SUMMER MED EXPLORATION CAMP

Summer Med Exploration Camp

Application for Summer 2026
To be eligible for the Summer Med Exploration Camp, the applicant must:
- Be a US citizens or have permanent resident status.
- Suubmit a fully completed application.
- Pay a non-refundable application fee. (Fee is applied towards tuition.)
- Currently have a G.P.A of 2.5 or higher.
- Submit a personal statement. (Limit 500 words.)
  - Tell about the highlights of any experience you have that pushes you in wanting a career in medicine. Any skills, goals you have and explain why you're a good fit for this opportunity.
- Submit a copy of high school transcript
- Submit a CV or resume that includes your extra-curricular activities.
- Complete an admission interview
- Obtain parental permission.
Student Information
Student Name*

First NameLast Name
Age*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Gender*
Date of Birth*

MonthDayYear
Student's Email*
example@example.com
Do you own a laptop?*
Student Cell Phone

Area CodePhone Number
T-Shirt Size*
How did you hear about the Summer Med Exploration Camp?*
Do you have any diet restrictions?*
School Information
Name of High School*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Upcoming Year In School*
G.P.A.*
Parent/Guardian Information
Name*

First NameLast Name
Parent's E-mail*
Work Phone

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact (If Parent/Guardian cannot be reached)*
Relationship to Student*
Emergency Phone*

Area CodePhone Number
Please note: Parent/Guardian listed above assumes primary responsibility for account maintenance. Billing Info is for contact information only.

Terms and Conditions
Today's Date

MonthDayYear
Date
Program Description:

For high school students interested in a career in medicine, Summer Med Exploration (SMEC) is a five-day summer health camp program that offers medical and health career guidance. The program's curriculum includes a combination of speakers, interactive exercises, a field trip, and practical hands-on experiences. Also, a variety of medical subjects, such as anatomy, physiology, medical terminology, and clinical skills, will be covered for participants.

Acceptance of Terms:

By applying to SMEC, paying tuition for, and participating in SMEC, the participant agrees to the terms and conditions outlined in this document. If they do not agree to these terms and conditions, one may not participate in the program.

Refund policy:

Cancellations made 14 or more days prior to the start of the program will be entitled to a full refund minus the registration fee. Cancellations within 14 days of the start of the program will be entitled to a full refund, less a supplies fee and registration fee. Cancellations requested after the start of the camp will not be honored in a refund status.

Code of Conduct

It is expected of participants to act responsibly and with respect at all times. In addition to being immediately removed from the program and losing any refunds, disruptive behavior or behavior that infringes on the rights of others will not be allowed.

Transportation

Transportation to and from the program site is the responsibility of the participant and/or parent/guardian. Participants and/or parents/guardians are responsible for the timely pick-up and drop-off at the program.

Liability & Disclaimers

All program-related risks are assumed by participants, who are also accountable for their own behavior. You accept and agree to the following liability and disclaimer agreements by taking part in SMECprogram:

Assumption of Risk: The participant must recognize that there are risks associated with taking part in the program, such as the possibility of disease, injury, and psychological anguish. You willingly accept all of these risks and release Elevation Academy, its affiliates, staff, agents, and representatives from all liability for any damage, injury, or loss resulting from your involvement in the program.

Disclosure of Medical Conditions: The participant must consent to share any health or medical conditions that would limit your participation in the program or necessitate special care or accommodations. You agree to be entirely responsible for getting any necessary medical care or treatment during the program, and you are aware that Noorishment is not liable for providing such care.

Safety and Health: Participants must adhere to all safety regulations and emergency protocols, and they must also promise not to leave the campus during the scheduled session hours.

Release of Liability: The participant consent to absolve and hold Summer Med Exploration, its affiliates, staff, agents, and representatives blameless from any and all claims, lawsuits, damages, or obligations, including but not limited to injury, illness, or personal damages.

Program Cancellations and Modifications: The participant will acknowledge that Elevation Academy retains the right, for any reason, including unanticipated events, to change or end the program at any time. Elevation Academy will reimburse the participant's program fee in the event of a cancellation; however, it will not be held accountable for any additional expenditures or expenses the participant may incur as a result of the cancellation.

Use of Likeness: Without payment or prior notification, ElevatiAcademy has permission to use the participant's name, image, likeness, and/or voice in any program-related promotional materials or media.

Governing Law: The laws of the State of Illinois shall govern and be interpreted in the interpretation of these terms and conditions.
By checking 'I Agree' below and submitting this form, you, the Parent or Guardian of the above participant, agree to the above terms & conditions. By submitting the program fee for the SMEC camp offered by Elevation Academy, you acknowledge that you have read and agree to these terms and conditions.
I Agree

Billing Information
Payor's Name*

First NameLast Name
Cell Phone Number*

Area CodePhone Number
Payor's E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Choose your option below:*

Summer Med Exploration Camp Full Tuition$750.00

Includes application fee.

Application Fee$100.00

Full tuition is due by April 10, 2026

Total $0.00

Payment Methods

Credit Card

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Summer Med Exploration Camp

Student Information

School Information

Parent/Guardian Information

Terms and Conditions

Billing Information

Payment Methods