READ BEFORE PRESSING SUBMIT.
By pressing submit on this form, I am confirming that the information provided is correct to my knowledge and that I am interested in participating in the Health Careers Program offered by Upstate Area Health Education Center (AHEC).
I understand that participation in this program is voluntary on my part, however will require additional permission to participate from my parent or guardian if I am under 18.
I also understand that the enrollment is open as long as the program has not reached capacity and it is possible that my application may be received below that marker. At that point, I will be moved to a waiting list until space opens. I will still receive access to other AHEC resources and programs but may not be able to physically participate in the Health Careers Academy.