Practice Experience Application - The Hospital for Sick Children

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To apply for a practice learning experience, you are required to complete the online application form in
Section A. In addition, you are required to upload the following in Section B:

Your current resume/CV
A letter of recommendation from your supervisor

Once you submit your online application, you will be provided with a secure link to complete a non-refundable application fee payment of $200 CAD. Please note that completing this application form does not guarantee acceptance.

Following acceptance, you will be contacted to submit additional documentation by email including, but not limited to:

Immunization record form
Practice experience agreement
Certificate of registration (if applicable to your profession)
Copy of your degree (officially translated in English)
Proof of $5M liability insurance
Ontario temporary license (if applicable to your profession)
Proof of health/travel insurance policy

Practice Experience Application

Section A: Personal Information

Title *

First Name *

Last Name *

Position/Professional Designation *

Area of practice *

Registration Number

Registration Issue By

(Professional Licensing College or Organization)

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

Telephone Number *

Business Phone Number *

E-mail Address *

Emergency Contact Name *

Relationship to You *

Emergency Contact Email Address

Emergency Contact Telephone Number *

Emergency Contact Address (Street Address, City, Postal Code, & Country)

Organization Information

Agency/Hospital/Institution Name *

Agency/Hospital/Institution Address *

Supervisor Name *

Supervisor Telephone Number *

Supervisor Email Address *

Contact Information In Toronto

Accomodation Address in Toronto (if known)

Contact Number in Toronto

Learning Experience Information

Expected start date (dd/mm/yyyy) *

Number of Weeks * Number of Weeks

A fee will be applied based on the number of weeks requested. Once your application has been reviewed, you will be provided with further information, including the learning experience fee details.

Why do you wish to visit The Hospital for Sick Children? *

What are your learning objectives? *

What prior learning/experience have you had in relation to these objectives? *

SickKids is also available to coordinate learning experiences at one of our International Learner Program affiliated hospitals. Please advise if you are also interested in pursuing a learning experience at an affiliated:

Adult Hospital. Please provide details and your objectives

Kids Rehab Hospital. Please provide details and your objectives

Section B: Supporting

Current Resume/CV*

Please attach your most up to date resume/CV

Attach File *

Maximum file size: 516MB

Recommendation Letter*

Please attach a letter of recommendation from your supervisor

Attach File *

Maximum file size: 516MB

A non-refundable application fee of $200 CAD will be applied. Upon successful submission of your application, you will be provided with a secure link to complete the application fee payment

Please allow 4-6 weeks for your application to be processed. You will be contacted by SickKids regarding the status of your application and the fees associated with your learning experience.

Successful applicants will be contacted for further documentation, including completed immunization record form, completed experience agreement, certificate of registration (if applicable to your profession), a copy of your degree (officially translated in English), a proof of $5M liability insurance, and a copy of Ontario Temporary License, if applicable to your profession.

It is understood that during your experience you may have access to confidential information. Checking the box below indicates that you recognize that you are in a position of trust with The Hospital for Sick Children and agree to maintain confidentiality at all times.

Terms and Conditions *

I have read and reviewed the Terms and Conditions*

* Fields marked with an asterisk are required.

Healthier Children. A Better World.^TM

Practice Experience ApplicationInternational Learner Program

Organization Information

Contact Information In Toronto

Learning Experience Information

Current Resume/CV*

Recommendation Letter*

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