Agress Summer Health Corps Program Application

Agress Summer Health Corps 2026 Application

The Agress Summer Health Corps Program will run from July 7th to August 13th, 2026, Monday through Thursday, from 9:00 AM to 2:00 PM each day.

Please remember to check your spam or junk email folder regularly throughout the application process to ensure you do not miss any important messages from us :)

* Add a profile photo (A Photo of yourself.)

Personal Information

* First Name

Preferred Name (if different)

MI

* Last Name

* Preferred pronouns

* Date of Birth (Applicants must be at least 15 years old on the date of submission)

* Street Address

Street address line 2:

* City

* State

* Zip Code

* E-mail Address

* Cell Phone

Emergency Contact Information

* Parent/Guardian Name

* Parent/Guardian's E-mail

* Parent/Guardian Phone

School Information

* What school do you attend?

What grade are you currently in? To be considered into the program you must be a current 10th, or 11th grader.

Personal Response Questions

* Why are you interested in participating in the Agress Summer Health Corps?

* Please describe what you like to do outside of class (volunteering, sports, the arts, clubs, work, hobbies, etc.).

* How do you think your upbringing has influenced who you are today?

* Please describe any career interests or aspirations you may have, and why are you interested in that career path. They do not need to be healthcare related - we want to get to know the real you!

Additional Information

The program runs from July 7th to August 13th, Monday through Thursday, from 9:00 AM to 2:00 PM. If accepted, are you able to fully commit to this schedule without needing accommodations for other commitments? Accepted students are expected to attend every scheduled day and fully commit to the program without scheduling conflicts. This includes not participating in other programs, jobs, or commitments during program hours.

To ensure patient safety, BIDMC requires all in-person volunteers and staff to complete the health clearance process. This includes undergoing a TB test, as well as being vaccinated for MMR, varicella (chickenpox), tetanus, and hepatitus-B. By selecting 'Yes,' you agree to comply with this these requirements if you are accepted to the program.

Please check off any language in which you are FLUENT.

Unisex T-shirt size:

Unisex scrub pants size:

References

We require two adult references. At least one MUST be a guidance counselor, academic advisor, or teacher. The individuals you select will receive a questionnaire by email within the next month.

* Reference #1 Name

* Relationship

* E-mail

Phone

* Reference #2 Name

* Relationship

* E-mail

Phone

Please read the following statement and check the box if you agree:

Attestation

My answers to the questions above are true and complete to the best of my knowledge, and are written in my own words. I understand that if I misrepresent or withhold information, it may result in my application being rejected or dismissal if discovered after my volunteer assignment begins. The Medical Center may make inquiries regarding my history and character to prior employers, schools, etc. and I hereby release employers, schools, or individuals from all liability in responding to inquiries in connection with my application and release the Medical Center from all liability with respect to such inquiries. As a volunteer, I agree to abide by the Medical Center's policies, rules and procedures and understand that I may end my volunteer assignment at any time with or without cause or notice and the Medical Center has the same rights.