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DSAA Youth Health Symposium
← Event overview
Website
Student information
First name
Last name
Student email
Phone number
(optional)
School or college
Select a school or college
Arthur Waldron Seventh-day Adventist Academy
Castle Bruce Secondary School
Convent High School
Dominica Community High School
Dominica Grammar School
Dominica State College
Goodwill Secondary School
Isaiah Thomas Secondary School
North East Comprehensive School
Pierre Charles Secondary School
Portsmouth Secondary School
St. John's Academy
St. Martin Secondary School
St. Mary's Academy
Wesley High School
Form or grade level
Select one
Form 4
Form 5
Selection information
Complete the information below. Your school will verify it during the student-selection process.
What is your main course of study?
Select one
Science & Mathematics
Other
Where would you estimate your current class standing?
Select one
Upper third of class
Middle third of class
Lower third of class
Why do you want to attend? (100–150 words)
Which activities or groups do you participate in?
(select all that apply)
School clubs and student groups
Church or faith-based groups
Community or social groups
Sports and athletics
Music, arts, or cultural groups
Volunteering and community service
Academic, science, or health programmes
Student leadership or government
No current activities
Other
How involved are you in these extracurricular activities?
Select one
I hold a leadership role
I participate regularly
I participate occasionally
I am not currently involved
How would you describe your attendance this school year?
Select one
Rarely absent
Occasionally absent
Regularly absent
Frequently absent
Not sure
Which best describes your discipline record this school year?
Select one
No disciplinary record
Minor disciplinary note
Significant disciplinary record
I attended the 2024 health symposium.
Interests and support
Select the top 3 that interest you.
0 of 3 selected
1
Medical Doctor / Specializing
Family medicine and pediatrics
Emergency medicine, trauma, surgery and anesthesia
Women's health and obstetrics/gynecology
Cardiology, oncology and other specialties
2
Allied Health & Diagnostics
Nursing careers
Physical therapy and nutrition
Pharmacy and pharmaceutical manufacturing
Radiology and laboratory technology
3
Public Health & Education
Public health and epidemiology
Mental health and sexual health education
Community health and public safety
Teaching and research
4
Health Systems & Informatics
Hospital administration and operations
Patient safety and quality outcomes
Medical informatics and telemedicine
Medical science and engineering
Accessibility accommodations
I require accessibility accommodations.
Dietary restrictions or allergies
I have dietary restrictions or food allergies.
How did you hear about the symposium?
Select one
School email or communication channel
School WhatsApp or chat group
School social media page
Teacher, counsellor, or school announcement
Friend, classmate, or family member
DSAA, ACSOM, or DSC communication
Poster, flyer, radio, or news
Other
Consent
I consent to DSAA using this information to administer the symposium registration.
DSAA may email me about future student health and career opportunities.
Review the information before submitting. Each email may register once.
Complete registration