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Passwords need to be a minimum of 6 characters.
New User Details
Community Engagement Partner - New Application
Personal Information
Availability (best days & times of the week)
Please share any of your strengths, talents and abilities that you feel may benefit Providence's Community Engagement Initiative.
Consent Forms
1. I authorize the Community Engagement team at Providence Healthcare to retain my contact information.
Due to a limited number of current advisory roles, you may not be appointed at this time. Providence will inform you of other opportunities that may arise for public involvement.
2. I agree to complete and sign a Privacy and Confidentiality Agreement form prior to voluntary service.
If you click this box, you consent to all the above procedures and protocols required by Providence Healthcare prior to commencing your Community Engagement Partner role.