Celebrating diversity, cultivating excellence

Interested in getting a mentor? We're here to uplift BIPOC youth, helping them achieve their dreams and create a more equitable healthcare system and workforce for future generations.

Name

First Name

Last Name

Phone

(###)

###

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What is your ethnicity or what equity-seeking group to you identify with?

What services are you interested in?

Mentorship

Medical school application coaching

Educational talks

Finding research opportunities

Finding references

What is your current level of education?

Tell us your program and your year, whether it's of high school, undergraduate, master or doctorate

What is the name of the educational institute you attend?

What year are you planning to apply to med school? (if applies)

Why do you want to receive mentorship from Genesiis?