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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1 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 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 Dissection Labs Helicopter Tours Medical Robotics Medical Manikins 3D Imaging Group Research Guest Speakers WEEK ONE: UCF COLLEGE OF MEDICINE WEEK TWO: FLORIDA HOSPITAL CELEBRATION HEALTH, SAINT CLOUD REGIONAL MEDICAL CENTER, VALENCIA COLLEGE, TECHNICAL EDUCATION CENTER OSCEOLA (TECO)

2 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.

3 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 Phone: (407) 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 Teacher Recommendation Form in a sealed envelope

4 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 Student Home Phone: Cell: PARENT Mother/Guardian Name: Father/Guardian Name: Parent/Guardian Address: City: State: Zip: Parent/Guardian Parent/Guardian Home Phone: Cell: EMERGENCY CONTACT Name: Relationship to student: Home Phone: Cell Phone:

5 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: Parent/Guardian Signature: Date:

6 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 = ) Chemistry (Grade = ) Physics (Grade = ) Biology I Honors (Grade = ) Chemistry I Honors (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: Counselor Signature: Date:

7 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 Communication Desire to Learn Responsibility Teamwork Use the space below for any additional comments: Teacher Signature: Date: