Young Innovators Fellowship Application
Please fill out all fields in the application and contact Steven Guo ( if there are any issues.
Name *
High School Name *
Grade - Entering in Fall 2021 *
Email - Make sure you have regular access to this email address *
Phone Number *
Parent/Guardian Name *
Parent/Guardian Email *
Mailing Address *
Are you available to attend all Young Health Innovators Fellowship sessions? (June 17th (First Session), June 24th, July 1st (Optional Session), July 8th, July 15th, July 22nd, July 29th, August 5th (Finale Session) *
Are you able to commit to 3.5 hours per week of fellowship work? (2 hours of virtual meetings, 1.5 hours of outside work) *
Areas of Interest and Essay Questions
Please answer the following questions in 250 words or less.
What areas of healthcare are you interested in? *
If Other, please list the area of healthcare you are interested in.
Why are you interested in exploring careers in health and technology? (Max 250 words) *
What do you think the biggest challenge is today in achieving a healthy society? (Max 250 words) *
What role do you think technology can play in making communities healthier? (Max 250 words) *
How did you hear about the fellowship?
Never submit passwords through Google Forms.
This form was created inside of Carnegie Mellon University. Report Abuse