Rural Outreach & Mentorship Initiative: Mentorship 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 mentorship for high school students interested in exploring a career in medicine. 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 mentor, please fill out and submit the questions below:
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Email *
What is your name?
Preferred language?
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Where are you from? (Town, Province/Territory) *
What grade are you in? *
Do you have access to a computer/phone/internet? *
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 medical student mentor, we will be organizing panel discussions and group sessions. What are you most interested in learning about?
To help us make the best possible match, tell us about your hobbies/interests:
If you are interested in being paired with a mentor who identifies as LGBTQ+, indigenous, or male/female, please let us know here:
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