Discovering Healthcare Careers Program Application
To be considered for an interview you must submit this form (including all requested attachments)


NOTE: Please have your resume, essay, letter of recommendation, and copy of transcript in digital format ready to upload before you start this form

Please contact LaDonna Alvarez lalvarez@luriechildrens.org or Rene Diaz r-diaz5@neiu.edu with any questions.

Email address *
***All your personal information will be kept confidential.***
I am eligible to apply because I am: *
Current grade level *
Student First Name *
Student Last Name *
Birthdate *
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DD
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Student ID Number *
I have the following: *
I attend the following high school: *
Student Cell Phone *
Student Email Address *
Home Address *
Zip Code *
Parent or Guardian First Name *
Parent or Guardian Last Name *
Parent Phone *
Parent Email Address
Parents' highest school grade level completed. *
If accepted, I commit to participating in Discovering Healthcare Careers 2019 EVERY day, Monday-Friday from 8:30am - 3pm from June 21-August 1, 2019 *
I have an UNWEIGHTED GPA of 2.75/4.0 or HIGHER *
What is your career interest? *
Do you identify as gay, lesbian, bisexual, transgender or questioning (GLBTQ)? - OPTIONAL
I understand that I will need to have a Tuberculosis test administered as well as a drug screening. *
How did you hear about this program? *
Please upload copy of official transcript *
Required
Please upload your resume *
Required
Please upload your 1-2 page essay on your educational and career goals *
Required
Please upload your letter of recommendation. *
Required
***All your personal information will be kept confidential.***
Submit
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