center for excellence in youth education summer program ... · exchange, multidisciplinary teamwork...

Alumni Office Room 1W7 Chris LaCarrubba - Internship Coordinator [email protected] Isaac B. Honor - Internship Coordinator Assistant

WORKSHOPS, ENRICHMENT COURSES,

SUMMER PROGRAMS OPPORTUNITY #18

Important Note: If you are selected for the internship, please inform Mr. Honor IMMEDIATELY via email at:

[email protected]

Center for Excellence in Youth Education Summer Program Applications The Center for Excellence in Youth Education will be accepting applications for this year's summer High School programs

from: February 1st, 2014, through April 15th, 2014 (postmarked) (deadline).

High School Summer Course Descriptions: (see below)

• Zebrafish Toxicology Course Description

• Nanotechnology Course Description

• Fruit Fly Course Description

• Hospital Placement Course Description

Summer Program Application

Students may apply to more than one program. Please rank your preferences in "program of interest" line.

A completed application includes full responsiveness to each item line, a copy of your latest transcript, letter of recommendation,

letter introducing yourself and stating how you see this program furthering your goals, and medical clearance within the past

year. All items are expected to be submitted together. If a document is not included, please include a note of explanation and

the date it can be expected.

Send documents to:

The Center for Excellence in Youth Education

Icahn School of Medicine at Mount Sinai

Attn: Alyson Davis, MSW

One Gustave L. Levy Place - Box 1250

New York, NY 10029

For questions, contact Alyson Davis by email at: [email protected].

Programs will run from June 30th through August 11th.

www.mssm.edu/cmca

The Icahn School of Medicine Icahn School of Medicine at Mount Sinai is proud to stand as a

leader in medical and scientific training, biomedical research

and patient care. Our unwavering dedication to intellectual

exchange, multidisciplinary teamwork and innovation propels

us ever forward in discoveries and advances to improve the

human condition.

Icahn School of Medicine attracts outstanding scientists, clini-

cians and students, all of whom share a deep commitment to

expanding biomedical knowledge, providing expert clinical

care and serving the community. Working in close partnership

with The Mount Sinai Hospital, the Icahn School of Medicine

serves one of the most diverse and complex patient popula-

tions in the world. Our passion for patient-focused research

and education has inspired generations of physicians and

researchers to learn, teach and practice breakthrough trans-

lational medicine on our campus. Fast paced and forward

thinking, we continue to build upon this legacy.

For further information contact

Alyson Davis, MSW

Program Coordinator


Housed in the Center for Multicultural and Community Affairs

Mailing Address:

1 Gustave L. Levy Place, Box 1250

New York, NY 10029

Office Location:

Annenberg 12-35/36

Phone: 212-241-7655

Fax: 212-348-1059

email: [email protected]

www.facebook.com/ceye.cmca

Program RequirementsAll participants will receive a temporary Mount Sinai ID

and an on-loan laboratory jacket that are to be worn while on

campus. All summer programs are full day 6 week courses

with the expectation of full attendance.

Eligibility: In order to participate, students must attend

a public school, have a GPA of 80/85 or above, and

adhere to all other application requirements.

A completed application includes full responsive-

ness to each item line, a copy of your latest

transcript, letter of recommendation, letter

introducing yourself and stating how you

see this program furthering your goals, and

medical clearance within the past year.

All items are expected to be submitted

together. If a document is not included,

please include a note of explanation

and the date it can be expected.

Housed in the Center for Multicultural and Community Affairs

Exposing youth to science and

medicine since 1975

CEYEThe Center for Excellence in Youth Education

The Center for Excellence in Youth EducationThe Center for Excellence in Youth Education (CEYE) is housed within the

Center for Multi-Cultural & Community Affairs (CMCA) at the Icahn School of

Medicine at Mount Sinai. Founded by Lloyd R. Sherman, EdD, CEYE

provides educational pipeline programs for grades 7 – 16, for historically

underrepresented or economically disadvantaged students. CMCA’s CEYE aims to

increase underrepresented minorities in medicine and other healthcare professions by

preparing students for entry into the postsecondary degree programs within scientific,

technical, health-related fields, and the licensed professions.

Programs are offered throughout the academic year to specifically partnered public schools,

and opened up to all NYC public school students during the summer months. CEYE is

sustained through federal and state funding, along with occasional private donations.

Private donations have come from philanthropists, alumni and other interested parties,

but no formal fundraising is conducted.

Summer ProgramsSummer Research Courses (rising 10th, 11th, & 12th graders):Zebrafish Toxicology – students learn to evaluate the

effects of a toxicant on a living organism. Participants will

be able to describe the impact of environmental hazards on

human health, and to experience first-hand the process that

scientists use to investigate environmental health problems.

Fruit Fly Genomics - This laboratory project program

teaches the fundamentals of designing and carrying out all

aspects of a scientific investigation. The live materials select-

ed and the equipment used will be simple. The intent of the

course is to involve students in each step of the scientific

process through engagements in a descriptive investigation.

Nanotechnology - This course is designed to introduce

students to the world of nanotechnology and its biomedical

applications. In this course students learn about the new

science of nanotechnology and how its applications can

change the world.

All summer research courses require students to maintain logbooks and complete pre-posttests, oral presentations, and final presentations.

Summer Hospital and Laboratory Placements (rising 12th graders): This program is designed to

further expose students to health careers and to enhance

their basic science knowledge and language arts skills.

Participants will spend each day in a hospital or laboratory

placement for the purpose of study and career explora-

tion. Studies will include library research and involvement

in a weekly seminar. Working with health professionals in

the hospital environment will not only help to determine a

career direction but also teach students about the ways of

the working world.

Students must keep a log book, complete a final paper and oral presentation.

1975Preparing students for entry into the

postsecondary degree programs within

scientific, technical, health-related fields

and the licensed professions

Academic Year ProgramsDay-With-A-Scientist (7th & 8th graders): students take

part in full day immersion experiences in the theme-based,

Day-With-A-Scientist (DWAS) series. Each DWAS orients

students to a different major organ in the body, such as the

heart, brain, kidney, liver, or the eye. Sessions include organ

dissection labs, presentations of organ function in health and

disease, diagnosis, treatments and prevention incorporated

into discussions, visits to departments, clinics, and research

labs. Each DWAS includes a specific study guide, pre-post-

test, student assessment of each program element and exit

oral presentations.

Biotechnology & Medical Research Course (11th & 12th graders): This two-year program consists of

advanced laboratory experiences and clinical internships.

The first-year course is an introduction to the basic concepts

and laboratory skills used in the field of DNA and technology.

During the second year, participants are placed individually

in two clinical or laboratory internships at the Mount Sinai

Medical Center.

Pre-posttests throughout the semester, oral presentations, written research papers, debates, and logbooks required.

All summer programs are full day 6 week courses

CEYE provides educational pipeline programs,

grades 7 – 16, for historically underrepresented

or economically disadvantaged students.

The Center for Excellence in Youth Education of the

Center for Multicultural and Community Affairs

Exposing Young Minds to Science and Medicine since 1975

Alyson Davis, MSW

Program Coordinator


Icahn School of Medicine at Mount Sinai One Gustave L. Levy Place, Box 1250

New York, NY 10029-6574

Tel: 212-241-7655

Fax: 212-348-1059

[email protected]

Fruit Fly Genomics

Introduction to Research and Genetics

(Rising High School Sophomores, Juniors, and Seniors)

Description

This laboratory project program teaches the fundamentals of designing and carrying out all aspects of a scientific investigation. The live materials selected and the equipment used will be simple. The intent of the course is to involve students in each step of the scientific process through engagements in a descriptive investigation. The outcomes of every project will be presented orally and in writing at the end of each semester. After completing one term in this course, successful students will have the opportunity to be selected into the advanced research program, working with a Mount Sinai scientist. Highlights

• Learn how to set up a study project. • Hands-on laboratory work. • Collect and analyze data. • Integrate background reading into project.

Requirements

• Full attendance. • Maintain a detailed logbook. • Regular oral and written progress reports. • Project proposal. • Complete a final written and oral research report.

Eligibility

• Interest in pursuing scientific research. • Must be a rising high school sophomore, junior or senior, with a minimum GPA of 80. • Must be under-represented minority or disadvantaged.

The application must include:

• A recommendation from either a teacher or guidance counselor. • A letter (from you) stating how this course will help you pursue a specific career in the health

field and help you reach your goals. • A fully completed application form (including signed consent forms: parental/medical/publicity) • Copy of your latest transcript.

Please send all the above forms to:

Center for Excellence in Youth Education Mount Sinai School of Medicine- Box 1250

#1 Gustave L. Levy Place, New York, NY 10029 Attn: Alyson Davis

**Deadline: April 15, 2014** Email Alyson Davis at [email protected]

mailto:[email protected]




Alyson Davis, MSW

Program Coordinator

The Center for Excellence in Youth Education Icahn School of Medicine at Mount Sinai

One Gustave L. Levy Place, Box 1250

New York, NY 10029-6574

Tel: 212-241-7655

Fax: 212-348-1059

[email protected]

Hospital Placement Program

Rising High School Seniors

(With Prior Hospital or Laboratory Experience)

Description This program is designed to further your exposure to health careers and to enhance your basic science knowledge and language arts skills. You will spend each day in a hospital placement for the purpose of study and careers exploration. Your study will include library research and involvement in a weekly seminar. Working with health professionals in the hospital environment will help you not only to determine your career direction but also to learn about the ways of the working world.

Highlights

• All-day hospital placement. • Meet staff and learn about their careers • Learn how a hospital department works. • Assist hospital staff with aspects of their work. • Learn how to use a medical library. • Get to know the Mount Sinai campus and its facilities.

Requirements

• Full attendance. • Maintain a hospital placement logbook. • Present oral reports on a regular basis. • Complete a 5-page paper on a placement-related theme.

Eligibility

• Interest in pursuing a health career. • Prior experience in a health or medical facility. • Must be a rising high school senior, with a minimum GPA of 85. • Must be under-represented minority or disadvantaged.



field and help you reach your goals. • A fully completed application form (including signed consent forms: parental/medical/publicity) • Copy of your latest transcript. • A physical within the last year, including TB, Hepatitis B and Rubella tests.




**Deadline: April 15, 2014**

Contact Alyson Davis at [email protected]


Email Alyson Davis at [email protected]

Nanotechnology Engineering of Tiny Machines

(Rising High School Sophomores, Juniors, and Seniors) Description

This course is designed to introduce you to the world of nanotechnology and its biomedical applications. In this course you will learn about the new science of nanotechnology and how its applications can change the world. Participants will be able to describe the positive and negative impacts of nanotechnology on society. You will learn about nanoscale, nanotools, nanostructures in nature and nanobiotechnology. You will also learn about the role of nanotechnology in medicine and other health developments. Highlights

• Explore careers in nanotechnology science. • Establish an environmental research study. • Collect and analyze data. • Perform database searches on-‐line and at the Levy Library. • Get to know the Mount Sinai campus and its facilities. • Meet with Mount Sinai Research faculty.

Requirements

• Full attendance. • Work with a dyad partner. • Present oral and written progress reports on a regular basis. • Maintain a detailed logbook. • Complete a pre/post-‐test. • Complete a final written and oral research report.

Eligibility

• Demonstrated interest in biomedical sciences and research. • Must be under-‐represented minority or disadvantaged. • Must be a rising high school sophomore, junior or senior with a minimum GPA of 85.



field and help you reach your goals. • A fully completed application form (including signed consent forms: parental /publicity) • Copy of your latest transcript.

Please send all the above forms to: Center for Excellence in Youth Education Mount Sinai School of Medicine-‐ Box 1250


**Deadline April 15, 2014**

The Center for Excellence in Youth Education of the Center for Multicultural and Community Affairs Exposing Young Minds to Science and Medicine since 1975

Alyson Davis, MSW Program Coordinator The Center for Excellence in Youth Education Icahn School of Medicine at Mount Sinai One Gustave L. Levy Place, Box 1250 New York, NY 10029-6574 Tel: 212-241-7655 Fax: 212-348-1059 [email protected]

This program is part of the AMSNY STEP (Science and Technology Entry Program) Consortium, the only state-‐wide STEP consortium. This consortium is funded by the New York State Education Department.

Science and Technology Entry Program

All information provided in this application is confidential. Date: ___________ Grade you will enter in September: _______ Program(s) of interest: _____________________________________________________________________ Print Name: First Middle Last Home Address: House No. / Street Name / Apt. No. City, State, Zip E-mail Address: Home Phone No: Cell Phone No.:

Face Book Name: ____________________________ Twitter ID: ___________________________

Date of Birth: Gender: [ ] Male [ ] Female

NY State Resident: [ ] Yes [ ] No Place of Birth:

City/Town/Country U.S. Citizen [ ] Yes [ ] No Permanent Resident: [ ] Date: Visa Type: Ethnicity1: (Check One)

[ ] African-American/Black* [ ] Hispanic/ Latino (specify) [ ] American Indian/Alaska Native [ ] Other (please specify)** *Includes students from Africa and the Caribbean.** If you checked “other”, please refer to Appendix Guidelines For Student Eligibility to determine if you are economically disadvantaged. If you do not provide financial documentation as required by New York State, your application will not be accepted. ACADEMIC DATA

1 For the purpose of STEP, minorities historically underrepresented in the scientific, technical, health related and licensed professions include residents of New York who are Black or African American, American Indian, Alaska Native, or Hispanic/Latino.

2013-2014 STEP STUDENT APPLICATION




(All applicants must submit their most recent report card or transcript with this application) High School: Address: Guidance Counselor: Phone #: Class Rank (seniors only) Expected Date of Graduation: Do you currently receive reduced or free meals at school? � YES � NO STANDARDIZED TEST SCORES (Please answer all that apply) Write N/Y/T for any tests “NOT YET TAKEN”

PSAT Verbal________ PSAT Math___________________ Date taken___________ SAT I VERBAL______________ SAT I MATH_______________ Date/s taken__________ REG. MATH____________________ REG. SCI___________________ Date/s taken________

(Name Course) (Name Course) SAT II: (Subject Name) _________________________________ (Score) ____________ Date Taken____________ SAT II: (Subject Name)_________________________________ (Score) ____________ Date Taken____________ SAT II: (Subject Name) _________________________________ (Score) ____________ Date Taken____________ GRADES FOR LAST MARKING PERIOD OF 2013 1. Math GPA__________ Science GPA_________ Current Overall GPA _______ (Grade report MUST verify) 2. Will you be in a Regents curriculum in 2013-2014? { } Yes { } No WHAT MATH AND SCIENCE COURSES ARE YOU TAKING IN THE FALL? (Please provide course number/name and indicate if it is a Non Regent (NR); Regent (R); or Advance Placement (AP) course. Algebra______________ Geometry______________ Pre-calc_____________ Calculus________________ Trigonometry____________ Other Math (name) ______________ Biology___________________ Chemistry_______________ Physics____________ Other Science (name)___________ Previous Mount Sinai Program(s): _________________________________________________________


Please list awards received in high school: Please list extracurricular activities (school, community, church, involvement in other programs):

What are your career interests?

FAMILY DATA Student Resides With [ ] Mother and Father [ ] Mother [ ] Father [ ] Other Mother/Guardian First & Last Name Home Phone No.

Home Address House No./Street/Apt. No., City, State, Zip Email Address Work Phone No.______________________

Father/Guardian First & Last Name Home Phone No.

Home Address House No. /Street/Apt. No., City, State, Zip

Email Address______________________________________Work Phone No.______________________

If you checked “Other” for ethnicity you must provide household income.

HOUSEHOLD INCOME (Annual): $ Total No. in Household_____

Source of Income: [ ] Employment [ ] Unemployment [ ] Social Services

[ ] Social Security [ ] Other

Person to Contact in Case of Emergency

Relationship Email Address

Home Phone No. Cell Phone / Work No.


APPENDIX

GUIDELINES FOR STUDENT ELIGIBILITY The Science and Technology Entry Program is designed for students attending secondary school (grades 7-12) in New York State who are either minorities historically underrepresented in the scientific, technical, health related and licensed professions, or economically disadvantaged as defined below. For the purpose of STEP, minorities historically underrepresented in the scientific, technical, health related and licensed professions include residents of New York State who are African American, American Indian/ Alaska Native or Hispanic. If you are economically disadvantaged, you may be eligible for STEP. Please refer to the guidelines below and provide the required documentation. For the purpose of STEP, a student is considered a New York State resident if he or she resides in New York State and has lived in New York State for the last two terms of school prior to entry into the STEP Program, or has resided in New York State for at least 12 months immediately preceding the first term for which he or she is seeking participation in the STEP Program. The economic eligibility standards set forth in this Appendix apply only at the time of application to the Science and Technology Entry Program. Once admitted, a participant may continue to receive services, even if the family income rises above the current eligibility standards. 1. Economic Eligibility Criteria for First-Time Students

A student is considered economically disadvantaged if he or she is a member of: • a household supported by one parent if dependent, by the student or by a spouse if independent, whose total

annual income is not more than the applicable amount listed in the table below; or • a household supported solely by one member thereof who works for two or more employers with a total

annual income which does not exceed the applicable amount set forth in the following table by more than $1,800; or

• a household supported by more than one worker (parents if dependent, student and spouse if independent) in which the total annual income does not exceed the applicable amount listed in the table below by more than $4,800; or

• a household supported by one worker (parent if dependent, student if independent) who is the sole support of a one-parent family in which the total annual income does not exceed the applicable amount listed in the table below by more than $4,800.

The number of members of a household shall be determined by ascertaining the number of individuals living in the student’s residence who are economically dependent on the income supporting the student. For students first entering the Program between July 1, 2009 and June 30, 2010:

Number of members in household (including head of household)

Total annual income in preceding calendar year

1 $16,060 2 $21,630 3 $27,210 4 $32,790 5 $38,360 6 $43,960

7 or more $49,500 plus $5,570 for each family member in excess of 7


2. Exceptions

Reference to the household income scale need not be made if the student falls into one of the following categories and documentation is available:

a. The student’s family is the recipient of (1) Family Assistance Program Aid, or (2) Safety Net Assistance through the New York State Office of Temporary and Disability Assistance, or a county Department of Social Services, or (3) family day care payments through the New York State Office of Children and Family Services Assistance, or a county Department of Social Services.

b. The student is a ward of the State or a county.

3. Documentation

Please provide only one of the following documents.

The following shall be acceptable documentation of economic eligibility:

a. Documentation of all income, earned dividends and interest: a signed copy of appropriate year’s tax return (IRS Forms 1040, 1040A, 1040EZ, or 4506).

b. Documentation of a sole worker’s income from two or more employers: W2’s for the appropriate year or similar documentation acceptable to the Commissioner.

c. Documentation of no income: a copy of IRS Form 4506 which has been filed by the student or family with the Internal Revenue Service or a copy of IRS Letter 1722 indicating that the student or parent did not file a return.

d. Documentation of pension, annuity, or unemployment benefits: letter from the applicable agency showing appropriate year’s total award (if not reported on IRS Forms 1040, 1040A, 1040EZ or 1099).

e. Documentation of Social Security, Supplemental Security Income, or Veterans Administration non-educational benefits: a letter from the applicable agency showing applicable year’s total award for each member of the household, including Medicare premiums or IRS Form 1099 for each member of the household.

f. Documentation of Social Services payments: verification from a branch of the State Office of Temporary and Disability Assistance, Office of Children and Family Services Assistance, or a county department of Social Services showing year that benefits were received and names of recipients including the applicant.

g. Documentation of child support and/or alimony: a court order, affidavit.

h. Documentation of additional members in household: birth certificates, marriage certificates, third-party verification, or similar documentation acceptable to the Commissioner, along with proof of income or lack of income for each such member.

Documentation of zero household contribution: the needs analysis output form from one of the United States

Department of Education.


Medical Certification Form

Student’s Name: ______________________________________________________Last 4 digits of Social Security_________ Last First (___) I have examine the above names on, _____________ and found him/her to be medically fit and capable of performing all assigned duties. (___) The above named has a condition that will affect his/her ability to function effectively and may put others at risk (please describe the condition): Immunizations: 1. P.P.D. Negative ___________ Positive ___________

Date Given ___________ Date Read ___________

[If test is found to be positive please attach Chest X-‐Ray. PPD must be within the last 6 months. Students with a PPD conversion in the last 12 month must show proof of treatment and provide a Chest X-‐Ray.]

2. M.M.R. or Titer* Dates ___________ ____________ *Immune ___________ Not Immune ____________ Date tested _____________

3. Hepatitis B Dates ___________ _____________ _____________ 4. TDaP Date ____________ 5. Varicella Dates ____________ ______________ 6. Asthma Yes __________ No __________ _______________________________ _______________________________________________________________ Physician’s Name (Print) Address ______________________________ _______________________________________________________________ Physician’s Signature City/State/Zip _____________________ _______________________________________________________________ Date Telephone




Medical Attention Consent Form ______ ______________________________________________________ Dear Parent: We ask your permission to extend medical attention to your son/daughter – as a participant in the Mount Sinai CEYE Program – should an emergency arise. Please indicate your consent for the Hospital to treat your child in case of an emergency, by completing and signing the bottom portion of this letter – and returning it immediately to the program office. A charge for this service may apply. Sincerely yours, Alyson Davis, MSW Center for Excellence in Youth Education

-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐

I give permission to The Mount Sinai Hospital to extend medical attention and treatment to my child, _______________________________________________ should an emergency arise during the hours that he/she is in attendance at the Mount Sinai CEYE Program. Medicaid No./Type ____________________ __________________________ Or Other Insurance ____________________ Parent/Guardian (Print) Expiration Date ____________________ __________________________ Parent/Guardian (Signature) __________________________ Date




Participation Consent Form

______ ______________________________________________________ Dear Parent: Your son/daughter, _________________________________________, is participating in a program at the Icahn School of Medicine at Mount Sinai. From time to time, the students make visits to other institutions for educational purposes. We request your consent for your child to participate in these off-‐campus experiences. Please indicate your approval by signing the bottom portion of this letter and returning it immediately to our offices. If you have any questions, please call the program office at (212) 241-‐7655 or (212) 241-‐6089. Sincerely yours, Alyson Davis, MSW Center for Excellence in Youth Education -‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐ I give my full consent for my child, _______________________________________, to participate in off-‐campus educational experience planned by the Mount Sinai CEYE Program. _____________________________________ _________________________ Parent/Guardian (Print) Date _____________________________________ _________________________ Parent/Guardian (Signature) Date




Photography Consent Form

______ ______________________________________________________

Name of Student_________________________________________________________ Address________________________________________________________________ I hereby give my consent for a statement, photograph, video and/or movie that may be taken of the above student by The Mount Sinai Hospital (“the Hospital”) or the Icahn School of Medicine at Mount Sinai (‘the School of Medicine) and / or for any publication, television or radio program, station, or network authorized by the Hospital of by the School of Medicine. Such statement, photography, videotape and/or movie may be published, shown, exhibited or otherwise used by the Hospital, School of Medicine, and/ or by any publication, television or radio program/ station/ social network. Photographs will be used for promotion and recruitment and for use on social media platforms and sites including but not limited to Facebook, Twitter, Linkedin, YouTube, Digg, Reddit, Sharecare, Quore, Wiki, Podcast, ustream, blogs, forums, websites and any Other online pages and mobile applications. Other:_____________________________________________________ I understand that if I do not check a box below, the above-‐named student and/or members of the student’s family may be identified by name in connection with the public use of this material. ◊ I grant this consent voluntarily, and waive any and all rights that the student many have in connections with any of the above. _____________________________________ _________________________ Parent/Guardian Signature Date




Academic Record Release Form

___________________________________________________________________

I,_________________________________________________, give permission for Name of parent/guardian _____________________________________________ to participate in the Center for Excellence Name of student in Youth Education program at the Icahn School of Medicine at Mount Sinai. I (we) authorize the Center for

Excellence in Youth Education to obtain and review school records. I (we) understand that all

information will be kept confidential.

___________________________________________ __________________________ Applicant Signature Date

___________________________________________ __________________________ Parent/Guardian Signature Date






Alyson Davis, MSW

Program Coordinator


Icahn School of Medicine at Mount Sinai One Gustave L. Levy Place, Box 1250

New York, NY 10029-6574

Tel: 212-241-7655

Fax: 212-348-1059

[email protected]

Environmental Health: Toxicology

Identifying Contaminants in Living Material

(Rising High School Sophomores, Juniors, and Seniors)

Description

In this course you will learn how to evaluate the effects of a toxicant on a living organism. Participants will be able to describe the impact of environmental hazards on human health, and to experience first-hand the process that scientists use to investigate environmental health problems. You will learn about epidemiology, dose/response, bio-pathways, biomarkers, bio-accumulation, risk assessment and many more. You will also learn about the role of environmental contaminants in cancer and other illnesses.

Highlights

• Explore careers in toxicology and environmental science. • Establish an environmental research study. • Collect and analyze data. • Perform database searches on-line and at the Levy Library. • Get to know the Mount Sinai campus and its facilities. • Meet with Mount Sinai Research faculty.

Requirements

• Full attendance. • Work with a dyad partner. • Present oral and written progress reports on a regular basis. • Maintain a detailed logbook. • Complete a pre/post-test. • Complete a final written and oral research report.

Eligibility • Demonstrated interest in biomedical sciences and research.

The application must include: • A recommendation from either a teacher or guidance counselor. • A letter (from you) stating how this course will help you pursue a specific career in the health

field and help you reach your goals. • A fully completed application form (including signed consent forms: parental/medical/publicity) • Copy of your latest transcript.




**Deadline: April 15, 2014** Email Alyson Davis at [email protected]


center for excellence in youth education summer program ... · exchange, multidisciplinary teamwork...

Documents