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.
- 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/educatorFormer TAP Health studentSocial MediaSearch EngineEmailParent, guardian or family memberStudent at school or friendOther

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

CharterPrivatePublicTechnicalOther
Your date of Graduation (estimate)*

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

MonthDayYear
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 ?*

YESNO
School Contact Name

First NameLast Name
School Contact E-mail
example@example.com
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 selecting the Submit button, 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
Should be Empty: