MD Program

Summer Mentorship Program Application

Thank you for your interest in the Summer Mentorship Program in the Health Sciences.  Please review this information before beginning the application.

In the application you will be asked to provide your name, your gender, your contact information, the contact information for your Guidance Counsellor/Teacher, the contact information for your parent(s)/guardian(s), emergency contact information, as well as a statement of interest. The information that is collected from this application will not be shared with any other university departments or external contacts.  The information that we collect is used to consider your eligibility for the SMP.  If you are admitted to the SMP, we will share the information that is collected in your application with the school board for the purpose of administering the high school credit.

Please contact La Toya Dennie, Outreach Coordinator, immediately if you are experiencing any issues with this form.

 
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APPLICANT INFORMATION
The options identified above are based on the terminology used by the Ontario Human Rights Commission in the Policy on Discrimination and Harassment Because of Sexual Orientation and the Policy of Preventing Discrimination Because of Gender Identity and Gender Expression. [2] Trans refers to a person who identifies with a gender other than the one assigned to them at birth, or to a person whose gender identity and gender expression defers from stereotypical masculine and feminine norms. It is also used as an umbrella term for those who identify as transgender, transsexual, trans, gender variant, gender non-conforming, genderqueer, or an analogous term.
Indigenous peoples of Canada include First Nation (status or non-status), Inuit, and Métis peoples.
[A1A 1A1]
[XXX-XXX-XXXX]
[XXX-XXX-XXXX]
SCHOOL INFORMATION
PARENT/GUARDIAN INFORMATION
[XXX-XXX-XXXX]
[XXX-XXX-XXXX]
PROGRAM QUALIFICATION
You must have successfully completed a grade 10 or 11 science, or social science, or humanities course to be eligible for the SMP. A course from one of these categories must be visible on the transcript that you submit. Please note that a Provincial Report Card is not sufficient for this application. Please email ohpsa.outreach@utoronto.ca before submitting your application if your current transcript does not reflect a credit from one of the accepted categories.
Files must be less than 100 MB.
Allowed file types: gif jpg jpeg png pdf.
STATEMENT OF INTEREST
[max 500 words]
ADDITIONAL INFORMATION