LTCAM Membership Application
  • General Information

  • Format: (000) 000-0000.
  • Billing address(If different)*
  • Active in Manitoba*
  • Engagement and Priorities

  • Please select what you hope to gain from membership.*
  • Please select activities of interest*
  • How did you hear about LTCAM*
  • Membership Categories

    Please review and select all that apply.
  • Please review the following definitions:

    Personal Care Home (PCH): long-term residential facilities that provide 24-hour nursing care, personal support, meals, and supervision to individuals who can no longer safely live at home due to advanced care needs.

    Supportive Housing Facility: Offers memory care to individuals who can no longer manage in their own home, with 24-hour on-site staff providing support and cueing for daily living tasks such as meals, housekeeping, dressing, or medication reminders.

     Assisted Living Facility: An independent living option for older adults who want a social, maintenance-free lifestyle with access to optional support services. These may include meals, light housekeeping, medication reminders, basic health or wellness checks and recreational programming.

     Hospice Facility: provides a peaceful and supportive environment for individuals in the final stage of a life-limiting illness. Focused on comfort and dignity—not curative treatment—it includes pain and symptom management, emotional and spiritual support, and care for families during and after their loved one’s journey.

    Respite Facility: a temporary environment that gives caregivers a break from daily responsibilities while ensuring continued care for their loved one.

    55+ Complex: also known as 55 and Older Congregate Living or Age-Restricted Housing, is a residential apartment community specifically designed for adults aged 55 and older. These complexes aim to support a lifestyle tailored to older adults, often with features and amenities that promote independent living, social connection, and low-maintenance housing.

    Academic and Research Institutions: Post-secondary institutions, universities, and research centers engaged in teaching, training, or applied research related to aging, long-term care, or seniors’ health and housing.

    Unions: Labour organizations representing workers in long-term care, supportive housing, home care, and related sectors.

    Professional Associations: Professional associations or regulatory colleges that support individuals working in care, housing, or wellness roles for older adults. These organizations offer continuing education, certification, and standards of practice.

    Charitable and Not-for-Profit Organizations Serving Older Adults: Charitable and not-for-profit organizations serving older adults by providing services, support, or programs.

    Rural Municipalities: Local governments in rural or remote areas are responsible for planning or delivering services that support the older adult populations. E.g. Housing, infrastructure and health partnerships.

    Indigenous Communities and Organizations: First Nations, Métis, and Inuit communities or Indigenous-led organizations that provide culturally rooted housing, care, or wellness programming for Indigenous older adults.

    Students: Individuals enrolled in post-secondary education relevant to long-term care, older adult housing or health and social services. (THERE IS A SEPARATE APPLICATION)

    Retiree: Retired individuals from roles in healthcare, housing, social services, or education related to older adults. (THERE IS A SEPARATE APPLICATION)

    Private Home Care Agencies: Organizations that provide non-medical or medical care services to individuals in their homes, typically on a fee-for-service basis. These agencies operate independently (not funded by the government) and are often used by older adults, individuals with disabilities, or people recovering from illness or surgery who wish to remain living at home rather than moving into an institutional care setting.

    Staffing Agencies: Specialize in finding and placing workers in various roles—temporary, contract, or permanent—based on the needs of the employer and the qualifications of the candidate.

    Business Partners: Private-sector companies that offer products, services, or tools to support older adult care, housing, or wellness. May include vendors, consultants, or suppliers active in the long-term care and aging sector.

  • Select all that apply*
  • Care and Housing Providers

  • Ownership Group

    Refers to one legal entity that owns and operates multiple long-term care facilities, short-term care facilities, and/or older adult housing complexes.

  • Are you registering as an Ownership Group or Individual Facility?*
  • Professional Affiliates

    Please click the arrow to expand your desired section
    • Academic or Research Institution 
    • Do you provide Training, Certification, or research services in the long term and continuing care sector?*
    • Do you currently provide services/training in Manitoba?*
    • Are you interested in collaborative research or pilot projects?*
    • Union 
    • Professional Associations 
    • Do you directly support individuals working in care, housing, or wellness roles for older adults?*
    • Does your organization provide continuing education, certification, or standards of practice for professionals in these fields?*
    • Are you incorporated as a professional association, society, or college under provincial/federal legislation?*
    • Do you have bylaws, a board of directors, and a defined membership structure?*
    • END 
  • Charitable and Not for Profit Organizations Serving Older Adults

  • Are you a registered Charity?*
  • Community Partners

  • Please Select*
  • Do you have existing partnership with long-term care facilities or housing providers?*
  • Individual Members

  • Please select*
  • Private Home Care & Staffing Agencies

  • Select all that apply*
  • Do you operate on a fee-for-service basis*
  • Business Partners

  • Have you sponsored of exhibited at a prior LTCAM event?*
  • Are you registered with the Better Business Bureau of Canada?*
  • Contact and Accounting

    • Main Contact 
    • Format: (000) 000-0000.
    • Accounting Contact 
    • Format: (000) 000-0000.
    • END 
  • Agreement

  • I agree to receive electronic communications from the Long Term and Continuing Care Association of Manitoba.*
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