Rural Outreach & Mentorship Initiative: Medical Student Mentor Sign-up
Thank you so much for your interest in the Rural Outreach and Mentorship Initiative (ROMI) for the 2023-2024 year. We are a diverse team of medical students from all around Canada who have come together with the goal of proving mentorship and support to youth living in rural and remote communities!

Currently, ROMI is offering free one-on-one mentorship for high school students interested in exploring a career in medicine. We are recruiting current medical students with an interest in supporting rural youth to become mentors as part of our program.

To be matched with a high-school student mentee, please complete and submit the following form:
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Email *
What is your name? *
What are your pronouns?
Preferred language? *
Where are you from? (Town, Province/Territory) *
What medical school do you go to? *
What is your graduating year?
Do you have access to a computer/phone/internet? *
Are you a current member of the Society of Rural Physicians of Canada (SRPC)? *
Student mentors as part of the Rural Outreach and Mentorship Initiative should be current members of the SRPC. Membership for medical students is free and you can register online at https://www.srpc.ca/join-srpc.
When would be the best time to participate in mentorship activities? *
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
In addition to 1-on-1 meetings with your mentee, we will be organizing panel discussions and group sessions. Would you have interest in helping lead these and what which would you be interested in?
Any other possible group activities that you would be interested in hosting?
To help us make the best possible match, tell us about your hobbies/interests:
Do you self-identify as any of the following? Feel free to specify or add options in "other".
Optional. We have the option for mentees to request mentors with shared identities and lived experiences. If you would like to be matched with a mentee who makes a request, please answer this question.
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