Roundtable Consultation #2: Health & Technology

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Each roundtable is limited to 20 participants, so please register as soon as possible to secure your spot! Seats are open to young adults between the ages of 18-30 across Canada with an interest and/or lived experience in the global health topic! Please note that professional experience in the topic is welcomed, but not a requirement.

An agenda including meeting details and discussion questions will be shared closer to the event.

First Name, Last Name *

Age *

Email *

Please share your profession/area of Study (student, researcher, teacher e.t.c) *

Organization/Academic Institution

Please briefly share your interest in the topic: Health & Technology *

Province/Territory *

Alberta

British Columbia

Manitoba

New Brunswick

Newfoundland & Labrador

Nova Scotia

Ontario

Prince Edward Island

Quebec

Saskatchewan

Northwest Territiories

Nunavut

Yukon

Required

Statuses and/or Identities *

Racial and/or ethnic minority

Indigenous (Métis, Inuit, First Nations)

Living with a disability

LGBTQIA2S+

Refugee

New Immigrant

First-generation Immigrant

Second-generation Immigrant

Other

Prefer not to say

Required

I can confirm that I will be available to attend the "Health & Technology" roundtable on September 2nd 2025 *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms