Dear Summer Teen Applicant: Thank you for your recent 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Applicant Information' section. Provide your name, preferred name, address, phone number, email address, and date of birth.
3. Indicate whether you have participated in this program previously and provide the last four digits of your Social Security number if applicable.
4. Complete the 'Emergency Contact' and 'Physician' sections with relevant names and phone numbers.
5. Attach required documents such as proof of immunizations, a copy of your birth certificate or ID, and two references from teachers or counselors.
6. Write a 200-word essay explaining your interest in volunteering and the medical field. Ensure it is clear and concise.
7. Review all sections for completeness before submitting through mail or electronically via our platform.

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