IHIM alumni form

K’we/Hello Indigenous Alumni!

Keknu’tmasiek Welo’ltimk is looking for Dalhousie medicine alumni who self-identify as Indigenous who would be interested in supporting Dal undergraduate students’ pathways to medical school and current Indigenous Medical School students.

IHIM seeks to increase the representation of Indigenous students in medicine through recruitment, community collaboration and partnerships. It also advises the dean of medicine to fulfill the social accountability mandate to the Maritime Indigenous community.

If you are a Dal Med alumnus who self-identifies as Indigenous, please provide you’re contact information in the form below.

Your information will help us to build an accurate picture of Dalhousie’s Indigenous medical alumni community. In addition, by connecting with us we can keep you informed of our activities and provide Indigenous medical students and showcasing your experiences and community involvement.

If you prefer, please feel free to call or email us to provide your information or to discuss how you can be involved with IHIM and support the next generation of Indigenous medical practitioners.

Please note that your personal information will only be used within IHIM. There is no obligation on your part for ongoing connection or involvement with the work of Keknu’tmasiek Welo’ltimk.

Thank you in advance for your support!

Program Manager, Keknu’tmasiek Ta’n Tel Welo’ltimk
Email: ihim@dal.ca

Please fill in as much information as you are comfortable providing

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Yes
 No
 
 First Nations Communities from the Atlantic Provinces. A) Mi’kmaq - individuals who are Mi’kmaq and were born and/or raised in Mi’kmaqi with a substantial connection to a Mi’kmaw community in Mi’kmaqi. B) Wolastoqiyik (Maliseet) - individuals who are Maliseet and were born and/or raised in the Maliseet territory in New Brunswick with a substantial connection to a Maliseet community
 Métis/ Innu/ Inuit from Atlantic Provinces. Students who identify as Métis, Innu, Inuit originating from the Atlantic Provinces.
 Indigenous Students (First Nation, Inuit, Métis) born and raised outside of Atlantic Provinces.
 Other
 
 
 Speaking at local events
 Connecting one on one with an accepted or prospective student
 Mentoring Current or prospective students
 Giving a guest Lecture
 Joint Scholarly Activities
 
 
 Colleauge/Word of Mouth
 Email
 Internet Search
 Newsletter
 Social Media post
 Website
 Other
*