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Wayne County MASH Camps 2025

APPLICATION for Wayne County students entering 7th-10th grades.
Application due: January 9, 2025

Whether a first time or returning student, MASH Camp 2025 offers all new curriculum and activities, providing the opportunity to explore a variety of careers in healthcare, at no-cost to students. The experience will sow seeds of interest by introducing young minds to attainable career options.
Each camp offers:
  • Interactive presentations and hands-on activities that strengthen understanding of the health care industry.
  • Exposure to a variety of health professions, including educational requirements, and the skills needed to follow career paths.
  • Guest speakers from the healthcare field.
  • Snacks
The MASH Camp Application needs to be filled out by the parent/guardian of student along with the student applicant.
1.Student Participation Information
2.Parent/Guardian Information
3.Grade student will be ENTERING in the 2024-2025 school year.
4.Since there is no camp cost and a limit of 25 participants, WNY R-AHEC requests that parents/guardians commit to their student attending the entire camp.
Please check one camp location/date below:
5.Media Consent Release and Authorization Statement:
As a MASH Camp Applicant and the Parent/Guardian of Applicant, I grant Western New York Rural-Area Health Education Center (WNY R-AHEC) permission to include and identify me or my image in any publication, photograph, or audio/visual recordings of any kind and in whatever medium it may use for educational, publicity, and/or fundraising purposes. If I am interviewed by staff of WNY R-AHEC or any affiliate programs, I also give permission to use my name, my story, and any of my direct quotes for education, publicity and/or fundraising purposes in any medium. I understand and agree that WNY R-AHEC retains all rights to the photographs, moving images, sound recordings, and other media; and I will not be compensated for any WNY R-AHEC use of the same. By completing this application, I hereby waive any right I may have to inspect or approve the media that contains my name, image, sound recordings, story, and/or biographical data.
I understand and acknowledge that WNY R-AHEC and its affiliate programs will rely on this Release and Authorization Statement, and hereby agree not to assert any claim of any nature against WNY R-AHEC, its employees and agents, and /or affiliate programs relating to the exercise of permissions granted by this Release and Authorization Statement. I understand and agree the materials developed during this period may be used indefinitely. By voluntarily filling out this application and checking the boxes below, I agree to abide by the Release and Authorization Statement. I also understand that I may revoke this Release and Authorization at any time, in writing, but that a revocation will not impact any use or disclosure made prior to the date the revocation is received.
6.Student's Gender
7.Is student Hispanic or Latino?
8.Which best describes your RACE?
9.Student participant, please check ALL statements below as a personal pledge to come to camp with a positive attitude and your best behavior.
10.Please read & check all statements below:
As a participant in MASH Camp 2025, I will NOT...
11.Did you attend a MASH Camp last year?
12.What interests you most about seeking a career in healthcare?
What healthcare career(s) you are interested in?
Why are you interested in attending MASH Camp 2024?
13.Wayne County School District you attend: