2024 Application - Doctor for a Day: Classroom Learning Kit

Thank you for your interest in the 2024 Doctor for a Day Classroom Learning Kit. Once the application period has closed, successful applicants will be contacted by email.

If you have questions regarding this pilot project, please contact:

Kelsey Kougiya

Lead, Alumni and Community Program

USask College of Medicine

Kelsey.kougiya@usask.ca

Question Title

* 1. First and Last Name:

Question Title

* 2. Email Address:

Question Title

* 3. What school are you actively teaching at this academic year?

Question Title

* 4. What grade(s) and/or subject(s) are you teaching this academic year?

Question Title

* 5. Please provide a mailing address for the box to be shipped to:

Name

School

Address

Address 2

City/Town

Province

Postal Code

Question Title

* 6. How did you hear about the Doctor for a Day Classroom Learning Kits?

Question Title

* 7. By submitting this application, you agree to:

Provide an impact statement after using the 2024 Doctor for a Day Classroom Learning Kit.

Complete an evaluation of the 2024 Doctor for a Day Classroom Learning Kit.

Save the 2024 Doctor for a Day Classroom Learning Kit for use in future years.

Share the resources provided within the 2024 Doctor for a Day Classroom Learning Kit with your colleagues.

Complete and return a thank you card (provided in kit) to be shared with donors of the College of Medicine Alumni and Community Program. This pilot project would not be possible without their generous donations.

Provide a photo of the 2024 Doctor for a Day Classroom Learning Kit being used in your classroom.
(We understand that this may not be possible. If you are able to provide a photo, please capture the experience without students faces being shown unless you have expressed permission to do so. These photos may be used in University of Saskatchewan, and/or College of Medicine communications including but not limited to social media posts, written reports and future materials for this project.)

Page1 / 1

100% of survey complete.