Cass Regional Medical Center

Auxiliary Scholarship Program Policy

The Cass Regional Medical Center Auxiliary Scholarship was established at Cass Regional Medical Center in 2004 by the Cass Regional Medical Center Auxiliary. Funds for the scholarship are provided by the Cass Regional Auxiliary on an annual basis. The following individuals are eligible to apply for the scholarship:

Any Cass Regional Medical Center employee who is pursuing professional certification or continuing education in his or her field, or any Cass County high school senior or Cass County high school alumnus who has been accepted by or is enrolled in an accredited program leading to a career in health care.

One $1,500 scholarship will be offered each year. In the event that a scholarship recipient's certification or educational costs are less than $1,500, an additional scholarship in the amount of the balance may be awarded to another individual. The opening date of the scholarship is March 1 and the closing date of the scholarship will be April 1, with the scholarship being awarded on or around April 15. Note: Dates are subject to change!

A committee to determine the scholarship recipients will be composed of the following Cass Regional Medical Center employees and volunteers: Chief Executive Officer; Chief Nursing Officer; Chief Financial Officer; Director of Plant Operations; Director of Dietary Services; Director of Environmental Services; President of the Auxiliary; and a current member of the Auxiliary. The Auxiliary Scholarship Committee will provide all applicants with application process information and will inform applicants of selection.

When awarded, the scholarships will be effective for the semester requested by the applicant. Applicants can reapply the following year. The committee's selection is based on the best-qualified applicant as ascertained from the application information.

Any scholarship funds not properly used by applicant (i.e., for failure to complete course work, or any other reason) shall be refunded to the Auxiliary.

(Th Cass Regional Medical Center

RE: The Cass Regional Medical Center Auxiliary Scholarship Program

Dear Applicant:

Thank you for your interest in the Cass Regional Medical Center Auxiliary Scholarship program. The Auxiliary awards one $1,500 scholarships each year. The deadline to submit this application is Friday, April 1, 2016.

The Auxiliary Scholarship is available to any Cass Regional Medical Center employee who is pursuing professional certification or continuing education in his or her field, or any Cass County high school senior or Cass County high school alumnus who has been accepted by or is enrolled in an accredited program leading to a career in health care.

Again, thank you for applying. If you have any questions, please feel free to contact me at (816) 887-0783 (in house, at extension 7830) or via email at dwalters@cassregional.org.

Sincerely,

H4'unfvu Lu&P-ki\I Donna Walters Customer Relations and Volunteer Coordinator

Cass Regional Medical Center

Cass Regional Medical Center Auxiliary Scholarship Program

NOTE: Applications must be postmarked by Friday, April 1, 2016. If additional space is needed, title each page with applicant's name. In addition to providing the information requested below, attach a statement detailing your financial need and career goals. Please list your name at the top of the statement. Please submit at least two letters of recommendation and your most recent school transcripts (be it nursing school, other college or high school). Email completed applications to Donna Walters at dwalters(Cvcassreaional.org or mail to Cass Regional Medical Center, Attn: Donna Walters, 2800 E. Rock Haven Rd., Harrisonville, MO, 64701. Incomplete or late applications WILL NOT be considered.

Name: Phone:

Address:

City: State: Zip:

To be completed by current high school seniors only:

Name of High School:

Graduation Date: GPA: Class Ranking: (Month/Day/Year)

To be completed by Cass County residents (who are not currently in high school) and/or past graduates of a Cass County high school: Educational Background (please list high school and graduation date or GED completion date and any additional education received):

Name of college where accepted/enrolled:

Date accepted/enrolled:

Anticipated graduation date:

Entrance Exam Score: Please indicate name of exam, i.e., ACT, NET, TEAS, and score(s).

Degree/licensure program:

The following information may be submitted as part of a resume. Extracurricular Activities: (Include school and community as well as medical/health related activities)

Employment Experience:

Honors and Awards:

I hereby certifi, that all information contained herein is true and accurate. If I am selected to receive the Cass Regional Medical Center Auxiliary Scholarship, I hereby grant my permission for representatives or employees of Cass Regional Medical Center to take photographs and/or record images of me, and to use said photos, images and information I provide herein for any lawful business purpose, such as publicity, advertising, and web content.

Signature of Applicant Date

Cass Regional Medical Center

Cass Regional Medical Center Auxiliary Scholarship Program

Letter of Recommendation

I recommend for consideration of the scholarship and attest to the accuracy of the foregoing information.

Name (please print)

Title/Position:

COMMENTS: (Your appraisal of this candidate will be kept confidential and will be available only to those involved with selecting the recipient of the scholarship.)

Cass Regional Medical Center

Cass Regional Medical Center Auxiliary Scholarship Program

Letter of Recommendation

I recommend for consideration of the scholarship and attest to the accuracy of the foregoing information.

Name (please print)

Title/Position:

COMMENTS: (Your appraisal of this candidate will be kept confidential and will be available only to those involved with selecting the recipient of the scholarship.)