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Explore Health Careers
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nomination
SHCI 2012 Nomination
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Summer Health Careers Institute 2012 Nomination Form
All fields required unless specified.
I,
am recommending
for participation in the
Summer Health Careers Institute.
This student fulfills the following criteria:
High potential, not yet necessarily reflected in GPA
Socio-economically disadvantaged
Can add diversity to the workplace
1st generation college students
Bilingual-Competent in English & fluent in another language other than English
Entering junior year
Entering senior year
Other (please specify - program application required)
Teacher Information
Subject Taught
Biology
ESL
Other (please specify - program approval required)
Teacher's Phone
Teacher's E-mail Address
School's Address
Please make a brief statement regarding the reasons you have nominated this student.