TAP Health Summer Academy Application

The TAP Health Summer Academy is a group of career exploration programs designed to build the next generation of healthcare professionals! To apply to any of our programs, a student will need to be a current high school junior / rising senior (Class of 2023) in the Greater Cincinnati, Northern Kentucky, or Southeast Indiana area.
- LIGHTING ROUND: For a limited amount of time (May 12-May17 12:59pm/NOON), we are accepting an additional round of applications. You will need to submit this form completely by that time. Applications are time stamped to ensure accountability on both ends.
- This application allows you the opportunity to apply to one or more of these programs, using one form.
- Read the application carefully prior to submission and make sure the information you provide is complete and accurate.
- In addition to questions, there is also a place in the application to upload an electronic copy of your most recent high school transcript, as well as your Standardized Test Scores (if you choose to do so).
- All applicants must have someone submit a letter of recommendation on their behalf at https://bit.ly/taphealth_letter (Additional instructions given below).
- Once you submit, you will receive a confirmation e-mail.
- If you are interested in TAP Health Remote ONLY (Virtual program) - please click here: bit.ly/taphealthremote
A couple questions to get us started:
How did you hear about TAP Health? (select all that apply) *

Guidance counselor or teacher/educator Former TAP Health student Social Media Search Engine Email Parent, guardian or family member Student at school or friend
Which TAP Health program do you wish to be considered for? *

TAP HC only TAP MD only TAP RN: only TAP HC and TAP MD TAP HC and TAP RN TAP MD and TAP RN I would like to be considered for any of the programs.

Personal Information
Full Name *

First Name Last Name
Birth Date *

Day Month Year
Best Phone Number *

Area Code Phone Number
E-mail *
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Parent or Legal Guardian
Parent Full Name *

First Name Last Name
Parent Phone Number *

Area Code Phone Number
Parent E-mail *
example@example.com

Education
High School Name *
What county is your High School located in? *
Your High School is of what type? *

Charter Private Public Technical
Your date of Graduation (estimate) *

Day Month Year
Your cumulative grade point average (GPA) *
Your Class Rank
Since 9th grade, have you ever been found responsible for a disciplinary violation? If YES, you are welcome to explain in the "Other" Box. *

YES NO
Though it's not the most important part of your application, we are interested in learning about your standardized test scores. If you've taken one or more, you have the option to share your ACT and/or SAT score for additional consideration.
ACT composite (overall) score
Date Test was taken
SAT composite (overall) score
Date Test was taken

Attachments
High School Transcript *
Standardized Test Score Document

School/Educator Contact
In order to apply for this program, you should only do so with a school Educator (Guidance Counselor, Teacher or other administrator) aware of your application. This individual will be contacted by us if we have any questions or verification needs. We will also let them know the final status of your application. This person will be considered your School Contact.
Is an Educator at your high school aware and consenting to this application being submitted? *

YES NO
School Contact Name *

First Name Last Name
School Contact or School Phone Number *

Area Code Phone Number
School Contact E-mail *
example@example.com

Extracurricular Activities
We would love to learn a little more about who you are! In the boxes below, please list a few activities you are or have been involved in. Please share years (or dates) of participation, as well as what the activity entailed. You do not have to complete every box, but we ask that you share at least two.
Activity 1 *
Activity 2 *
Activity 3
Activity 4
Activity 5

Essays
We know essays can sometimes be tough, but please don't let that stop you from applying! We want our Selection Committee to get to know you in a more in-depth way. You don't have to be a great writer to submit an essay - just write with sincerity. The two essays will be reviewed based on multiple factors, including content, passion, grammar, readability, flow and just how well you generally answered the question. One question will be the same for everyone (Personal Statement), and another question will give you a choice in topics (Writing Supplement).

There is nothing additional to upload - we have provided enough space within the application. We suggest having your essays ready (checked for grammar, word count, and for the content you want to say) in a program like Microsoft Word or an e-mail before you paste into the essay boxes.
Personal Statement: Please share your a personal statement about yourself. You can include why you are considering being a healthcare professional one day, and/or why you feel you would be a good fit for this program. You can also opt to share a personal statement that simply speaks to who you are. Please make this statement no less than 250 words and no more than 650 words.

Be awesome. Be creative. Be yourself.
Personal Statement *

0/650
Writing Supplement: Choose one out of the five (5) essay prompts below. This should also be no less than 250 words and no more than 650 words.

Be awesome. Be creative. Be yourself.
Writing Supplement Prompts: choose the one you are writing about. *

Describe an experience where you were unsuccessful in achieving your goal. What lessons did you learn? What are you currently most grateful for? What movie, poem, song, book or television show has most influenced your life and the way you view the world? Tell us about a time when people’s actions depended on a decision you made. What are you most passionate about and why?
Writing Supplement *

0/650

Financial Information & Waiver
There is a Participatory Fee to be in our programs.
- TAP HC $300.00
- TAP MD $300.00
- TAP RN $200.00
Further details on individual program costs can be found in our Frequently Asked Questions document. If you are accepted into a program and unable to pay the cost, you have the option to receive a financial waiver. Requesting or not requesting a waiver in no way impacts your chances to be in the program, and is not part of the selection process. If you need this waiver, please sign the statement below, and it will be applied to your account if you are accepted.

Please note: there is no application fee for any of our programs.
By signing (typing your legal name) in the space below, you are requesting a TAP Health financial waiver. "I attest to the best of my ability that the Participation Fee would be an overwhelming burden to my family or household."

Yes, I agree / Understand
Waiver E-Signature

Clear

Letter of Recommendation
Please ask an adult you trust to write you a letter of recommendation. You should give this person as much time as possible to submit their letter by the application deadline. It is best to choose someone familiar with you as either a student, work, sport, club, volunteer activity, or other extracurricular you have been involved in. You can also ask someone else who may have unique insight to why you'd be a great fit for the profession of healthcare one day.

A few reminders before you submit:
- Letters of Recommendation will be submitted separately from your application and should come directly from the recommender.
- When making your request, they should submit on your behalf at: bit.ly/taphealth_letter
- If for any reason your Recommender changes after you've submitted your application (but before deadline), please let Heleena McKinney know the new name to expect on your behalf at: hmckinney@healthcollab.org
Recommender's connection to you (please keep brief): *
Recommender's Full Name: *

First Name Last Name
Recommender's E-mail Address: *
example@example.com

Submission
A few reminders before you submit:
- Have you reviewed this form to check for spelling, grammar and content?
- Is your most current school transcript attached appropriately?
- Did you type your e-mail address correctly? Please note failure to write the correct e-mail address is the number one submission error we receive each year.
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. The application and all attached documents will be timestamped. Once you submit this Application, you will not be able to make any changes or remove information. *

Yes, I agree / Understand
E-Signature *

Clear
Should be Empty: