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Healthcare & Human Service Career Programs Application

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Student Profile



















A School District of Philadelphia ID is a seven or eight-digit number. You can find it on report cards, student ID cards, student portal accounts, or from a teacher.




Tell us more about which Heights program you are applying for, or a little more about yourself.
Demographics




To select more than one option, hold down Ctrl and make your selection

Please select "No" if one or more parents/guardians have graduated with at least a four-year degree from an American college or university. Select "Yes" if that is not the case.

Program Information







Student Engagement Agreement 

By enrolling in this program, I agree to actively participate in all scheduled classes, workshops, and activities. I understand that consistent attendance is required and that I am expected to arrive on time and remain engaged throughout each session. Missing three (3) or more classes without prior notice may result in the loss of any financial incentives, certification opportunities, and/or eligibility for internships.

I agree to demonstrate respectful and professional behavior in the classroom and toward my peers, instructors, and guest speakers. I also commit to fully participating in career advising and related activities for the duration of the program, including completing assignments, engaging in discussions, and following through on next steps outlined by Heights staff.

I further understand that internship placements are not guaranteed and are contingent upon the availability of partnering organizations as well as my own performance, professionalism, and engagement in the program. I recognize that my commitment to these expectations is essential to my success in the program and to the opportunities available to me through this experience.



(Parent/Guardian, for student): I give permission for pictures and videos of my student(s) and statements made by him/ her/ them to appear in any publicity generated specifically by or for the use of Heights Philadelphia and its partners. (Heights is often featured in local and national publications regarding the programs we offer Philadelphia's students. This release covers photographs and videos taken during the program and gives Heights and its partners permission to use the photographs for publicity and marketing.)