Health Care Camp

EDISON STATE COMMUNITY COLLEGE

HEALTH CARE PATHWAYS SUMMER CAMP
June 2-18, 2025 (M–F) | 8:30AM–3:30PM | EDISON STATE AT TROY

Edison State's Healthcare Pathways Summer Camp offers a unique opportunity for attendees to earn their Certified Nurse Assistant (CNA) credential while gaining hands-on experience in a healthcare setting. Participants will receive professional training in essential nursing skills throughout the camp, preparing them to work confidently in various healthcare environments. Upon completion, attendees will be equipped with the knowledge and certification to begin their careers in healthcare.

Level Up Your Skills
Provide assistance with personal care | Learn about resident safety and infection control
Develop communication skills | Learn basic medical terminology | Obtain vital signs

Please read the following information carefully and then complete the form below.

APPLY Complete the application below and submit your essay and reference letter by the end of the day on Friday, April 25, 2025.

ESSAY Submit your essay with your application on the following: Write a paragraph on your interest in health care, your immediate plans after completing this Health Care Pathway Summer Camp course, and how you plan to use your acquired skills. AI-generated essays WILL NOT be accepted.

REFERENCE LETTER Please submit a letter of reference from one of the following: a guidance counselor, teacher, community leader, employer/supervisor, other professional acquaintance, or mentor.

Full Name

Provide your full legal name.

Email Address

Provide your primary email address.

Confirm Your Email Address

Confirm your primary email address.

Phone Number

Provide your current primary phone number.

Address

Provide your current address.

Edison State Student ID or Social Security Number

Enter your 6-digit Edison State student ID number OR 9-digit social security number. (Numbers ONLY. NO dashes, spaces or special characters.)

Birth Date

Provide your date of birth.

YYYY

Gender

Assigned at Birth

Male

Female

Name of high school attended or currently attending

If applicable

Name of college attended or currently attending

If applicable

Dietary Restrictions

Please list any dietary restrictions.

Scrub Top Size

Please select the scrub top size you wear.

Please select

Scrub Bottom Size

Please select the scrub bottom size you wear.

Please select

Shoe Size

I will be 16 years of age or older by the camp start date.

Check ONE only.

Yes

What is your current transportation situation?

Do you have a vehicle or driver’s license or receive transportation support? Please explain.

Describe your work or volunteer experience:

Most recent employer, job duties, and length of employment/volunteer experience.

Essay

In a Word document, write an essay of between 250 and 300 words about your interest in health care, your immediate plans after completing this CNA course, and how you plan to use your acquired skills. Include your full name of the upper-hand corner of the document along with the essay title. For example, "Essay: Title Edison State Community College-Health Care Pathway Summer Camp."

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Letter of Reference

Please attach a letter of reference from one of the following: a guidance counselor, teacher, community leader, employer/supervisor, other professional acquaintance or mentor.

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I understand if I am awarded a scholarship, I agree to abide by all the conditions of this scholarship. I understand that if I fail to attend my classes, clinical education, and complete coursework, my scholarship disbursement will be removed from my account, and I will be required to pay any resulting balance due on my Edison State account.

Check ONE only.

Yes

I understand attendance is 100% mandatory, and I must attend all class dates.

Check ONE only.

Yes

I understand that two course days involve clinical education outside of the classroom at a local long-term care facility.

Check ONE only.

Yes

I understand stipends are only given to students who have successfully completed the entire course.

Check ONE only.

Yes

I understand applying for the scholarship does not guarantee acceptance into the camp. Scholarship awards are granted by the Office of Workforce Development & Work-Based Learning based on a grading system.

Check ONE only.

Yes

I understand that certain convictions/violations may disqualify me from providing direct care to individuals. Please view the list of qualifying offenses at the following link before providing an answer. https://codes.ohio.gov/ohio-administrative-code/rule-3701-13-05

Check ONE only.

Yes

I understand that I must complete the following prerequisites before I can enroll and/or complete this course. This includes a 2-step TB screening (completed within the past year) AND a background check acknowledgment. Additionally, at certain clinical sites, I may be required to acknowledge my current COVID vaccination status.

Check ONE only.

Yes

I understand that attending the Orientation Day, on Tuesday, May 20, 2025, at 4 p.m. at Edison State at Troy is mandatory to discuss expectations and requirements of the class.

Check ONE only.

Yes

Student and Parent/Guardian Signatures

I am 18 years of age or older.

Check ONE only. If under 18, a parent or guardian signature is required.

Yes

Student Name

Provide your first and last name.

Signature

Please sign your full name.

Clear

Parent/Guardian Name

Provide your parent or guardian's first and last name.

Parent/Guardian Signature

Please sign your full name.

Clear

Date

Please enter today's date.

YYYY

Date

Please enter today's date.

YYYY

Disclaimer Final award decisions will be made via a committee and grading rubric based on the quality of responses.

A high school diploma or equivalent is NOT required to participate in the Healthcare Pathways Summer Camp.

CNA is often referred to as STNA.