Get Health Careers Program - Upstate Ahec - Upstateahec

The Health Careers Program - Upstate AHEC - Upstateahec enrollment form is an important document for individuals interested in pursuing health careers. This guide provides a step-by-step approach to filling out the form accurately and efficiently.

Follow the steps to complete your enrollment form successfully.

1. Press the ‘Get Form’ button to access the enrollment form and open it in your preferred editor.
2. Enter your 8-digit Participant Identification number, comprising 2 digits for your birth month, 2 digits for your birth day, followed by the last four digits of your Social Security Number.
3. Fill in your first name, middle name (if applicable), and last name in the designated fields.
4. Provide your mailing address, including city, state, zip code, and county. Indicate if this is your permanent address.
5. Include your home phone number and check the appropriate boxes to identify your race, gender, and neighborhood type.
6. Specify your anticipated high school graduation date and grade level.
7. Enter your student cell phone and email address for contact purposes.
8. Provide your high school’s name and mailing address, as well as your date of birth.
9. Indicate your primary language, ethnicity, and whether you receive a free or reduced price lunch.
10. Fill in your guidance counselor’s name and your career interest.
11. Review the consent section regarding information release, and provide your parent or guardian's signature, date, and printed name with their email address.
12. Once all fields are completed, ensure your information is accurate. You may then save changes, download, print, or share the form as needed.

Complete your documents online today to ensure a smooth enrollment process.