Mini Med School Verification Form - Online Participation Med School/mms-verification... ·...

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Updated_04.2020 Page 1 of 2 Mini Med School Verification Form - Online Participation To receive an electronic Certificate of Participation for Mini Med School, please follow the steps below: 1. Visit Mini Med School online and select a year and series. For example, Mini Med School 2019: Beyond a Cure – Pediatric Cancer Research or Mini Med School 2018: Healthy Starts for A Healthy Life 2. Watch all the sessions in the series online. Please note each year and series has a different number of session videos. For verification purposes, you will only be asked to answer the short question for any 4 of the sessions 3. Complete the form below 4. You and a parent/guardian must either print/sign/scan the form or electronically sign the form 5. Email the completed and signed form to [email protected] ************************************************************************************************** Verification Form Name Email Address School Grade Mini Med School Series For example: Mini Med School 2019: Beyond a Cure – Pediatric Cancer Research |Mini Med School 2018: Healthy Starts for A Healthy Life| Mini Med School 2017: Surgery – Past, Present and Future | Mini Med School 2016: Genetic Counselling Short Answer Question Please choose 4 sessions within the Mini Med School series you’ve selected and answer the following question: Describe one topic that was introduced which was particularly captivating for you. Session Title Short Answer Session Title Short Answer

Transcript of Mini Med School Verification Form - Online Participation Med School/mms-verification... ·...

Page 1: Mini Med School Verification Form - Online Participation Med School/mms-verification... · Verification Form - Online Participation . To receive an electronic Certificate of Participation

Updated_04.2020 Page 1 of 2

Mini Med School Verification Form - Online Participation

To receive an electronic Certificate of Participation for Mini Med School, please follow the steps below:

1. Visit Mini Med School online and select a year and series. For example, Mini Med School 2019: Beyond a Cure– Pediatric Cancer Research or Mini Med School 2018: Healthy Starts for A Healthy Life

2. Watch all the sessions in the series online. Please note each year and series has a different number of sessionvideos. For verification purposes, you will only be asked to answer the short question for any 4 of the sessions

3. Complete the form below

4. You and a parent/guardian must either print/sign/scan the form or electronically sign the form

5. Email the completed and signed form to [email protected]

**************************************************************************************************

Verification Form Name Email Address

School Grade

Mini Med School Series For example: Mini Med School 2019: Beyond a Cure – Pediatric Cancer Research |Mini Med School 2018: Healthy Starts for A Healthy Life|

Mini Med School 2017: Surgery – Past, Present and Future | Mini Med School 2016: Genetic Counselling

Short Answer Question Please choose 4 sessions within the Mini Med School series you’ve selected and answer the following question: Describe one topic that was introduced which was particularly captivating for you.

Session Title

Short Answer

Session Title

Short Answer

Page 2: Mini Med School Verification Form - Online Participation Med School/mms-verification... · Verification Form - Online Participation . To receive an electronic Certificate of Participation

Updated_04.2020 Page 2 of 2

Verification Form Session Title

Short Answer

Session Title

Short Answer

Signatures

Student Parent/Guardian

Name Name Signature Signature