Project Pathway

This application is the MRHC after school program for Juniors and Seniors in High School who are interested in learning more about healthcare careers.

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* 1. What is your full name?

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* 3. What is your phone number?

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* 4. What grade are you currently in?

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* 5. What school do you attend?

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* 6. Why are you interested in pursuing a career in healthcare?

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* 7. Which areas of healthcare are you most interested in? Select all that apply

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* 8. Have you participated in any healthcare-related extracurricular activities before?

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* 9. If yes, please describe your previous healthcare-related extracurricular activities.

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* 10. Are you able to commit to attending this program for the entirety of the program schedule: Every Tuesday from 3:30pm-5:00pm from September 2nd to October 7th.

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* 11. What do you hope to achieve by participating in this program?

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* 12. Is there anything else you would like us to know about you?

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