MISA Program Application

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Application Selection



Medical Immersion Spring Academy

Thank you for your interest in the 2024 Medical Immersion Spring Academy! Please complete the following application in its entirety and submit the $50 non-refundable application fee. Only complete and paid applications will be considered.


Application Deadline: Saturday, January 9th, 2024 by 11:59pm PST.

Program Cost: $1,400

Program Dates: Cohort A: March 25th-29th, 2024

Cohort B: April 1st-5th, 2024

Cohort C: April 8th-12th, 2024


Program Hours: 9:00AM-3:30PM


Applicant Requirements

  • Interest in pursuing a healthcare career

  • Minimum age 15 by program start date or completion of freshman year 

  • $50 non-refundable application fee


Interviewing for MISA

Submitting an application does not guarantee an interview. Interview notifications will be sent on Friday, January 12th and will take place in person for local applicants or via Zoom video conference for out of state applicants Saturday, January 27th.   


Important Dates

  • Application deadline: January 9th, 2024

  • Interview notifications (sent via email): January 12th, 2024

  • Interviews: January 27, 2024

  • Spring Admissions Released: February 2nd, 2024


Currently our plan is to offer all 2024 programming in-person and follow all public health precautions to prevent the spread of COVID-19 and ensure participant safety. Participants will have to provide proof of full COVID-19 vaccination for MISA.


Late/incomplete applications will NOT be accepted. For more information, visit our website: misahealth.com. If you have any questions about the MISA program or this application, please contact us via email at misa@mimscience.org. Thank you.

Medical Immersion Summer Academy

Thank you for your interest in the 2024 Medical Immersion Summer Academy! Please complete the following application in its entirety and submit a $50 non-refundable application fee. Only complete and paid applications will be considered.

 

Application Deadline: Friday, March 8th, 2024 by 11:59pm PST.

Program Cost: $1,400

Participants Can Apply to Participate in the Following Program Dates:  

  • Cohort A (July 8th-12th)

  • Cohort B (July 15th-19th) 

  • Cohort C (July 22nd-26th)

  • Cohort D (July 29th- August 3rd)

Program Hours: 9:00-3:00 pm

 

Applicant Requirements

  • Interest in pursuing a healthcare career

  • Minimum age 15 by program start date or completion of freshman year 

  • $50 non-refundable application fee


Interviewing for MISA

Submitting an application does not guarantee an interview. Interview notifications will be sent on Monday, March 25th and will take place in person for local applicants or via Zoom video conference for out of state applicants Saturday, April 13th


Important Dates

  • Application deadline: March 8th, 2024

  • Interview notifications: Monday, March 25th, 2024

  • Interviews: Saturday, April 13th, 2024

  • Summer Admissions Released: April 19th, 2024


Currently our plan is to offer all 2024 programming in-person and follow all public health precautions to prevent the spread of COVID-19 and ensure participant safety. Participants will have to provide proof of full COVID-19 vaccination for MISA.


Late/incomplete applications will NOT be accepted. For more information, visit our website: misahealth.com. If you have any questions about the MISA program or this application, please contact us via email at misa@mimscience.org. Thank you.

Personal Information

Name


Address
















Parent/ Guardian Information
Parent/ Guardian Name





EDUCATIONAL BACKGROUND

Please answer the following questions about your education level and current high school.




SHORT ANSWER INSTRUCTIONS

Please answer the short answer prompts below. Make sure you fully address all parts of the prompt. (Max 250 words)





AGREEMENT & SIGNATURE
I have read and understand the information about the Medical Immersion Summer Academy. By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a participant, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal without refund. I understand that my application is not complete without BOTH my signature and my parent/guardian’s signature. I am not signing for my parent/guardian.
Participant Electronic Signature



Parent/Guardian Electronic Signature


Application Fee Payment Information
Reminder: Your card will be charged a non-refundable $50
Payment Information





Billing Address