New Student Information
This form is to assist the SPACE Team and Preceptor in providing you with the educational experience you are hoping for. 

If you do not wish to answer a question, please feel free to leave it blank. 

Please note that this will NOT be shared nor recorded for any use other than to assist you with your module!
Email *
What is your preferred name?
What are your preferred pronouns?
What age category do you fall into?
Clear selection
What is your educational background?
Which country are you from?
Which do you prefer?
How would you like to participate in the module?
Are you okay with being asked direct questions?
Clear selection
Shall we make sure to have screen reader accessible materials? Would it be great if your preceptor gave the whole group a full minute to process ideas before responding? Please tell us ways that we, only human with limited budget yet with great good will!, can make this work for you
Is there anything else you wish for your Preceptor or SPACE Team to know about prior to the start of your module?
Do you have any questions you wish for the SPACE Team to answer for you prior to the start of your module?
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