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The 2012 Joint Admissions Medical Program (JAMP) Camp is a FREE 6 day long opportunity for High School

rising seniors in the greater Houston area who are interested in going to college and ultimately going to Medical School to practice a career as a Physician. Students will immerse themselves in activities related to success in college and the medical profession as a physician. This camp is being co-sponsored by JAMP, Houston Baptist University, University of HoustonDowntown, and University of St. Thomas and is open to all outstanding rising seniors (students beginning their senior year of high school in the Fall of 2012) in the state of Texas. Preference will be given to those whose family has a financial need and would be excellent future candidates for the Joint Admissions Medical Program (JAMP) during their college years. The application is below and is due by April 30, 2012.

Houston JAMP Camp 2012
July 15 - July 20, 2012
*E-mail will be the official communication that the Houston JAMP Camp committee will use to communicate with applicants and participants

PLEASE PRINT OR TYPE Name ________________________________________________________________ Age ______ Address __________________________________________________________________________ Street City State Zip Home phone _____________________ _________ Cell phone _____________________________ High school ______________________________________________________ Male ______ Female _______ E-mail address ___________________________________________ (E-mail will be official means of communication) Parents/guardians ________________________________________ Phone ____________________ Emergency contact _______________________________________ Phone ____________________ Do you have any dietary restrictions? YES NO If yes, please explain: _______________________________________________________________________________ Do you have any known allergies? YES NO If yes, please explain: _______________________________________________________________________________ Teacher/Counselor’s name (Recommender) ___________________________________________ Phone _____________________________ List and explain any relevant activities or awards such as volunteer work, paid work or science fair awards. _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ I am certified in: First Aid ________ CPR ________ Neither _________

My college plans are ______________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________

Did your parents attend college? _________ If so, where? ___________________________________ Father’s occupation _______________________ Mother’s occupation _______________________

JAMP (Joint Admission Medical Program) is designed to help economically disadvantaged students realize their dream of becoming a physician in the State of Texas. While economic status is not a consideration for admissions into our summer camp, preference will be given to those with an existing economic need. Size of household (Number of people living in household including all adults)_________________ Were you required to contribute to the overall family income (as opposed to working primarily for your own discretionary spending money) while attending elementary and/or high school? ____Yes ____No Estimated yearly household income ________________ Monthly rent or mortgage where you live? __________________ Did you or a member of your immediate family ever live in subsidized housing? ____Yes _____No Did you have responsibilities in raising other children in your household while attending elementary and/or high school? ____Yes ____No Did you or a member of your family ever receive benefits from the Federal Free and Reduced Meal program? ____Yes ____No How did you hear about this camp? Teacher/counselor ______ Friend ______ Advertising ______ Hospital ______ Other _____________________________________________________ ********************************************************************************** Parent/Guardian gives permission for the student to apply for the Houston JAMP Summer Camp from July 15 - July 20, 2012 at the University of St. Thomas. I certify that the information on this application is true and correct, and I agree to abide by the camp rules and policies provided upon acceptance. ____________________________________________ Parent/Guardian Signature ____________________________________________ Student Signature __________________________ Date __________________________ Date

Send completed application to:

Susan W. Cook, Ph.D. Houston Baptist University 7502 Fondren Rd. Houston, TX 77074

On opening day as well as on closing day, Houston JAMP Camp invites one or two of your guests, preferably parents, to dine with us. Please RSVP below indicating the number of people, not including yourself, that will be attending the dinners: Opening day _____________ Closing day ______________

A complete application will include all of the following:
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a copy of current High School transcript a copy of SAT and/or ACT scores (PSAT may be submitted if SAT or ACT have not yet been taken) a letter of recommendation from a teacher or counselor a 500 word essay about your motivation for a career in medicine a completed application form (this form). Applications must be postmarked by April 30, 2012 Please note that late applications will not be accepted

Tentative Schedule for Houston’s JAMP Camp 2012 Day Sunday, July 15, 2012 Time 5:00 pm 6:15 – 8:00 pm 8:00 – 9:00 pm 8:00 am 9:00 – 11:00 am 11:30 am – 12:30 pm 1:00 – 3:00 pm 3:30-4:30 pm 5:30 – 6:30 pm 7:00 – 9:30 pm 8:00 am 9:00 am 9:30 – 11:30 am 12:00 – 1:30 pm 2:00 – 3:00 pm 3:30-4:00 pm 4:00-5:00 pm 5:00 pm 5:30 – 6:30 pm 7:00 – 9:00 pm 8:00 am 9:00 am 9:30 – 11:30 am 12:00 – 1:00 pm 1:30 – 4:00 pm 4:30 pm 5:30 – 6:30 pm 7:00 – 9:00 pm 8:00 am 9:00 am 9:30 – 11:30 am 12:00 – 1:00 pm 1:00 – 4:00 pm 4:30 pm 5:30 – 6:30 pm 7:00 – 9:00 pm 8:00 am 9:00 – 11:00 am 11:30 – 1:00 pm 1:00 – 6:00 pm 6:00 – 8:00 pm 8:30 pm Activity Arrive/Check-in at UST and meet roommates Orientation & Opening Dinner with parents Address by Paul Hermesmeyer Q & A with current JAMP students Breakfast at UST Bioinformatics class & laboratory at UST Maia Larios & Larry Nordyke Lunch at UST Bioinformatics class and laboratory at UST Maia Larios and Larry Nordyke Presentation by UST & HBU Admissions Dinner at UST Movie night & Discussion with current JAMP students Breakfast at UST Board vans Microbiology class and laboratory at UHD Etiquette lunch at UHD Microbiology class and laboratory at UHD Presentation by UHD Admissions SAT Presentation by Kaplan Board vans and return to UST Dinner at UST Sand pit volleyball or swimming Breakfast at UST Board vans UT Houston Medical School Lunch at UT Houston Medical School UT Houston Medical School Board vans Dinner at UST Karaoke Night Breakfast at UST Board vans Baylor College of Medicine Lunch at Baylor College of Medicine Baylor College of Medicine Board vans Dinner at UST Evaluations and Free Time Breakfast at UST Presentation Lunch at UST Banquet presentation preparations/Free time/Pack Farewell Banquet with parents Depart for home

Monday, July 16, 2012

Tuesday, July 17, 2012

Wednesday, July 18, 2012

Thursday, July 19, 2012

Friday, July 20, 2012