MUSICOF HEALING AND HOPE

HEALING THROUGH THE POWER OF MUSIC

For more information, please contact Diana Gawel, Volunteer Resources

Administrative Assistant.(905)-813-4112

diana.gawel@thp.ca

2200 Eglinton Avenue WestMississauga, Ontario L5M 2N1www.trilliumhealthpartners.ca

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Do you play a musical instrument? In an effort to continue our legacy of

“healing and hope”, music is provided in the lobbies at Credit Valley Hospital and Queensway Health Centre. At the Mississauga site, musicians play on patient units.

There is a STEINWAY grand piano located in the lobby of Credit Valley Hospital that was donated by Mr. Grant Clarkson, in honour his late wife, Janet Elizabeth Clarkson.

We invite community musicians who play professionally or who have achieved a minimum Grade nine level standing in music, to consider volunteering 45 minutes of time to perform for our patients, visitors and staff.

VOLUNTEER MUSICIANSGuidelines for musicians:• Musicians must be 15 years of age or older

with a minimum Grade 9 musical perfor-mance standard OR provide recognition of standard of performance by a recognized performing arts organization.

• Due to a full roster of vocalists, we are no longer accepting applications from vocalists at this time.

• Musicians must submit the application form and references, and in some cases, may be asked to provide a performance CD.

• Once your application is received, it will be assessed against the requirements and if there are current opportunities, you will be contacted directly.

• Musicians must provide their own instru-ments and performance paraphernalia, and must be able to perform without technical support from the hospital.

Upon acceptance of application:• Volunteer Resources and the musician will

agree upon performance date(s).

• Prior to performance, the musician will sign a consent form.

• As this is a voluntary initiative, monetary or gratuities are not provided.

• Musician must give 24-hour notice to Coordinator of Music Program if they are unable to perform on the specified date.

• Performance will be limited to agreed-upon area. Individual performances in patient rooms or other areas of the hospital is not permitted.

• Musicians are strictly forbidden from soliciting funds and/or selling promotional materials.

• Hospital will post notification of performance on a monthly basis.

• Due to patient confidentiality, videotaping / photography is strictly prohibited.

NAME (PRINT):

INSTRUMENT(S):

ADDRESS:

PHONE NUMBER: ( )

E-MAIL:

REFERENCE & PHONE NUMBER:

GRADE LEVEL ACHIEVED IN MUSICAL ARTS:

RECENT PERFORMANCE LOCATIONS:

I,

I further agree to abide by hospital policy regarding respecting patient privacy and will only perform in the agreed upon performance area.

(AMPLIFICATION IS NOT ALLOWED)

I further agree that there will be no soliciting for pay-ment, nor will I offer for sale any merchandise related to my/our professional appearance while at the hospital.

(i.e. not requiring musical licensing SOCAN fees).

NAME OF PERFORMER:

SIGNATURE:

Date: ___________ /__________ /______________

YY / MM / DD

VOLUNTEER PERFORMER CONSENT FORM