attention: Awards Committee Leader, by April 30, 2014 Le formulaire de mise en candidature dment complt doit tre envoy au: Bureau national de lACPS/UOAC, 344 Bloor St. West, Suite 501, Toronto, ON, M5S 3A7 : a/s de : Personne responsable des prix mrite, par le 30 avril, 2014
Participe-t-il/elle aux programmes et services de lACPS ? Cochez tous ceux qui sappliquent.
Please type or print all information/S.v.p., crire linformation en caractres dimprimerie If you need more room for responses, please attach a separate sheet/Si vous avez besoin plus despace, vous pouvez ajouter des pages spares.
Nominating Chapter/Association proposante ______________________________________________________________________________________ Contact Person/Personne responsable ____________________________________________________________________________________________ Phone/Tlphone _________________________________ Email/Courriel ______________________________________________________________
NAME OF NOMINEE / NOM DE LA PERSONNE PROPOSE: ___________________________________________________________________ 1. How long has the E.T. been an Enterostomal therapist? Depuis quand (est-il/elle) au service de Stomothrapie ? 2. Is the E.T. a member of your chapter? Est-il/elle membre de votre association locale? 3. Does the E.T. attend chapter meetings regularly? Est-il/elle prsente rgulirement aux runions de votre association locale? 4. Does the E.T. encourage new patients to come out to chapter meetings? Encourage-t-il/elle les nouveaux patients frquenter les runions locaux? ______year(s)/anne(s) ______year(s)/anne(s) How often ____________________ Frquence ___________________
5. Has the E.T. been involved in the Chapter Outreach Support Services (COSS) Program? (DSS) A-t-il/elle particip au Programme de service de soutien des associations dans sa rgion?
If yes, please check/Si oui, veuillez cocher: Uses Trained Visitors in hospital/Fait appel aux visiteurs entrans, lhpital
Participates in Visitor Training Program/Simplique dans llaboration des cours de formation des visiteurs
local level
Yes No regional level Yes No national level Yes No Oui Non niveau rgional Oui Non niveau national Oui Non Yes No Oui Non Yes No Oui Non
If yes, please describe briefly/Si oui, laborer brivement. __________________________________________________________________________ 7. Does the E.T. help with chapter and/or national fundraising? Participe-t-il/elle aux campagnes de leve de fonds au niveau local et/ou national?
If yes, please specify/Si oui, laborer. __________________________________________________________________________________________ 8. Does the E.T. get involved in the UOAC programs and services? Participe-t-il/elle aux programmes et services de lACPS? Please check all that applies/Cochez tous ceux qui sappliquent
Chapter Newsletter Ostomy Youth Camp Friends of Ostomates Worldwide Does the E.T. support the local chapter of UOAC in any other capacity not mentioned? Yes No Est-ce quil/elle collabore avec lassociation locale de lACPS autre que mentionn? Oui Non
If yes, please specify. Si oui, laborer. ___________________________________________________________________________________
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9. Briefly comment why you feel the E.T. Nurse should receive the E.T. Recognition Award on a separate sheet. Brivement, indiquer pourquoi il/elle mrite le trophe de reconnaissance de stomathrapeute dans une page spare. Completed E.T. Recognition Award nomination form to be sent to UOAC National Office: 344 Bloor Street West, Suite 501, Toronto, ON, M5S 3A7, attention Awards Committee Leader.by April 30 2014 Le formulaire de mise en candidature dment complt doit tre envoy au: Bureau national de lACPS/UOAC, 344 Bloor St. West, Suite 501, Toronto, ON, M5S 3A7: a/s de : Personne responsable des prix mrite, par le 30 avril, 2014
Candidate Eligibility
Member of an affiliated chapter in good standing of the United Ostomy Association of Canada. Must be nominated by a member chapter of the United Ostomy Association of Canada. Candidates must complete and sign the Candidate Profile and Candidate Nomination Forms and agree to serve if elected. Commit in principal to attend all meeting of the Board of Directors.
Please return completed Nomination and Candidate Profile forms to United Ostomy Association of Canada, 344 Bloor St. W. Suite 501, Toronto, ON M5S 3A7, Attention: Nominations Chair no later than April 15th 2014. The elections will be held at the UOAC Annual National Council in St. Johns, Newfoundland, Saturday, August 2, 2014. If you have any questions regarding nominations, please contact the undersigned at e-mail: peter.folk@ostomycanada.ca Peter Folk Chair, Nominations & Elections Committee
United Ostomy Association of Canada Inc. Nomination for Election August 2014
Secretary for one (1) year term 2014 to 2015 Treasurer for one (1) year term 2014 to 2015 One (1) Director for one (1) year term 2014 to 2015 Our chapter hereby places for nomination the following candidate for the position of (select one): Secretary, Treasurer, Director Name: ___________________________________________________________________________ Candidates Chapter Experience: List positions held & length of term if applicable. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Candidates UOAC National Experience: List positions held & length of term if applicable _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ NOMINATED BY: Chapter Name: ____________________________________________________________________ Phone Number: _____________________ E-mail:________________________________________ (Two signatures required with a maximum of three) Signed (please print) _______________________________Position________________(if applicable) Signature________________________________________________Date_____________________ Signed (please print) _______________________________Position________________(if applicable) Signature________________________________________________Date_____________________ Signed (please print) _______________________________Position________________(if applicable) Signature________________________________________________Date_____________________ CANDIDATES CONSENT TO SERVE: If elected, I agree to serve for the term August 2013 to August 2015 (August 2014 for Secretary and Treasurer). Name: (please print) ________________________________________________________________ Signature________________________________________________Date_____________________
Please respond to the following: Do you have any leadership experience other than with UOAC? [ ] Yes [ ] No
__________________________________________________________________________________ __________________________________________________________________________________
_________________________________________________________________________________ What time commitment can you make to UOAC? Examples, 2 hours/day, 5 hours/week; etc. _________________________________________________________________________________ If elected to the UOAC Board, what committees are you interested in? Examples - Bylaws, Fundraising, District Support Services, Publications, Policies and Procedures.
Please write a short biographical sketch that you want others to read. You may include educational background, employment or career experience and any other activities in which you have participated. Include information about your goals in placing your name in nomination as a director of UOAC. Please provide a current head shot photograph.
_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ I hereby give my permission to UOAC to use the information and photograph I have provided for distribution to UOAC member chapters and for possible publication in Ostomy Canada magazine, The UOAConnection and posting on the UOAC Website.
Name: (please print)________________________________________________________________ Signature:________________________________________________Date:____________________
UNITED OSTOMY ASSOCIATION OF CANADA INC. CANDIDATE INFORMATION - 2014 PERSONAL INFORMATION: FOR UOAC OFFICE USE ONLY
The following information is requested to ensure that all appropriate election information is sent directly to you. This information will remain in the office and shall not be released without your written consent.
Name :
_______________________________________________________
Do you have experience in any of the following areas? Finance, short and long term planning Computer word processing / e mail Fund raising Public Awareness [ ] Yes [ ] Yes [ ] Yes [ ] Yes [ ] No [ ] No [ ] No [ ] No
Please include this with your candidates information that you are sending to the National Office. The United Ostomy Association of Canada, Inc. 344 Bloor St. West, Suite 501 Toronto, ON M5S 3A7 Peter Folk, President, United Ostomy Association of Canada, Inc.
C O N F E R E N C E
R E G I S T R A T I O N
F O R M
PLEASE TYPE OR PRINT (Hotel Registration requires a separate form) Registration Name ______________________________________________________________________________________________________ Badge Name __________________________________________________________________________________________________________ Address _______________________________________________________________________________________________________________ City _______________________________________________________________________ Province/State _____________________________ Postal Code/Zip Code _________________________________ Telephone ________________________________________________________ Fax ____________________________________________ Email _________________________________________________________________ UOAC Chapter _______________________________________________________ Is this your first UOAC conference? Are you a Chapter President? Please indicate surgery type: Parent of an Ostomy Child Yes Colostomy None Yes No Will you be attending the Visitor Training Session? Ileostomy Age Group: No Urostomy Under 18 Continent Diversion Under 40 Over 40 Yes SASO Yes No No
REGISTRATION Individual Registration ** (after June 30, 2014) One Day Registration ** Please check off the day requested Thursday Friday Saturday
Quantity
Amount
Payment:
VISA
MC
AMEX
Individual Registration ** (before June 30, 2014) $150 _________ __________ $175_________ __________ $60 _________ __________
You may fax your registration to (416) 595-9924 Card Number: __________________________________ Expiry Date: ____________________________________
TOTAL ___________ __________ Please indicate number of meal tickets required for each event: Awards Luncheon (Thursday, July 31, 2014) Coloplast Evening (Thursday, July 31, 2014 ConvaTec Evening (Friday, August 1, 2014 Hollister Evening (Saturday, August 2, 2014 Note: Individual meal tickets cost $50.00 **Individual Registration includes one (1) Awards Luncheon; one (1) breakfast, and three (3) dinners. ___________ __________ ___________ __________ ___________ __________ ___________ __________
Name as it appears on Card: _______________________________________________ Signature: _____________________________________ Please make cheques or money order payable to: United Ostomy Association of Canada Inc., 344 Bloor Street West, Suite 501, Toronto, Ontario M5S 3A7
NB: No Audio or Video Recordings are permitted during sessions. I authorize the use and reproduction by UOAC of any photographs/ video/audio of me or my guest taken/recorded during the Conference and Annual General Meeting. Signed: ______________________________________________________________ Date: ______________________________________________ Note: Basic registration includes admission to all programs and the exhibit hall. Cancellation must be received by July 15, 2014. Refunds will be made after the close of the conference, less a 10% administration fee. Registration must be received in the office no later than July 23, 2014. Any registrations after July 24, 2014 must be made at the conference.
Signal Hill
Whale Watching
Cape Spear
ABOUT DELTa ST. JOHNs ocated in the heart of downtown L
George Street
CONFErENcE HIGHLIGHTs
E ducational Sessions featuring the latest Innovation in Ostomy Products sponsored by Coloplast, ConvaTec and Hollister Rap sessions for people with different types of ostomies Topics of interest include: Intimacy / Are we drinking enough Water? / Is Sugar important to our body? / Exercising / Surgical updates in ostomy surgery. Awards Luncheon Exciting nights of fun and entertainment sponsored by Coloplast, ConvaTec & Hollister Bertha Okun Lectureship Meet & Greet Night sponsored by the Conference Planning Team Exhibit Hall showcasing and featuring the latest ostomy products and accessories technology
eatures excellent view of the harbor F and Signal Hill Minutes away from the airport Walking distance for shopping, dining and entertainment Register before June 25th, 2014 to get your UOAC conference rate of $169 Quote this code: GBUOAC714 to the reservations agent. Register by telephone by calling: 1-888-793-3582 (calls from inside Canada), 1-800-268-1133 (calls from outside of Canada) or by Fax: 1-709- 570-1622
For more information contact the UOAC National Office: EMaIL: info1@ostomYcanada.ca WEBsITE: www.ostomYcanada.ca HOTEL rEGIsTraTION caLL: 1.888.793.3582 (inside Canada), 1.800.268.1133 (outside of canada), 1.888.890.3222 or bY FaX: 1.709.570.1622