TAP Health Summer Academy Application

The Health Collaborative's TAP Health Remote program is designed to build the next generation of healthcare professionals, from wherever technology allows. These events include online presentations, panels, individual speakers, and more. With unique topics - TAP Health Remote is not merely an addition to other programs, but one that stands on its own. There is no cost to enroll.

Open to anyone - whether you're a middle or high school student, college student, or just a young professional.
- Click Here to see our always growing list of 2022 TAP Health Remote Events!
- You will not need to upload any documents or a letter of recommendation to complete this enrollment form.
- Once you submit, you will receive a confirmation e-mail and info on how to access event links & recordings.
- Click Here to visit our TAP Health website.
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

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

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

Month Day Year
Date of Graduation (if you are a middle, high school or college student)

Month Day Year
Date

School/Educator Contact
If you are a middle or high school student applying to be in this program, it is best to inform an Educator at your school (Guidance Counselor, Teacher or other administrator). This person will be considered your School Contact. If you enroll during summer and aren't able to reach someone, please list any school contact you have regular contact with during the school year.
Is an Educator at your middle or high school aware and consenting to this application being submitted OR would be able to confirm ? *

YES NO
School Contact Name

First Name Last Name
School Contact E-mail
example@example.com

Short Answer
Question: Please share why you are considering a career in a healthcare profession, and what you hope to learn or be exposed to while in TAP Health Remote. You can write just a few sentences on this topic or even a paragraph or two! If you are not a high school student, please simply share your connection to the program or how you heard about it.

Be awesome. Be creative. Be yourself.
Writing Supplement *

0/650

Submission
A few reminders before you submit:
- Have you reviewed this form to check for spelling, grammar and content?
- 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. *

Yes, I agree / Understand
E-Signature *

Clear
Should be Empty: