Multnomah County Racial and Ethnic Approaches to Community Health (REACH) Public Health and Civic Literacy Academy Application Form
Welcome and thank you for your interest in applying to the Multnomah County Racial and Ethnic Approaches to Community Health (REACH) Public Health & Civic Literacy Academy.  Please answer all of the questions to your best ability. This application is due: March 31, 2023 by 11:59pm PST. Applications will be reviewed on a rolling basis, so applications submitted early have the best opportunity of being selected.

The REACH Public Health & Civic Literacy Academy is a one-year commitment (June 30, 2023- June 30, 2024) for currently enrolled high school students (freshmen, sophomores, and juniors) between the ages of 13 and 17 who attend high school in Multnomah County.  Student participants, must live and/or attend school within Multnomah County (including the following school districts: Centennial, Corbett, David Douglas, Gresham-Barlow, Parkrose, Portland Public, Reynolds, Riverdale). See informational flyer for all eligibility criteria. 

This information will only be seen by the core review team. If you have any questions about anything on the form, please reach out to the project manager Mossie Ogilvie at mossie.ogilvie@multco.us 

Key Dates:

Application Timeframe: February 1, 2023 - March 31, 2023

Application Deadline: March 31, 2023

Notification of Acceptance: April 10, 2023

Student-Parent/Guardian Welcome Orientation:  May 4, 2023 

Program Begins: June 29, 2023

Program Ends:  Last week of June 2024

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Email *
Applicant First Name *
Applicant Last Name
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Applicant Date of Birth *
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Main Phone Number *
Applicant's Cellphone Number (if different from above)
Using the dropdown option, please select which organization, if any, has referred you to participate in this program. *
Were you encouraged to apply by another student who has already applied? If so put their name here:
Full name and relationship of your first professional reference (ex. Mr. John Doe, Teacher) These references cannot be family members.

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First reference's contact email address:
Second reference's name and relationship to you:
Second reference's contact email address:
Do you have a parent or guardian's consent to participate in this program? *
What is the name of the high school you attend?
 *
What grade are you currently in?
 *
What extracurricular activities are you currently involved in? *
Do you have any food allergies? (If so, list them all) *
Do you have any food restrictions? (Example; Kosher, Halal, Vegan) *
Are you vaccinated with the COVID-19 vaccine? 

(Note: Vaccination is NOT required but is strongly recommended for participation in the program.  If you are not vaccinated, you must commit to wearing a mask while at program meetings.  Failure to do so could result in removal from the program) 
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Please share your special interests, hobbies, talents or experience that may assist you in this program. *
Do you have access to a personal computer or other equivalent technology (i.e. iPAD, Tablet)?

Note: Your answer to this question will NOT affect your eligibility as an applicant.  This question is for internal planning purposes.
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Please answer one of the following questions (A, B, or C) *
A) Why do you want to participate in the Multnomah County REACH Program Public Health and Civic Literacy Academy? 
B) What comes to mind when you think about youth leadership and community?
C) What comes to mind when you think about public health and social justice?
This program requires a full year commitment to attending the weekly meetings and occasionally other events (e.g., conferences, campus visits).  Please describe, in detail, your willingness and ability to honor this commitment. *
This program requires that you provide your own transportation to the meeting site.  Please how you plan to meet this requirement. *
Required
How did you hear about this program? *
Please submit a resume in a single PDF document to PHCLA Project Manager at mossie.ogilvie@multco.us . Your application is not considered complete until this document has been submitted. Label your resume 'Last name, first name.'

Have you emailed your resume? *
A copy of your responses will be emailed to the address you provided.
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