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Young Innovators Fellowship Application
Please fill out all fields in the application and contact Steven Guo (
guo@jhf.org
) if there are any issues.
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* Indicates required question
Name
*
Your answer
High School Name
*
Your answer
Grade - Entering in Fall 2021
*
Ninth Grade
Tenth Grade
Eleventh Grade
Twelfth Grade
Email - Make sure you have regular access to this email address
*
Your answer
Phone Number
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Email
*
Your answer
Mailing Address
*
Your answer
Are you available to attend all Young Health Innovators Fellowship sessions? (June 17th (First Session), June 24th, July 1st (Optional Session), July 8th, July 15th, July 22nd, July 29th, August 5th (Finale Session)
*
Yes
No
Maybe
Other:
Are you able to commit to 3.5 hours per week of fellowship work? (2 hours of virtual meetings, 1.5 hours of outside work)
*
Yes
No
Other:
Areas of Interest and Essay Questions
Please answer the following questions in 250 words or less.
What areas of healthcare are you interested in?
*
Physical Health
Mental Health
Population and Community Health
Clinical Healthcare Careers
Digital Health
Health Equity
Other:
Required
If Other, please list the area of healthcare you are interested in.
Your answer
Why are you interested in exploring careers in health and technology? (Max 250 words)
*
Your answer
What do you think the biggest challenge is today in achieving a healthy society? (Max 250 words)
*
Your answer
What role do you think technology can play in making communities healthier? (Max 250 words)
*
Your answer
How did you hear about the fellowship?
Your answer
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