COOPERATIVE EDUCATION APPLICATION FORM
BRAMPTON CIVIC HOSPITAL and ETOBICOKE GENERAL HOSPITAL
Non-Clinical Placements – Winter 2013-14
October 2013
Students must be 16 years of age or older at the start of their co-op placement. A positive attitude,
punctuality and commitment to placement are essential.
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During the interview students should be prepared to talk about what they hope to gain from their hospital
experience.
Students will be required to have their doctor complete a medical form and have a 2-step TB test completed
BEFORE they begin their co-op placement.
Please note that students will be working in an office environment within the hospital with limited patient
interaction. They will be interacting with hospital employees, visitors and volunteers depending on their
placement. Students placed in Volunteer & Community Resources will be provided with an additional
opportunity to be placed in various other areas of the hospital working along side volunteers to expand their
customer service skills and to experience patient/staff/visitor interaction.
Placements: (see attached descriptions on the following pages)
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Volunteer and Community Resources (1 full time position at Brampton Civic and 1 full time position
at Etobicoke General (both will consider 0.5 students)
Finance (3 full time positions available at the Airport Road location)
Occupational Health (2 full time positions available – will consider 0.5)
Diagnostic Cardiology Clinic (1 full time position available – will consider 0.5)
Diversity Services (l position available – 0.5 –afternoons preferred)
Lobby Customer Service/Data Analysis/Gift Shop Business (1 full time position – will consider 0.5)
Gift Shop (1 full time position available – will consider 0.5)
Students will:
 be provided with a generic hospital identification badge/parking card and the use of a day
locker(excluding the Finance position)
 be required to wear a current school photo ID badge
 be required to purchase a co-op t-shirt for $15.00 to be worn at all times during their placement
(excluding the Finance position)
 be required to return the generic hospital identification/parking badge at the conclusion of the
placement
 attend a hospital orientation
 not be allowed to begin their placement until all the necessary medical history forms and TB, tetanus,
diptheria, polio, and rubella shots are completed and documented. This medical information will be
forwarded to the students, after acceptance for placement, and must be submitted to the hospital
before their placement begins
 e-mail or fax log sheet hours for off site placements only to the Volunteer Office at 905-494-6574 - THIS
IS MANDATORY
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NON CLINICAL CO-OP PLACEMENT POSITION DESCRIPTION
TITLE: Volunteer and Community Resources Co-op Student
DEPARTMENT: Volunteer and Community Resources
REPORTS TO:
Volunteer Resources Staff
TIME AND PLACE: Monday to Friday, during business hours; Half day or full day students accepted. Located in the Volunteer and
Community Resources office at the Brampton Civic Hospital
PRIMARY FUNCTIONS: General Administrative / Receptionist Duties.
RESPONSIBILITIES:
1. To provide office assistance to the Volunteer and Community Resources staff
2. To assist with receptionist duties (particularly over the lunch hour)
3. To answer the telephones
4. To welcome volunteers and visitors
5. To assist with inquiries about volunteering
6. To distribute volunteer application forms
7. To assist with photocopying, filing and other administrative duties
8. To assist with distributing supplies throughout the hospital to volunteers
9. To learn key volunteer placement areas and fill in shift if the volunteers are absent (Lobby Connections, Emergency
Connections)
10. To help monitor attendance of student volunteers
11. To assist at orientation of new volunteers
12. To assist with the intake process of new volunteers i.e. position description, sign in procedures, uniforms etc.
13. Other duties as assigned
QUALIFICATIONS
 Strong customer service and people skills
 Strong communication skills, both written and verbal
 Strong work ethic; ability to work independently and problem solve
 Must be detail oriented, conscientious, mature, display professional appearance
 Proficient in computer skills: Excel and Word programs etc.
TRAINING:
 General co-op orientation provided by VCR staff’
 Training on specific co-op duties will be provided by VCR staff
ON THE JOB SUPERVISION:
 Supervision provided by the Volunteer and Community Resources staff
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NON CLINICAL CO-OP PLACEMENT POSITION DESCRIPTION
Etobicoke General Hospital Location
Learning Profile: Volunteer & Community Resources and the Volunteer Association
William Osler Health Centre, Etobicoke General Hospital (EGH), through the Volunteer Resources Department, has partnered
with the Toronto District and Toronto Catholic District Board of Education, Dufferin-Peel school Board and Peel Board of
Education to provide a co-operative education program for grade 11 and 12 students. The purpose is to offer experiential
learning opportunities for high school students to assist with decision-making regarding healthcare careers.
Co-op students accepted into this program will proceed under the supervision of hospital staff and the co-operative education
teacher. This privilege comes with responsibilities and expectations that are outlined in this profile.
Department Profile
The Volunteer & Community Resources Department (VCR) is responsible for recruiting, screening, interviewing and orientating
volunteers for William Osler Health Centre and for maintaining/developing its volunteering program. There are currently 300400 volunteers assisting throughout the hospital, they comprise of adult volunteers, university/college and high school student
volunteers.
The turnover rate is high and many more volunteers pass through the department during the course of the year. The
department is very busy with many active and perspective volunteers dropping in during the day.
The Volunteer Association raises funds for much needed hospital equipment through the gift shop, lottery and other fundraising
endeavors.
The Volunteer Department Team
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Manager: oversees the volunteer program ensuring standards for volunteer management are in place and followed
Coordinator: responsible for intake and the day to day supervision of volunteers
Secretary: provides clerical support to the manager and coordinator
Student supervisors: Anita Ramsawak, extension 32411 and Julie Brown, extension 32267
Gift Shop: Ruth Bickerstaffe, extension 33479
Placement time: 9:00 a.m. - 12:00 p.m. or 12pm-4p.m.
Learning Opportunities:
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Experience working in a hospital office environment
Experience working in a retail/business environment
Observe and participate in office routines
Learn about volunteer management
Interact with volunteers
Experience different hospital areas as a spare
Experience working as part of a team taking responsibility for a defined role
Qualifications:
Languages:
Moderately high level of English, both verbal and written skills to communicate with staff and clients
Additional languages may be beneficial
Physical Abilities:
Strength and agility to lift boxes less than 10 kg and push wheelchairs/carts
Comfortable with extended standing and walking
Good hearing/visual acuity
Interpersonal Skills:
Expectations include maturity to recognize need for sensitivity to the clients’ privacy and confidentiality
a busy environment
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Work Ethics:
Attention to detail ensuring accuracy at all times
Confidentiality is vital whether it be pertaining to diagnosis or treatment
Duties and Responsibilities:
Students will work within the scope of duties as volunteers with the added observance segment to provide learning
opportunities
Assist staff with flow through the department
Support volunteers and potential volunteers
Spare in some hospital areas and gift shop if requested
Maintain supply of commonly used forms
Other miscellaneous duties as requested
Rules:
Volunteer files must not be accessed without specific authorization
Confidentiality and privacy must be observed
Policies and procedures outlined in the Volunteer Handbook and presented during department orientation and training must be
followed
Students who do not display appropriate behaviour, motivation or positive attitude and follow
the rules or guidelines may be dismissed from the program.
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NON CLINICAL CO-OP PLACEMENT POSITION DESCRIPTION
TITLE: Finance Clerk Co-op Student
DEPARTMENT: Finance Department
REPORTS TO:
Supervisors, Accounts Payable, Accounts Receivable Finance department
TIME AND PLACE: Monday to Friday during normal business hours; Full day students only; Located at the Airport Road Campus –
9445 Airport Road, Brampton (see map on the following page)
PRIMARY FUNCTIONS: General office duties
DUTIES:
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Assist with opening incoming departmental mail
Tracking of return mail; mailing of invoices and statements/sorting and distribution of mail
Photocopying/ typing assignments in the receivables/payables areas
Filing documents in numerical and alphabetical sequence;
Data entry/ obtaining patient information from the patients/families for billing purposes;
Other duties as assigned.
QUALIFICATIONS:
 Languages – moderate level of English, verbal and written skills
 Physical Abilities – good hearing/visual ability
 Clerical Skills – interest in and ability to learn clerical skills, previous office experience / skills an asset
 Interpersonal Skills – Focus on patient/customer oriented service. Co-op students are part of the health-care team working
in a busy, sometimes stressful environment
 Courses - Completion of Financial Accounting Fundamentals BAF 3M or Accounting Essentials BAI 3E
 Future Plans - A strong interest in pursuing a career in the financial sector
TRAINING:
Training on specific co-op duties will be provided by the Finance department staff
General co-op orientation will be provided by the Volunteer and Community Resources department
ON THE JOB SUPERVISION:
Supervision provided by staff in Finance department
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NON CLINICAL CO-OP PLACEMENT POSITION DESCRIPTION
TITLE: Occupational Health Co-op Student
DEPARTMENT: Occupational Health
REPORTS TO:
Occupational Health staff
TIME AND PLACE: Monday to Friday during normal business hours: Half day or full day students accepted. Located in the
Occupational Health department the at the Brampton Civic Hospital
PRIMARY FUNCTIONS: General office, administrative duties
DUTIES:
1. Assist the Occupational Health Department as required
2. Occupational Health project work as required
3. Answering phones, filing, and preparing new charts
4. Job shadowing to learn the various aspects of the Occupational Health department
5. Other duties as assigned
QUALIFICATIONS:
 Excellent organizational skills
 Ability to work independently
 Punctual and good attendance
 Customer service oriented
 Must be conscientious, mature, display professional appearance
 Detail oriented
 Excellent communication skills – both written and verbal
 Good computer skills, i.e. efficient in Excel and Word
TRAINING:
 Training on specific co-op duties will be provided by the Occupati0onal Health staff
 General co-op orientation will be provided by the Volunteer and Community Resources department
ON THE JOB SUPERVISION:
Supervision provided by staff in the Occupational Health department
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NON CLINICAL CO-OP PLACEMENT POSITION DESCRIPTION
TITLE: Diagnostic Cardiology Clinic Co-op Student
DEPARTMENT: Diagnostic Cardiology
REPORTS TO: Clinical Care Leader
TIME AND PLACE: Monday to Friday during normal business hours; Half day or full day students accepted. Located in the Diagnostic
Cardiology department at the Brampton Civic Hospital
PRIMARY FUNCTIONS: General Office and Administrative Duties.
RESPONSIBILITIES:
14. To provide general office assistance to the various Program Assistants
15. To assist with preparing mailings and processing mail
16. To make reminder phone calls for clinic patients
17. To welcome and direct visitors
18. To direct patients into examination rooms and change paper linens in between patients
19. To assist with office filing and photocopying
20. To assist with ordering office supplies
21. To assist with preparing packages for Cardiac Rehab department
22. To assist with set up of lecture/educational classroom for Cardiac Rehab
23. Other duties as assigned
QUALIFICATIONS
 Ability to work independently and posses strong organizational skills
 Dependable, patient and friendly.
 Must be conscientious, detail oriented, mature, display professional appearance
 Strong communication skills, both written and verbal
 Strong computer skills, i.e. proficient in Excel and Word
TRAINING:
 Training on specific c-op duties will be provided by the Diagnostic Cardiology staff.
 General co-op orientation provided by the Volunteer & Community Resources staff
ON THE JOB SUPERVISION:
 Supervision provided by the staff in the Diagnostic Cardiology department
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NON CLINICAL CO-OP PLACEMENT POSITION DESCRIPTION
TITLE: Diversity Services Co-op Student
DEPARTMENT: Diversity Services
REPORTS TO: Administrative Assistant
TIME AND PLACE: Monday to Friday during normal business hours; Half day or full day students accepted. Located in the Diversity
Services department at the Brampton Civic Hospital
PRIMARY FUNCTIONS: To provide general office assistance to the Diversity Staff in planning workshops, in-service and training
activities in Diversity Services
RESPONSIBILITIES:
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Assist with printing and disseminating E-Learning Certificates
Assist in updating the staff database
Update the Community Resources Guide
Participate in planning process of Diversity/Ethics Forums
Participate in any presentations/in-services/meetings etc
Participate in the interviewing process of staff in the Dialysis/Renal units at Osler (exposure to the clinical side of the house)
To assist with office filing and photocopying
Other duties as assigned
QUALIFICATIONS
 Ability to work independently and posses strong organizational skills
 Dependable
 Must be conscientious, detail oriented, mature, display professional appearance
 Strong communication skills, both written and verbal
 Strong computer skills, i.e. proficient in Excel and Word
TRAINING:
 Training on specific c-op duties will be provided by the Diversity Services staff.
 General co-op orientation provided by the Volunteer & Community Resources staff
ON THE JOB SUPERVISION:
 Supervision provided by the Diversity Services staff
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NON CLINICAL CO-OP PLACEMENT POSITION DESCRIPTION
TITLE: Lobby Customer Service/ Service Excellence Data Analysis/ Gift Shop Business
Co-op Student
*This role involves a mix of various placement areas
DEPARTMENT: Volunteer & Community Resources/ Service Excellence/ Volunteer Association
REPORTS TO: VCR department staff/ Data Analyst/ Gift Shop Manager
TIME AND PLACE: Monday to Friday during normal business hours; Half day or full day students accepted. Located in a mix of various
department at the Brampton Civic Hospital
PRIMARY FUNCTIONS: General Customer Service and Administrative Duties.
RESPONSIBILITIES: Data Analysis (= 2/5)
1. Preparation of Recognition Friday names for inclusion into Frontline Heroes
2. Preparation of Recognition Friday names for the creation of the Leader Board
3. Running of the Monday update report
4. Miscellaneous data entry through Excel or Survey Monkey
5. Participation in analysis
6. Preparation of PowerPoint presentations
7. Participation in Service Excellence quarterly town hall meetings (if student volunteer is available)
8. Special projects as they come up.
RESPONSIBILITIES: Lobby Customer Service (= 1/5)
1. To provide customer service at the main entrances of the hospital
2. To greet, direct and escort visitors throughout the hospital
3. To look up information for visitors, resolve problems and answer questions as they arise
RESPONSIBILITIES: Gift Shop Business (= 2/5)
1. Retail sales – to assist customer and sell shop merchandise
2. Merchandise as required.
3. Unpack and price received stock
4. Replace sold stock (from Storage or Stock Room)
5. Prepare Baby Baskets
6. Take phone orders and deliver gifts
7. Blow up balloons and balloon heads
8. Keep book cart in order and replace books from storage room as necessary
9. Organize stock on shelves and empty boxes in stock room
10. Fill Nevada box as needed and set up Nevada for sale
11. Dust, clean, sweep and dry mop store
12. Gather all garbage and take to garbage room in basement daily
13. Other duties as assigned
QUALIFICATIONS
 Strong analytical skills and organizational skills
 Strong customer service and people skills
 Excellent ability to learn quickly, adapt to frequent structure change, and use a variety of skills
 Ability to work independently and problem solve
 Dependable
 Must be conscientious, detail oriented, mature, display professional appearance
 Strong communication skills, both written and verbal
 Strong computer skills, i.e. proficient in Excel and Word
TRAINING:
 Training on specific co-op duties will be provided by each department listed.
 General co-op orientation provided by the Volunteer & Community Resources staff
ON THE JOB SUPERVISION:
 Supervision provided by the VCR staff (lobby), Data Analyst (Data Analysis), Gift Shop Manager (Gift Shop)
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NON CLINICAL CO-OP PLACEMENT POSITION DESCRIPTION
TITLE: Osler Volunteer Association Gift Shop Co-op Student
DEPARTMENT: Osler Volunteer Association Gift Shop
REPORTS TO:
Gift Shop Manager
TIME AND PLACE: Monday to Friday during normal business hours; Half day or full day students accepted. Located in the Gift Shop at
Brampton Civic Hospital
PRIMARY FUNCTIONS: This position will offer the student and opportunity to learn retail sales skills and techniques, retail point-ofsale systems, and the opportunity to work with a buyer/merchandiser to learn how best to display the merchandise.
RESPONSIBILITIES:
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Retail sales – learn how to assist customer and sell shop merchandise
Merchandise as required.
Unpack and price received stock
Replace sold stock (from Storage or Stock Room)
Prepare Baby Baskets
Take phone orders and deliver gifts
Blow up balloons and balloon heads
Keep book cart in order and replace books from storage room as necessary
Organize stock on shelves and empty boxes in stock room
Fill Nevada box as needed and set up Nevada for sale
Dust, clean, sweep and dry mop store
Gather all garbage and take to garbage room in basement daily
Other duties as assigned
QUALIFICATIONS:
 Ability to work independently, be detail oriented and have strong organizational skills
 Strong customer service and people skills
 Must be conscientious, mature, display professional appearance
 Good communication skills, both written and verbal.
 Strong computer skills; i.e., efficient in Excel and Word
TRAINING:
 General co-op orientation provided by the Department of Volunteer and Community Resources
 Training for the Gift Shop will be provided by the Gift Shop Manager, and/or the Gift Shop Assistant Manager, and /or
Buyer/Merchandiser.
ON THE JOB SUPERVISION:
 Supervision provided by the Gift Shop Manager and/or Gift Shop Assistant Manager
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October 2013
COOPERATIVE EDUCATION
APPLICATION FORM
BRAMPTON CIVIC HOSPITAL and ETOBICOKE GENERAL HOSPITAL
Non-Clinical Placements
DUFFERIN-PEEL CONTACT: Nadia Masucci, St. Thomas Aquinas, 905-791-1195
PEEL CONTACT:
Janice Farrow, Co-operative Education Placement Officer,905-890-1010, ext. 2348
CO-OP TEACHER INFORMATION
Submit completed Application Package by: November 20, 2013 for semester 2, 2013-14
Interviews will take place at Brampton Civic Hospital- Volunteer Department (or at the Airport Road location for Finance
applicants) in late November or early December.
______________________________________________________________________________________
All parts of this application form must be completed neatly, accurately and legibly.
Incomplete applications will NOT be considered.
Student’s Name: ___________________________________________________________________
Home phone: _____________________________________Cell phone: _______________________
Student’s age at the start of the placement: __________ Birth date:
______/________/_______
Year Month Day
Email address_________________________________________
Co-op Teacher: ____________________________________School Board: _____________________
Co-op Teacher’s Email address________________________________________________________
School Name: ________________________________________School Phone: ___________Ext.____
Career Goals: ________________________________________________________________________
Pertinent school subjects: _____________________________________________________________
Presently taking: _____________________________________________________________________
Highest grade level (i.e. 12) completed to date____________________________________________
No. of credits completed by start of placement: ________
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Schedule
In School
Day(i.e. Friday)
Co-op Placement
Schedule(i.e. Monday Thursday)
Hours Per Day(i.e.
7 hours)
Full day semestered □
½ day a.m. □
½ day p.m. □
Start Date: (i.e.
Month/Day/Year)
End Date: (i.e.
Month/Day/Year)
Department requested: (Please choose one only)
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Volunteer and Community Resources
1 position at Brampton Civic full day preferred (will consider ½ day student)
1 position at Etobicoke General Hospital full day preferred (will consider ½ day student)
Finance
3 positions at the Airport Road location
Occupational Health
Up to 3 positions at Brampton Civic (full day preferred, will consider half day student)
Diagnostic Cardiology Clinic
1 position available at Brampton Civic Hospital (will consider half day student)
Diversity Services (l position available – 0.5 –afternoons preferred)
Lobby Customer Service/Data Analysis/Gift Shop Business (1 full time position – will consider 0.5)
Gift Shop (1 full time position available – will consider 0.5)
ATTACH A CURRENT RESUME.
Application Checklist
Placement Application Form 
Teacher Reference Request Forms (2)
Current Resume 
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REFERENCE TO BE COMPLETED BY A TEACHER
Please rank the student on a scale of one (1) to four (4), with four being the highest ranking:
a) Dependability:
1
2
3
4
2
3
4
b) Attendance
1
c) Commitment to a Health Care/Business Career
1
2
3
4
d) Ability to plan and initiate own learning:
1
2
3
4
In this section, please provide an outline of why you think this student should be placed with the
William Osler Health System.
_____________________________________ ___________________________________
Teacher’s Name (please print)
Subject
_____________________________________ ___________________________________
Signature
Telephone Number
FREEDOM OF INFORMATION
This information is collected under the authority of the Education Act and in compliance with
Section 14, Section 32 and Subsection 29 (2) of the Municipal Freedom of Information and
Protection of Privacy Act, and will be used for the ongoing administration of appropriate Cooperative Education placements.
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TO BE COMPLETED BY AN EMPLOYER, VOLUNTEER SUPERVISOR OR
COMMUNITY MEMBER
Please rank the student on a scale of one (1) to four (4), with four being the highest ranking:
a) Dependability:
1
2
3
4
2
3
4
b) Attendance
1
c) Commitment to a Health Care/Business Career:
1
2
3
4
d) Ability to plan and initiate own learning:
1
2
3
4
In this section, please provide an outline of why you think this student should be placed with the
William Osler Health System.
_____________________________________ ___________________________________
Teacher’s Name (please print)
Subject
_____________________________________ ___________________________________
Signature
Telephone Number
FREEDOM OF INFORMATION
This information is collected under the authority of the Education Act and in compliance with
Section 14, Section 32 and Subsection 29 (2) of the Municipal Freedom of Information and
Protection of Privacy Act, and will be used for the ongoing administration of appropriate Cooperative Education placements.