Student Healthcare Leaders (SHL) at Adventist Health Portland (AHPL) Fall 2026 Application

Student Healthcare Leaders (SHL) at Adventist Health Portland (AHPL) Fall 2026 Application

Submission deadline is Tuesday, September 8, 2026

Basic Eligibility Requirements

Applicants must:

*be a high school student

*submit a complete application (including application, video or written essay, and recommendation)

Please review the dates and times below. If you already know you'll miss more than one (1) class, please wait and apply to a future session when you can attend all classes. Attendance is mandatory for the first week and graduation.

Week	Date	Time
Week 1	Tuesday, September 29	5:00pm - 7:30pm
Week 2	Tuesday, October 6	5:00pm - 7:30pm
Week 3	Tuesday, October 13	5:00pm - 7:30pm
Week 4	Tuesday, October 20	5:00pm - 7:30pm
Week 5	Tuesday, October 27	5:00pm - 7:30pm
Week 6	Tuesday, November 3	5:00pm - 7:30pm
Week 7	Tuesday, November 10	5:00pm - 7:30pm
Week 8	Tuesday, November 17	5:00pm - 7:30pm
Week 9	Tuesday, November 24	5:00pm - 7:30pm
Week 10	Tuesday, December 1	5:00pm - 7:30pm

Name

First NameLast Name
Preferred Name (if applicable)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail (No iCloud emails & please make sure you provide an email that can receive our emails)

Confirmation Email
Cell Number
Format: (000) 000-0000.
Home Number
Format: (000) 000-0000.
Does your family qualify for free or reduced price lunch?
High School
GPA
Grade
Date of Birth

MonthDayYear
Date
Jacket Size
Ethnicity
Gender
Preferred Pronouns
Which SHL session have you previously applied for?
Parent/Guardian Name

First NameLast Name
Parent/Guardian Number
Format: (000) 000-0000.
Parent/Guardian Email

Confirmation Emailexample@example.com
Emergency Contact Name (if your parent/guardian named above is your emergency contact, please re-enter their name here)

First NameLast Name
Emergency Contact Number (if your parent/guardian named above is your emergency contact, please re-enter their contact number here)
Format: (000) 000-0000.
Emergency Contact Relationship
Are any of your immediate family members employed in the healthcare field?
Will you be a first-generation college-bound student (neither parent has graduated from a two or four-year college)?
How did you learn about this program?
What is your career interest (select all you are interested in)?

Other
Please list your school and/or extracurricular activities (high school years only)
Please list your community service activities (high school years only)
Please click on the recommendation form below and send the link to a teacher or counselor to complete and submit prior to the application deadline. You will receive an email once your counselor or teacher has completed this.
Are you fully vaccinated against COVID-19? (According to the Centers for Disease Control and Prevention (CDC), you are fully vaccinated if you have completed a COVID-19 vaccine primary series)
Essay This is a REQUIRED activity and you MUST record a video (preferred) or submit a written essay. Please answer the following question.

Why do you want to participate in this program?

Be specific! Video should be 1-2 minutes in length. Please speak clearly and at a natural pace and introduce yourself by stating your name, school and grade at the beginning.

If you choose to write an essay, please include your name, school and grade at the top. Essay should be no more than one (1) page in length.

Please upload your video or written essay here (preferred). If you have issues uploading or would rather email, please send to ahpl@studenthealthcareleaders.org.
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