Affiliation

If you are a Canadian medical student with strong leadership skills and keen interests in education and first aid, complete the form below to apply for affiliate status and preside over Jr. Medics at your school. If you a medical student at the University of Ottawa or Queen’s, please apply to volunteer with us instead.

Personal Information

Name *

First

Last

Date of Birth *

University Email *

Phone Number *

Affiliation Information

University of Study *

If you do not see your university in the list, it is because it already has a Jr. Medics chapter.

Year of Study *

Please upload your CV below. *

Click or drag a file to this area to upload.

To ensure a competitive application, please highlight all leadership, education, and first-aid experiences.

Additional Comments or Questions