Canadian Social Prescribing Student Collective

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Thank you for your interest in joining our collective! Please fill out this form if you wish to become a member of the Canadian Social Prescribing Student Collective. Once you've submitted, please keep an eye out for a welcome email from us (it may go to your spam folder- please flag us as not spam!)

Email *

First Name
*

Last Name
*

Pronouns

What is the name of the post-secondary institution that you go to?
*

Which province or territory is your post-secondary institution located in?
*

What is the name of your program?
*

What type of student are you?
*

Undergraduate student

Master's student

PhD student

Health professional student

College student

How did you hear about us?
*

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