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 September 30th. A $1,000.00 scholarship will be awarded the week of November 18th to one lucky recipient.

Please complete the application with the required information, then send your references and official school transcripts by the application deadline of September 30th.

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

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Phone #

(###)

###

####

Your Email Address

Education

REQUIRED: High School & Grad Date, College, Degree & Date OR Anticipated Graduation Date

Extracurricular

List all extracurricular activities, community or Healthcare activities with which you are involved.

Employment

Please list current employer, position and their address

Short Essay

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.

I understand