2023 Experience Healthcare Application

Experience Healthcare is a fun and rewarding week long program introducing attendees to healthcare careers. Kittitas Valley Healthcare will host one Experience Healthcare session, which will be July 17-July 21 from 8:00am-5pm. Students will learn all aspects of working in healthcare, learn about the range of careers within the field, and learn practical skills!

First Name*

Last Name*

Mailing Address

Email*

Phone

T-shirt size

School*

Please choose the High school you will attend fall 2023

Ellensburg High School

Kittitas High School

Thorp High School

Other

Age Requirement*

check if you are 16 years of age or older

Senior Status Requirement*

check if you are going into your senior year of high school (fall 2023)

Are you planning a career in healthcare?

For example: nurse, pharmacist, x-ray technician, physical therapy. *Please note that if you are unsure about a career in healthcare that should not deter you from applying. There are many types of healthcare careers and the goal of the Experience Healthcare program is to expose students to the range of careers available in healthcare.

Application Signature

The application will be signed by the applicant and applicant's Parent or Guardian via DocuSign in an email after application is reviewed.

Parent/Guardian

Parent/Guardian Email

File Upload Option

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