Camp Application Step 2 – Requirements

Thank you for completing the first step in your MASH camp application. Here are the next steps in the process on being accepted into MASH camp. Please see the requirements specific to the camp location:
**Please note that once the application is complete, it does not mean that you have been accepted into MASH camp. The MASH camp application process is very competitive and only a limited number of students are accepted each year. You will be notified of your acceptance via email.
For any questions regarding the application process, please email cpayne@cnyahec.org.
Auburn Community Hospital

1. Download the following forms:

2020 Healthcare Provider Form

Auburn Community Hospital Liability Release Form 2020

MASH Confidentiality Acknowledgement

Media Release Form 2020

Student Health Assessment Form
2. Please complete all (5) forms and upload to https://cnyahec.org/document-upload/ Please note: PPD results and proof of Flu Shot are required in order to be accepted to camp. There will be absolutely no exceptions. 
3. Once all of the forms are received, the MASH Camp coordinator will review for completeness. These forms will also be reviewed by hospital staff to ensure all information is complete. ALL forms must be submitted by the application deadline on March 25, 2020.

Crouse Community Center- Skilled Nursing Facility 

1. Download the following forms:

Crouse Community Liability Release 2020

Healthcare Provider Form

MASH Confidentiality Acknowledgement

Media Release Form

Student Health Assessment Form

2. Please complete all (5) forms and upload to https://cnyahec.org/document-upload/ Please note: PPD results are required in order to be accepted to camp. There will be absolutely no exceptions. 
3. Once all of the forms are received, the MASH Camp coordinator will review for completeness. These forms will also be reviewed by hospital staff to ensure all information is complete. ALL forms must be submitted by the application deadline on June 12, 2020.

 

Pathfinder Village

1. Download the following forms:

2020 Healthcare Provider Form

MASH Confidentiality Acknowledgement

Media Release

Pathfinder Village Liability Release Form 2020

Student Health Assessment Form
2. Please complete all (5) forms and upload to https://cnyahec.org/document-upload/ Please note: PPD results are required in order to be accepted to camp. There will be absolutely no exceptions. 
3. Once all of the forms are received, the MASH Camp coordinator will review for completeness. These forms will also be reviewed by hospital staff to ensure all information is complete. ALL forms must be submitted by the application deadline on June 1, 2020.

Oswego Hospital

1. Download the following forms:

Confidentiality Acknowledgement

Media Release

Oswego Health Care Provider Health Assessment Form

Oswego Liability Release Form

Student Health Assessment Form

2. Please complete all (5) forms and upload to https://cnyahec.org/document-upload/ Please note: PPD results are required in order to be accepted to camp. There will be absolutely no exceptions. 
3. Once all of the forms are received, the MASH Camp coordinator will review for completeness. These forms will also be reviewed by hospital staff to ensure all information is complete. ALL forms must be submitted by the application deadline on July 1, 2020.