Scholarship Application

Kansas City Area Health Care Recruiters Association
2800 Clay Edwards Drive
North Kansas City, MO 64116

Please fill in the required fields.  We will be notified once you have submitted the form.

Prior to submittal should you have any questions please feel free to reach out to Michelle Shortle at 816-691-5149 or Michelle.Shortle@nkch.org

Application Deadline is November 23rd.  Two scholarship's, (1) $1,000.00 and (1) $500.00 will be awarded January 2019 to two lucky recipients.

Please complete the application with the required information, then send your references and official school transcripts by the application deadline, November 23, 2018


Additional required documents must be sent to the following:

Scholarship Committee

Kansas City Area Health Care Association

Attn: Michelle Shortle, Chair

North Kansas City Hospital

2800 Clay Edwards Drive

North Kansas City, MO 64116

Your Name *
Your Name
Address *
Address
Your Phone # *
Your Phone #
REQUIRED: High School & Grad Date, College, Degree & Date OR Anticipated Graduation Date
List all extracurricular activities, community or Healthcare activities with which you are involved.
Please list current employer, position and their address
Please use this space to provide a personal statement describing your commitment to provide health care.
Acknowledgement *
I certify that the information contained in this application is true, complete and correct to the best of my knowledge, and that all funds will be used for the educational-related expenses in the current academic year. I hereby authorize the release of personal, scholastic and financial information related to my educational status from any academic institution I have attended in the past, am currently enrolled or may be enrolled as a student in the future, to the Scholarship Committee of the Kansas City Area Healthcare Recruiters.