ROMI Academic Tutoring Sign-Up
Hi! Thank you so much for your interest in the Rural Outreach and Mentorship Initiative (ROMI). We are a diverse team of medical students from all around Canada who have come together with a single purpose: to support youth living in rural and remote communities!

Currently, ROMI is offering FREE one-on-one tutoring in all academic subjects for elementary and high school students in rural and remote communities across Canada. Tutoring sessions will be facilitated by volunteer medical students who will connect with you virtually. Of note, all contact information and names in this form will not be shared with anyone outside of the program.

To be matched with a tutor, please fill out and submit the questions below.

Let the learning begin!
Sign in to Google to save your progress. Learn more
Email *
Student Name: *
First and last name
Phone number: *
Preferred Method of Communication *
Region: *
Where are you from? (Town,Province/Territory) *
Do you have access to internet? *
*Internet access is recommended to connect with your tutor.
Preferred Language: *
Current grade level: *
Academic subject(s) requiring assistance: *
How many hours per week would you like to meet with your tutor? *
Each tutoring session will be 1 hour in duration.
Which time(s) work best for your schedule?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
Is there anything else you would like to add? (ie. comments, questions, concerns)
If you have any additional questions, please contact us by email (romi.mentorship@gmail.com). To stay updated on other exciting ROMI opportunities, follow us on Instagram & Twitter @romiyouth
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of QMed Accounts. Report Abuse