Virtual Education and Mentorship Application

Home » Services » Virtual Education and Mentorship » Virtual Education and Mentorship Application

To apply for a virtual education and mentorship experience, you are required to complete the online application form in Section A, and if any, to upload support documents in Section B.

Once you submit your online application, you will be contacted regarding the next steps.

Virtual Education and Mentorship

Section A: Online Application

Title

First Name *

Last Name *

Position/Professional Designation *

Area of Practice *

Address (Street Address, City, Postal Code, & Country) *

Telephone Number *

E-mail Address *

Agency/Hospital/Institution Name *

Agency/Hospital/Institution Address (Street Address, City, Postal Code, & Country) *

Agency/Hospital/Institution Phone Number *

Type of the requested virtual program *

One-on-one virtual mentorship

Group virtual education

How many learners will participate in the requested program? *

How many virtual sessions to be included in the requested program? *

What are your/your ogranization's desired topics? *

What are your/your organization's learning objectives? *

Expected start date (dd/mm/yyyy) *

Section B: Supporting

Supporting documents*

Attach supporting documents, if any

Attach File

Maximum file size: 516MB

Please allow 2-4 weeks to process your request. You will be contacted by SickKids regarding the status of your application and the fees associated with the requested services.

It is understood that during your learning experience you may have access to confidential information. Checking the box below indicates that you recognize that you are in a position of trust with The Hospital for Sick Children and agree to maintain confidentiality at all times.

Terms and Conditions *

I have read and reviewed the Terms and Conditions

* Fields marked with an asterisk are required.

Healthier Children. A Better World.^TM

Supporting documents*

Stay Informed