CAEP Global EM Mentor Questionnaire
Thank you for volunteering to be a mentor for our new Global EM Mentorship program! This is a great opportunity to share your expertise with a resident interested in Global EM and contribute to building a strong Canadian Global EM network.

The following is a quick survey regarding what type of EM practice you have, what your interests and experience in Global EM are, and what your expectations are for your involvement in the program. We will use these answers to pair you with a mentee (or mentees if you are willing to take on more than one). Look for our email with the  contact info for your mentee match approximately one month after this invitation. We are aiming for mentor/mentee pairs to connect a minimum of 3 times over the course of the year in whatever way works best for you (phone, video chat, email, in person). Of course, connecting more often is always encouraged!

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Email *
Name *
First and last name
Where do you live? (City, Province) *
What is your EM training? *
In what type of site is the majority of your practice? *
Do you have any extra training in Global Health?
Do you have any specific areas of interest in Global Health?
Please provide a brief description of your experiences and/or current involvement in Global Health.
Is there a particular region you work in or are interested in? Select all that apply, if there is a specific country please list it in the 'other' option. *
Required
Why are you interested in being a Global EM mentor? *
Required
Optional: Please expand on why you are interested in being a Global EM mentor.
I would be willing to take ___ mentees. *
What is your preferred way to connect with your mentee? *
Required
Optional: Is there any other information you would like a potential mentee to know?
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