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Permission Form

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Discover Healthcare I: Career Exploration

Summer Program

Session 1: June 27 – July 8, 2022

Session 2: July 11 – July 22, 2022

 

Parental Consent Form

(For students under 18 years of age)

 

Dear Parent/Guardian:

We are pleased that your child has applied to the Einstein Healthcare Network's Discover Healthcare I summer program. This program will give your child an opportunity to explore their career interests and learn about a wide-range of healthcare career opportunities. Students will meet and observe healthcare professionals in action in their work settings, including: nurses, radiology technologists, respiratory therapists, physical therapists, laboratory technologists and more. We ask that you fill out and submit the statement of consent below.

The program is held at Einstein’s Medical Center- Philadelphia campus at Old York and Tabor Roads. During the two weeks of the program, students will meet from 9 am to 1:30 pm.

If your child is admitted into the program, he or she will be required to get (free of charge) a health screening at Einstein's LiveWell employee health program. If your child is less than 18 years of age, a parent or legal guardian will be required to accompany them to LiveWell. We will send your child all the forms they will need and will guide them through the process.

If you have any questions, please call Ellen F. Goldberg, at 215-456-6059 or email: Ellen.Goldberg@jefferson.edu.

I hereby give my teenager permission to participate in Einstein Healthcare Network’s two-week, Discover Healthcare I: Career Exploration Summer Program.

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Name of Child:
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Name of Parent /Guardian:
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By checking this box, I am providing a digital authorization for my teenager to participate:
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Date:
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