Health and Wellness Team Application

Are you an IMG who is interested in joining AIMGA's Health and Wellness team? We are currently accepting applications! Please complete all fields in the following form, then submit your application. We'll review your details and get back to you as soon as possible.

Name *

First

Last

Email *

Please enter your email address

Photo *

Click or drag a file to this area to upload.

This should be a headshot photo, with you alone in the picture

Specialties *

Please enter your medical specialty, or specialties

Languages *

Please enter any languages you speak, other than English

Countries of Practice *

Please enter any countries where you practices, prior to moving to Canada

Biography *

Please limit your bio to 175 words or less

Interests and Expectations *

Why are you interested in joining this working group? In which activities would you like to participate?