Request for Information - The Hospital for Sick Children

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Request for Information

General Information

Please complete this section and check all that apply.

Contact Name *

Organization Name *

Organization Address (Street Address, City, Postal Code, & Country) *

Contact Email *

Contact Phone Number *

Have you/your organization collaborated with SickKids in the past? If yes, please explain. *

Please provide a brief description about your organization. *

Please identify the learning objectives you/your organization wish to address. *

Please identify the direct and indirect beneficiaries of this collaboration (For example: nurses, doctors, patients, etc.) *

Have other SickKids stakeholders been consulted? *

Yes

If yes, please state SickKids staff/department(s) name(s). *

Terms and Conditions *

I have read and reviewed the Terms and Conditions*

Healthier Children. A Better World.^TM