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Einstein Healthcare Network Einstein Healthcare Network

Discover Healthcare Summer Program

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Discover Healthcare Summer Program  

Student Application

Session 1: June 26th –July 14th, 2023
Monday - Friday, 9:00 am - 1:30 pm

Session 2: July 17th – August 4th, 2023
Monday - Friday, 9:00 am - 1:30 pm


All students must be vaccinated for Covid to participate in Discover Health.
Sessions will have a maximum of 16 participants. You will be placed in one of the two sessions.

Applicant Information
*
Name
Email
Telephone
*
Address1
Address2
City
*
State
select
*
Zip
Parent or Guardian Address (if different):
*
Parent or Guardian's Email or Phone Number:
*
Emergency Contact Phone Number:

Education

*
High School:
*
Grade in Sept 2023:

If you have a family member who works for the Einstein Healthcare Network, please provide:

Name of the family member:
Relationship:
Department:
Phone Number:

Please answer the following questions.

*
1. Why are you interested in attending Discover Healthcare?
*
2. What would you like to get out of this program?
*
3. Name a strength and a weakness you feel you have.
*
4. Tell us something about yourself that you’re proud of:
Security Code
Type Security Code

If you have any questions, please email: Ellen.Goldberg@jefferson.edu or call 215-456-6059. Thank You!
SUBMIT
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