Welcome to the CURE Program application process!
We are collecting information on all applicants to help us understand better who this program benefits.
The personal information contained on this form is collected in accordance with the Freedom of Information and Protection of Privacy Act for the purpose of applying for a volunteer position with McMaster Children's Hospital (MacKids).
MacKids is committed to provide appropriate protection for your personal data. Data collected on this application may be used by MacKids affiliates and authorized service providers (wherever located) for the following purposes: to consider your application for volunteering, to verify the information you provided, to communicate with you in regards to your application and, if applicable, to make you an offer for a volunteer placement.
A copy of the information collected in this survey is available at anytime to the applicant upon request.
Thank you for your interest in joining the CURE Program! What service are you applying for? Urology General Surgery
Today's Date (Click Today)* must provide value
Today D-M-Y FIRST Name* must provide value
LAST Name* must provide value
Gender* must provide value
Male
Female
Would rather not disclose
What is your current educational/professional status?
(Please choose all that apply)* must provide value
Student
Employed - part time
Employed - full time
Volunteer
What is your current educational status?
(Please choose all that apply)* must provide value
College student
Undergraduate student
Masters student
PhD student
Professional school (BScN, MD, PT, OT, etc...) (Please Specify Degree)
Obtained most recent post-secondary degree (< 12 months ago)
Obtained most recent post-secondary degree (>12 months ago)
Please specify professional school degree:* must provide value
What is the highest level of post-secondary education you have completed?* must provide value
High School
College (All Levels)
Undergraduate Level 1
Undergraduate Level 2
Undergraduate Level 3
Undergraduate Completed
Post-Graduate Certificate/Training
Masters Level 1
Masters Complete
PhD Level 1
PhD Level 2
PhD Level 3
PhD Completed
What post-secondary school are you currently attending?* must provide value
McMaster University
University of Toronto
Guelph University
University of Waterloo
Wilfred Laurier University
Western University
Ryerson University
York University
Mohawk College
Conestoga College
Other (College, Please Specify)
Other (University, Please Specify)
I Am Not Currently Attending Post-Secondary School
Please specify OTHER college:* must provide value
Please specify OTHER university:* must provide value
When did you graduate from your most recent degree? 2007 2008 2009 2010 2011 2012 2013 2014 2015
When is your expected date of graduation from your CURRENT program? 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
What is/were your major(s) in your current/most recently completed degree?
(Please choose all that apply)* must provide value
Arts
Biology
Biochemistry
Chemistry
Engineering
Health Sciences
Humanities
Life Sciences
Physics
Psychology
Social Sciences
Other (Please Specify)
Please specify OTHER major(s):* must provide value
What is your most recent cumulative GPA from current degree or most recently completed degree (on a 4 point scale)?* must provide value
< 1.0 1.1-1.5 1.6-2.0 2.1-2.5 2.6-3.0 3.1-3.5 3.6 3.7 3.8 3.9 4.0
What are your future career plans?
(Please choose All That Apply)* must provide value
Medical School
Nursing
Allied Health (PT, OT, Dentistry, Pharmacy, etc...)
Masters
PhD
Research
Other (Please Specify)
Please specify OTHER future career plans:* must provide value
Have you been previously involved in research?* must provide value
Yes
No
Where have you been involved in research?
(Please choose all that apply)* must provide value
Academic Institution
Hospital
Government
Industry/Pharmaceutical Company
What type of research were you involved in?
(Please choose all that apply)* must provide value
Benchwork/Laboratory
Clinical - paediatrics
Clinical - adults
Epidemiology
Marketing
Other (Please Specify)
Please specify OTHER research type:* must provide value
Have you ever used any statistical softwares?
(Please choose all that apply)* must provide value
GraphPad Prism
SAS
SPSS
Statistica
R
Other (Please Specify)
None
Please let us know what OTHER statistical programs you have used:* must provide value
Please tell us your goals for applying to join the CURE program?
(Please choose all that apply)* must provide value
To help my application into graduate school (Masters, PhD)
To help my application into medical school
To help my application into another health related professional school (BScN, PT, OT, etc...)
Interested in a career in clinical research
Other (Please Specify)
What are your OTHER goals for applying to join the CURE program?* must provide value
Have you volunteered in a hospital before?* must provide value
Yes - current volunteer at McMaster Children's Hospital
Yes - past volunteer at McMaster Children's Hospital
Yes - current volunteer at other hospital
Yes - previous volunteer at other hospital
No
Error! If you checked "No" other responses cannot be checked! Please correct! OTHER hospital (CURRENT)* must provide value
OTHER hospital (PREVIOUS)* must provide value
What patient population did you work with?* must provide value
Paediatrics
Adults
Both
Have you volunteered in a non-health/non-medical placement before?* must provide value
Yes - currently
Yes - previously
No
Error! If you checked "No" other responses cannot be checked! Please correct! OTHER non-health/non-medical volunteer placements (CURRENT)* must provide value
OTHER non-health/non-medical volunteer placements (PREVIOUS)
Have you previously applied to volunteer for the CURE program?* must provide value
Yes
No
Please state in 200 words or less why you would like to participate in the CURE program. (We will not be reading responses that have exceeded the word limit)* must provide value
Word count:* must provide value
Please upload your curriculum vitae (CV) in .docx or .pdf* must provide value
( MB)
Please upload a copy of your unofficial transcript in .pdf* must provide value
( MB)
Please enter your professional e-mail address* must provide value
Thank you for completing the CURE Program Application Survey!
The system does not allow for confirmation e-mails to be sent. You will not receive one upon completion of your application.
Please do not send more than ONE application; duplicate applications will not be reviewed.