Southwestern Colorado
Area Health Education Center

701 Camino del Rio, Suite 316
Durango, CO 81301| Phone: (970) 426-4284

Health Careers Camp Counselor’s Application

SWCAHEC Health Careers Camp - Counselor's Application

  • (Last Name, First Name, Middle Initial)
  • By entering name and date below and clicking the "Submit" button I certify that 1) I understand I will not hold the Colorado AHEC Program or Southwestern Colorado Area Health Education Center responsible for any accidents that may occur while I am volunteering for the program or at the job shadow site during the Health Careers Camp 2) that I am 21 years of age or older 3) that I understand the commitment level necessary 4) that I must request documentation for my time served if needed. This action will constitute an electronic signature in lieu of an actual signature and evidences the parties' mutual intent to enter into a valid and binding contract that will satisfy all applicable legal requirements. This Agreement shall constitute an "original" when printed from electronic files or records established and maintained in the normal course of business.
  • This field is for validation purposes and should be left unchanged.