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Hello Applicant!

 

Thank you for your interest in GCD. Please be sure to fill out all sections of this application in full in order to be considered for an interview.

GCD thrives on training the next generation of high-quality, culturally competent health care professionals while generating excitement and enthusiasm for career opportunities in health care serving older adults.

 

The Health Care Explorers Program provides youth with college readiness, health career exploration activities, internships, professional/older adult mentors, and clinical training. This allows High school participants have access to gain a Certification as a Nursing Assistant while in being this three year program. Fostering an immediate gainful employment, while having supplementary income while attending college.

 

If you have any questions about this application please reach out to Lashima Goshine at LGoshine@jewishhome.org. 

 

Thank you!

 

The GCD Team

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* 1.  First Name

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* 2. Last Name

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* 3. What is your OSIS/Student Identification Number? (this is a 9 digit number located on your Student ID card or Transcript)

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* 4. What is your gender identity?

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* 5. What is your Date of Birth (MM/DD/YYYY)? 

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* 6. What is your ethnic background (please check all that apply)?

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* 7. Home Address

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* 8. Best Number you can be reached at? (i.e. 718-555-5555)

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* 9. Secondary Number you can be reached at? (ie. 718-555-5555)

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* 10. Email Address (i.e. yourname@email.com)

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* 11. What school do you currently attend?

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* 12. What is your anticipated year of graduation? (Please note we are not accepting any juniors for this program at this time)

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* 13. Please provide contact information of any adult (18+ years old) living in your household (i.e.  Mother, Father, Grandparent, etc.)

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* 14. If there is more than one adult in your household, please provide contact Information for them below.

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* 15. How did you hear about the Health Care Explorers (GCD)?

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* 16. What interests you about the HCE program? (check all that apply)

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* 17. How comfortable are you working with Elderly/Older Adults? (please note you will participating in program with Older Adults remotely)

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* 18. Between which timeframe are you available to participate in virtual program? (Please note the majority of HCE programming will be remote in 2020-21)

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* 19.  Do you have access to a computer with internet at home?

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