Northwest AHEC Junior Scholars/Healthwise 2024-2025 Health Careers Adventure Program Application
                                            Hosted by Northwest Area Health Education Center (AHEC)

                                                                              2215 Portland Ave      
                                                                              Louisville, KY 20212
                                                                              (502) 778-1607

HCAP is a collaborative initiative supported by Health Resources and Services Administration (HRSA), Northwest AHEC, University of Louisville's Health Sciences and Learning for Life Program.

Health Careers Adventure Program

The Health Careers Adventure Program (HCAP) is an interactive year round program to encourage student interest in the exciting filed of health careers. HCAP fosters an interest in health careers and personal achievement by providing math and science enrichment, learning and survival skill building and leadership development. Participants gain exposure to a variety of health careers including medicine, nursing, dentistry, and other allied health professions. Students receive information concerning diploma, certificate, and degree programs. 

HCAP also allows participants an opportunity to acquire knowledge and skills by participating in a variety of activities to nurture their interest in health careers. Once admitted to HCAP, participants are encouraged to attend monthly HCAP meetings and "Healthwise." Students will be tracked throughout middle school, high school and college.

"Healthwise" is a summer academic enrichment program offering classes in mathematics, anatomy, biology, chemistry and reading and writing. In addition, student receive extensive exposure to numerous health professionals, through presentations/demonstrations and tours of the health sciences center and other local healthcare facilities. Furthermore, students will go on field trips to various universities throughout Kentucky for campus tours and exploration into those schools healthcare programs. 

Healthwise will be from June 13, 2024 to July 3, 2024 at 8:30 AM - 2:30 PM and will be
hosted by Grace M. James Academy of Excellence located at 1615 W. Broadway.



Eligibility: HCAP is designed for middle and high schools students entering grades 6th through 12th. Priority is given to students who meeting the following criteria: 
1) Students who reside within West Louisville boundaries
2) Underrepresented minority students
3) Low Income students (students that participate in free or reduced lunch)
4) Would be First-generation college students

Applicants must be in good standing within their school.



Cost of Participation: A cost of $25.00 to cover insurance and administrative cost for one calendar year is required of each student accepted to the Health Careers Adventure Program. If there are concerns about the $25.00 please contact Bradley Coffman at bcoffman@pdchc.org. 

Applications must be completed and include the following:
1) A completed application form
2) Your written statement of purpose (minimum of 100 words)
3) A copy of your school grades/report card
4) Your parent or guardian's consent/signature
5) Two (2) letters of recommendation
6) Application Fee


Your grades and letters of recommendation can be sent to bcoffman@fhclouisville.org or turned into our office located in Portland Family Health Center. Fees can be paid at the office, by sending in a check written out to Northwest AHEC, or on the first day of participation in the program. 

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Photo Permission: I hereby grant permission to Northwest AHEC, its agents and representatives, to use photographs, motion picture, videotapes, or other recording media which my child appears during the Health Careers Adventure Program activities for promotional, informational, educational, or other purposes which Northwest AHEC deems appropriate. I understand I will receive no compensation if photographs or likeness are used. I further understand that the photographs, videotapes, and other images are to be used only for or by Northwest AHEC and its sole property. I relinquish to Northwest AHEC all rights, titles and interest in said recordings. I authorize Northwest AHEC to use my child's photographs, etc., and/or likeness for the aforementioned purposes. (Type your name below.) 
Student Information: First, Middle, and Last Name *
Gender: *
Graduation Date/Year *
Present Grade *
Address including city, state, and zip code *
Age *
Date of Birth *
MM
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DD
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YYYY
Home Phone #
Cell Phone # *
Email Adress *
County *
Ethnicity  *
Race *
School Attending
Interested in pursuing a health career?  *
If yes, list career choice:
Answer Yes or No to the following questions: *
Yes
No
1. Did your mother or father attend or graduate college?
2. Do you have an older sibling attend or graduate from college?
3. Have you participated in other summer enrichment programs?
4. Do you have any activities that will interfere with Healthwise 2023 workshop?
If you answered yes to 3 and 4: list the summer programs that you have been in and any summer programs that you would be in for 2023.
List all extracurricular activities *
Parent Information: First, Middle, and Last Name *
Date of Birth
MM
/
DD
/
YYYY
Address (Only if different from your child)
Parent/Guardian Email Address *
Occupation
Employer
Parent/Guardian Phone # *
In case of emergency, list business phone #
Statement of Purpose (minimum 100 words) *
I hereby certify the information on this application is correct to the best of my knowledge. 

STUDENT SIGNATURE *
PARENT/GUARDIAN SIGNATURE *
Relation to child *
Date *
MM
/
DD
/
YYYY
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