MISA 2023 Program Application

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Application Selection




Medical Immersion Spring Academy

Thank you for your interest in the 2023 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: Friday, February 13th, 2023 by 11:59pm PST.

Program Cost: $1,400

Program Dates: Session A: April 3rd-7th, 2023

Session B: April 10th-14th, 2023

Program Hours: 9:00-3:00PM


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, February 17th and will take place via Zoom video conference February 22nd through March 1st, 2023.  


Important Dates

  • Application deadline: February 13th, 2023

  • Interview notifications (sent via email): February 17th, 2023

  • Interviews: February 22nd-March 1st, 2023

  • Spring Admissions Released: March 6th, 2023


Currently our plan is to offer all 2023 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 2023 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 17th, 2022 by 11:59pm PST.

Program Cost: $1,400

Participants Can Apply to Participate in the Following Program Dates:  

  • Cohort A (July 10th-14th)

  • Cohort B (July 17th-21st) 

  • Cohort C (July 24th-28th)

  • Cohort D (July 31st- August 4th)

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 Friday, April 7th and will take place via Zoom video call beginning April 19th through April 30th, 2023.


Important Dates

  • Application deadline: March 17th, 2023

  • Interview notifications: Friday, April 7th, 2023

  • Interviews: April 19th-30th, 2023

  • Summer Admissions Released: May 5th, 2023


Currently our plan is to offer all 2023 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