Author: Tiffany Scott

AHEC/Whitesburg ARH
SUMMER SCRUBS CAMP 2020 20172017jj2016APPLICATION

Name: __________________________________
Date of Birth: _____/_____/_____
Address: ________________________________
City: _________________________________
State: Kentucky Zip: _______________
Parent/Guardian: _________________________
Home Phone #: (_____) _____-_____
Work/Cell #: (_____) _____-_____
Name of School: __________________________
Current Grade Level: _________ GPA: ______
Last four digits of SS #: ____ ____ ____ ____
T Shirt Size : _____________________________
List 2 references who know you as a student.
1. Name: ____________________________________
Title: ____________________________________
Phone Number: (_____) _____-_____
2. Name: ____________________________________
Title: ____________________________________
Phone Number: (_____) _____-_____
Write a paragraph describing your interest in health careers and why you wish to become a health care professional. Attach paragraph to this application.
Mail To:
Ashley Farler/Southeast KY AHEC Health Careers Program Coordinator 180 Taylor Ridge Road, Suite 101 Hazard, KY 41701

Ashley Farler
Southeast KY AHEC
Health Careers Program Coordinator
180 Taylor Ridge Road, Suite 101
Hazard, KY. 41701

SCRUBS CAMP 2020

Hosted by:
Whitesburg ARH
&
Southeast KY AHEC

Tuesday, June 23
thru
Thursday, June 25

SCRUBS CAMP!

Southeast Kentucky Area Health Education Center (Southeast KY AHEC) in conjunction with Whitesburg ARH Hospital will be hosting a 3-Day Summer Scrubs Camp to be held at Whitesburg ARH Hospital.
The AHEC Scrubs Camp will introduce middle and high school students (current 8th through 11th grade students) to a variety of health careers. Students will have the opportunity to observe health professionals at work; participate in a variety of hands-on activities and tour the Whitesburg ARH facilities.

Tuesday, June 23
10:00 AM—3:00 PM
Wednesday, June 24 10:00 AM - 3:00 PM
Thursday, June 25 10:00 AM - 3:00 PM

Eligibility
Current 8th through 11th grade students from Letcher and surrounding counties who are interested in pursuing a health care career may apply.
Interested students must have at least a 2.5 GPA on a 4.0 scale. Transportation to and from the program daily.
Application Process
Interested students must complete the attached application, and write a paragraph describing their interest in health careers, including why they wish to become a health care professional. The completed application and descriptive paragraph must then be mailed to:
Ashley Farler /Southeast KY AHEC Health Careers Program Coordinator 180 Taylor Ridge Road, Suite 101 Hazard, KY 41701
Registration includes all program materials, a camp T-shirt, daily lunch, refreshments (lunch is provided by Whitesburg ARH) .
Applications are due by–May 31, 2020.
The AHEC Summer Scrubs Camp at Whitesburg ARH is limited to 15 participants.
Students will be notified of their acceptance. At that time, a detailed agenda with specific activities, and other program information will be sent to participants.

Facility Tours!
Job Shadowing!
Hands On Activities!
And Much, Much More!

For More Information Contact
Ashley Farler / AHEC Health Careers Program Coordinator
Southeast KY AHEC 180 Taylor Ridge Road, Suite 101 Hazard, KY. 41701
Phone: (606) 487-0135
afarler0007@kctcs.edu

Important Information
Participants are expected to attend every day and to stay for the entire day’s program.
Participants should wear neat, comfortable clothing which is appropriate for a hospital setting. No tank tops, shorts, halter tops, mini-skirts, open toed shoes, hats or T-shirts will be allowed.
The use of drugs, alcohol, or tobacco in any form is not allowed.