CAN-Fuel Program

Nomination for Mentors

We are now accepting nominations for 20 mentors to take part in the inaugural meeting on Wednesday, October 23rd, from noon to 18:30 at the Canadian Cardiovascular Congress (CCC) in Montreal.

Question Title

* 1. Member's contact information and demographics:

First Name:

Last Name:

Institution:

Field/Specialty:

Street address:

City:

Province:

Postal Code:

Email address:

Gender:

Question Title

* 2. Personal letter from the candidate (explaining why they feel they should be part of the CAN-Fuel initiative as a mentor and specifically what value they could bring to the mentor-mentee relationship):

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Thank you for your interest in being part of this inaugural program. Results will be announced by the end of August.