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© 2015 Grand Valley State University. 8072 Summer Health Activities and Professions Exploration (sHaPe) for boys and girls is a one-week day camp introduction to the health professions. Students participate in activities that provide hands-on exposure to a variety of health professions. Students in sHaPe have the opportunity to study anatomy, physiology, and personal health and fitness. They explore the professions of medical lab science, occupational therapy, physical therapy, physician assistant, radiation therapy, sonography, speech pathology, sports medicine, and therapeutic recreation. JOIN US for a one-week, nonresidential sHaPe camp. Forty students will be accepted into the program. Sessions will be held at the Grand Valley State University Cook-DeVos Center for Health Sciences in downtown Grand Rapids. ELIGIBILITY Participants must be between the ages of 12–15, currently in the 7th or 8th grade, and entering 8th or 9th grade in Fall 2015. Preference will be given to students attending Grand Rapids Public Schools. Completed application forms must be received no later than April 30, 2015. SUPERVISION/MEALS Counselors are assigned in a ratio of one for every 10 students. Lunch and snacks are provided each day. COS T The camp is FREE. TRANSPO RTATION Transportation will be available based on need. ACCEPTANCE The Grand Valley State University Regional Math and Science Center will begin notifying students of acceptance or waiting list status beginning May 12, 2015. If you have questions or need more information, please contact: Kathy Agee, sHaPe co-director (616) 331-2267 email: [email protected] Ranelle Brew, sHaPe co-director (616) 331-5947 email: [email protected] gvsu.edu/rmsc The sHaPe camp is made possible through the generous donations of the companies shown below. / Este programa es posible con las donaciones generosas de las empresas que figurana continuación. Student Name / Nombre del Estudiante Student Address / Dirección del Estudiante City, State, Zip / Ciudad, Estado, Código Postal Student Date of Birth / Fecha de Nacimiento Current Grade Level 2014-2015 / Grado Actual 2014-2015 School Name / Nombre de la Escuela m Male / Macho m Female / Hembra Ethnic Background (optional) / Origen de étnico (opcional): Please indicate the race/ethnicity which best applies. Favor de elegir el origen étnico que mejor lo identifique. m African American (not Hispanic) / Afroamericano m American Indian/Alaskan Native Nativo Americano/Nativo de Alaska m Arab American / Americano de Descendencia Árabe m Caucasian/White (not Hispanic) / Caucásico m Asian/Pacific Islander / Asiático/Isleño del Pacifico m Hispanic / Hispano/Latino m Multiracial / Multirracial Cumulative demographic information will be used to enhance our programming efforts. / Toda la información demográfica es utilizada para el mejoramiento de nuestros programas. Parent/Guardian Name / Nombre del Padre/Guardian Work Phone / Número de Teléfono del Trabajo Home Phone / Número de Teléfono de la Casa Email / Correo Electrónico Parent or Guardian Signature / Firma del Padre o Guardian Name of teacher or counselor to contact if we have questions about your child. / Nombre de un maestro con el cual nos podamos comunicar en caso de preguntas. APPLICATION / APLICACIÓN 2015 PARTICIPATING GRAND VALLEY COLLEGES GRAND VALLEY STATE UNIVERSITY COLLEGE OF LIBERAL ARTS AND SCIENCES GRAND VALLEY STATE UNIVERSITY COLLEGE OF HEALTH PROFESSIONS WHAT IS Complete application, place in an envelope, and mail to / Complete la aplicación y envíela a sHaPe – Regional Math and Science Center C-1-120 Mackinac Hall Grand Valley State University 1 Campus Drive Allendale, MI 49401
