THE OSCEOLA COUNTY MEDICAL PIPELINE HEALTH LEADERS SUMMER ACADEMY WEEK ONE: July 7 th 11 th, 2014 WEEK TWO: July 14 th 18 th, 2014

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THE OSCEOLA COUNTY MEDICAL PIPELINE

HEALTH LEADERS SUMMER ACADEMY

WEEK ONE: July 7th_{– 11}th_{, 2014}

WEEK TWO: July 14th_{– 18}th_{, 2014}

Thank you for your interest in applying to the FREE Health Leaders Summer Academy. Fill two weeks of your summer with the excitement of daily field trips to hospitals, trade schools, and colleges where you will gain hands-on laboratory experience in anatomy, forensics, pharmacy, and microbiology. Dissect a sheep’s heart, solve a crime scene, and make your own chapstick! Tour a medical helicopter and talk with the pilot and paramedic! Explore the land of medical robotics in the world renowned Nicholson Center! We are excited to bring this tremendous opportunity in healthcare exploration to Osceola County students for FREE in cooperation with the following partners:

The UCF College of Medicine Florida Hospital Celebration Health Saint Cloud Regional Medical Center

Valencia College

Technical Education Center Osceola (TECO) The Education Foundation~Osceola County

Through the course of the two week academy, students will participate in exciting and interactive activities in many areas including the following:

Pharmacy and Forensics Labs Medical Manikins

Dissection Labs 3D Imaging

Helicopter Tours Group Research

Medical Robotics Guest Speakers

WEEK ONE: UCF COLLEGE OF MEDICINE

WEEK TWO: FLORIDA HOSPITAL CELEBRATION HEALTH, SAINT

CLOUD REGIONAL MEDICAL CENTER, VALENCIA COLLEGE,

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The Medical Pipeline Health Leaders Summer Academy

Description and Important Information

WHO:

Rising Juniors (Students who are currently sophomores

residing in Osceola County should apply.)

WHAT:

Two-Week Medical Academy

WHEN:

o

Week One: July 7

th

_{– 11}

th

_{, 2014, 8:30 AM – 4:00 PM}

o

Week Two: July 14

th

_{– 18}

th

_{, 2014, 8:30 AM – 4:00 PM}

WHERE:

Week One – UCF Main Campus; Week Two – Florida

Hospital Celebration Health, Saint Cloud Regional Medical

Center, Valencia College, Technical Education Center Osceola

(TECO), and UCF College of Medicine, Lake Nona Campus.

DESCRIPTION:

Forty students will arrive each day at the

Education Foundation. Students will then be transported to

various locations daily for two weeks of medical classes,

lectures, research projects, tours, and labs. The first week is on

the University of Central Florida main campus and will consist of

medical activities tailored to students interested in pursuing a

pre-med degree such as a Biomedical Sciences or a Nursing

bachelor’s degree. The second week is a variety of health related

tours and activities at Florida Hospital Celebration, Saint Cloud

Regional Medical Center, Technical Education Center Osceola

(TECO), and Valencia College.

TRANSPORTATION:

Students will arrive at the Education

Foundation every morning at 8:30 AM, and will then be

transported by school bus to and from their daily academy

destinations. Students from Poinciana and Liberty will have

school bus transportation from a central location in Poinciana to

the Education Foundation and back to Poinciana each day.

PERMISSION SLIPS AND WAIVERS:

Students will have

permission slips and consent forms to sign prior to participation.

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THE OSCEOLA COUNTY MEDICAL

PIPELINE HEALTH LEADERS SUMMER

ACADEMY APPLICATION

JULY 7

TH

_{– 18}

TH

_{, 2014}

APPLICATION SUBMISSION DEADLINE:

April 24, 2014, by 4:30 PM

Submit completed applications to:

The Education Foundation~Osceola County

2310 New Beginnings Road, Suite 118

Kissimmee, FL 34744

Phone: (407) 870-4855

APPLICATION CRITERIA

1. Must be able to attend the entire two weeks of sessions.

2. Must have at least a 3.5 grade point average on a 4.0 scale.

3. Must currently be in the 10

th

_grade.

4. Must have completed one year of biology.

5. Must turn in one recommendation form from one of your high

school math or science teachers.

6. Must submit an ODMS form (Get from guidance).

7. Must follow the Osceola County Student Code of Conduct.

8. Must have a parent or guardian signature of approval.

9. Must be an Osceola County resident.

APPLICATION CHECKLIST

__________ Completed Application Forms

__________ ODMS Form

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The Osceola County Medical Pipeline

Health Leaders Summer Academy Application

Part I: To be filled out by the student and parents. STUDENT

First Name: ___________________________________ Last Name: _________________________________ Age: ________________ Gender: __________________ Race/Ethnicity: ____________________________ Address: ______________________________________________________________________________________ City: ____________________________________________ State: __________ Zip: _______________________ Student Email: _______________________________________________________________________________ Student Home Phone: _________________________________ Cell: ________________________________

PARENT

Mother/Guardian Name: ____________________________________________________________________ Father/Guardian Name: ____________________________________________________________________ Parent/Guardian Address: __________________________________________________________________ City: ____________________________________________ State: ____________ Zip: _____________________ Parent/Guardian Email: ____________________________________________________________________ Parent/Guardian Home Phone: ________________________ Cell: ______________________________

EMERGENCY CONTACT

Name: _________________________________________________________________________________________ Relationship to student: ____________________________________________________________________ Home Phone: ___________________________________ Cell Phone: ________________________________

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Part II: To be filled out by student.

In the space provided below, please write a brief paragraph explaining why you wish to participate in The Medical Pipeline’s Health Leaders Summer Academy.

_________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________

Applicant’s Signature: _____________________________________________ Date: ________________

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Part III: To be completed by the student and then VERIFIED AND SIGNED BY THE SCHOOL GUIDANCE COUNSELOR.

Student Name: _______________________________________________________________________________ High School: ________________________________________________________ Grade Level: __________ Grade Point Average: Weighted: _______________________ Unweighted: ____________________ Please put a check next to the biology class or classes you have completed and list the grade you received in the space provided.

_____ Biology I (Grade = _____) _____ Biology I Honors (Grade = _____) _____ Other:____________________________________________________ (Grade = _____)

Please put a check next to the science class you are currently taking and list your semester grade in the space provided.

_____ Biology (Grade = _____) _____ Biology I Honors (Grade = _____) _____ Chemistry (Grade = _____) _____ Chemistry I Honors (Grade = _____) _____ Physics (Grade = _____) _____ Physics I Honors (Grade = _____) _____ Other:_______________________________________________________________ (Grade = _____) Have you successfully passed the FCAT? __________ Yes __________ No

Are you part of the free or reduced lunch program? __________ Yes __________ No How many community service hours are recorded on your transcript? ________________

Counselor: Please use the space below for any additional comments:

_________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________

Counselor Name: ___________________________________________________________________________

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The Medical Pipeline Teacher Recommendation Form Health Leaders Summer Academy Application

Part IV: To be completed by one of the student’s high school math or science teachers. *TEACHERS: PLEASE RETURN THE FORM TO THE STUDENT IN A SEALED ENVELOPE. THANK YOU.

STUDENT should complete the following information:

Student Name: __________________________________________________________________________________________________ Teacher Name: __________________________________________________________________________________________________ Subject Taught to Student: _____________________________________________________________________________________ TEACHER should complete the following information:

Rate the recommended student in the following areas on the following scale: 1 – Poor 2 – Below Average 3 – Average 4 – Above Average 5 – Excellent

Attitude 1 2 3 4 5

Communication 1 2 3 4 5

Desire to Learn 1 2 3 4 5

Responsibility 1 2 3 4 5

Teamwork 1 2 3 4 5

Use the space below for any additional comments:

_________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Teacher Signature: ______________________________________________ Date: ___________________