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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]
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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
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Verification Form Session Title
Short Answer
Session Title
Short Answer
Signatures
Student Parent/Guardian
Name Name Signature Signature