2017 SCRUBS Camp. Applications now available for students interested in healthcare. SCRUBS Health Career Exploration Camp

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1 2017 SCRUBS Camp Applications now available for students interested in healthcare SCRUBS Health Career Exploration Camp Learn from experts in healthcare who love their work Camp Week Details One week action packed health career exploration day-camp including CPR, First Aid, scavenger hunt, hospital tour, surgical, obstetrical & medical career sessions & graduation ceremony and more. Application Process Application packet available by calling Teacher recommendation & essay required. Ages at the time of the camp. $75 tuition due on acceptance. Applications reviewed by application committee. Call for Application Packet Note: Camp based at Bon Secours St. Francis Hospital (West Ashley) with two days (6/14-15) at Roper Hospital (Downtown) June 12-16, 2017

2 Dear Student, Roper St. Francis Healthcare will be holding the ninth annual Roper St. Francis SCRUBS Health Career Exploration Camp this summer. Because of your interest in a health related career we are forwarding the application forms for you to consider. The SCRUBS Health Career Exploration Camp will be an activity-filled week offering students who have an interest in health careers an opportunity to explore nursing & medical careers at Roper St. Francis Healthcare. The action packed week will include CPR & First Aid, Cardiology, PT/OT, Surgical, EMS, Radiology and Obstetrical sessions. General Information: The program will be held June 12-16, 2017, Monday Friday from 8:30 a.m. 3:45 p.m. SCRUBS camp is for students 14 and 15 years old at the time of the camp. There will be one camp this year, based at Bon Secours St. Francis Hospital (West Ashley) with students reporting to Roper Hospital (downtown) on Wednesday & Thursday. To apply: Completed and signed applications must be received by 04/10/17. Ask a teacher or guidance counselor to complete the reference form. Write a 300-word essay describing why you should be considered for this program, your interest in a career in health care and what you would like to learn by participating in this program. $75 camp fee is due on acceptance. Do not mail fee with your application. Return complete application packet to: Bon Secours St. Francis Hospital Joan Perry, Director of Volunteers 2095 Henry Tecklenburg Dr. Charleston, SC In person: Joan Perry - Volunteer Office, Bon Secours St. Francis Hospital. There are 30 slots available. Do not apply if you do not expect to be able to attend all five days of the camp or if you have already attended the camp. The application committee will review applications and applicants will be notified of acceptance by April 28 th. This camp is for first time attendees. Keep this letter for your reference. We look forward to having you in our camp. If you have any questions, please feel free to contact me at joan.perry@rsfh.com. Sincerely, Joan Joan Perry Director of Volunteers Roper St. Francis Healthcare

3 Participant Information (Type or clearly print) SCRUBS 2017 Health Careers Exploration Camp Name: Birth Date: Present Age: Full Address: (include zipcode) Phone: Parent/Guardian: Phone: *Review for complete address and legible contact information before submitting. Gender: Male Female Shirt Size: XS S M L XXL (Circle one. Shirts run large) Do you have relatives working for Roper St. Francis Healthcare? If so, give their name, relationship and department: Educational Information School currently attending: Current year in school: Extracurricular activities: Career goals List a few careers you are particularly interested in: I understand that students must anticipate being available for all five days. I have not attended the SCRUBS Camp before. I am able to go to Roper Hospital for two days (6/14 & 15) of the camp. Have you applied and not been accepted to the camp before? Yes No, First time applicant. Applicant s Signature: Date: Parent or Guardian: Date: Note: Thirty students will be accepted. Acceptance packets will contain: training agenda, medical release, directions and activity descriptions. Deadline: Your completed and signed application must be received by 04/10/17. You will be notified of acceptance status by 04/28/17. $75 Camp registration fee due after acceptance. (Limited financial assistance may be available. Please inquire). Send completed application to: Bon Secours St. Francis Hospital Attn: Joan Perry, Director of Volunteers, 2095 Henry Tecklenburg Dr., Charleston, SC 29414

4 Participation Application Form Page 2 Your name: School: * You are encouraged to type your essay on a separate sheet. In approximately 300 words, please explain why you should be selected to attend the Health Careers Camp. Include your interest in pursuing a health profession, aspirations and any other experiences you would like the Admissions Committee to know.

5 Teacher/Guidance Counselor Reference You have been selected as a reference by a student making application for Roper St. Francis Healthcare - SCRUBS Health Career Exploration Career Camp Your input is important as our space is limited. We are looking for students who are interested in pursuing a health career, will appreciate this experience, are respectful of others and team players. All responses will be kept confidential and will be used only for camp purposes. Student name: Phone Number: School Name: Permission is granted to send the following information to RSF regarding the above named student. Student signature: Parent /Guardian signature: Group Participation/Team Player Respectful of Others Cooperation/Attitude Promptness/Attendance Character Motivation Initiative Reliability Leadership Ability Overall rating 1 Poor 2 Fair 3 Average 4 Above Average 5 Excellent Do you recommend this student to attend our camp? (Use 1 5 scale above) Strengths: Weaknesses: Teacher/Guidance Counselor Name: Subject taught: Signature: Date: **This reference must be received by 04/10/17 for the application to be considered. to: joan.perry@rsfh.com Or mail to: Bon Secours St. Francis Hospital, Joan Perry, Director of Volunteers, 2095 Henry Tecklenburg Dr., Charleston, SC 29414

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