2022 Kesha Young Scholarship Application Instructions Thank you for your interest in the Kesha Young Health Scholarship Program at Mission Health. For questions about the process, contact NCDV.ScholarshipMailbox@hcahealthcare.com. Scholarship amount varies depending on volume of applicants, and may not be the same amount each year for returning scholars. THE FOLLOWING QUALIFICATIONS MUST BE MET: You must qualify as a member of an underrepresented minority group as defined by state and federal guidelines, i.e. American Indian or Alaskan Native, Asian Underrepresented (Bangladeshi, Cambodian, Hmong, Indonesian, Laotian, Malaysian, Nepalese, Pakistani, Si Lankan and Vietnamese), Black or African-American, Hispanic or Latino, Native Hawaiian or Other Island Pacific Islander. Maintain a minimum cumulative Grade Point Average of 3.0 on a 4.0 scale Pursuing a field of study for a career in healthcare Demonstrated interest in future employment at Mission Health Completing high school or a GED program prior to June 30th, 2022 If you have ever worked for Mission Health, you must be re-hire eligible and not in corrective action You may not be a physician*, or an immediate family member of a physician* PLEASE COMPLETE AND SUBMIT THE FOLLOWING: Completed application: Online Form below An official, sealed copy of your most recent high school or college/university transcript Two letters of recommendation (not needed if reapplying- ALL other items must still be submitted) An interview and/or additional references may be required Please complete the online form below and send in all supporting documents (transcripts, and letters of support for new applicants) no later than Friday April 15th at 5pm. Supporting documents should be sent to: NCDV.ScholarshipMailbox@hcahealthcare.com Or Kesha Young Health Careers Scholarship Program c/o Sara Lewis-Wallace 1 Hospital Drive, Suite 6321 Asheville, NC 28801 Please complete the secure form below to apply: 2022 Kesha Young Scholarship Application Form 2022 Kesha Young Scholarship Application Form Full Legal Name * Social Security # Phone Cell Phone Permanent Address City State Zip Mailing Address (if different than above) High School High School Graduation Date (must be June 2022 or earlier): College/University planned to attend/attending THIS FALL: Have you been accepted? y/n Long term career goal: Start Date Student ID Number Major course of study: Anticipated Graduation Date: Have you applied for a scholarship with Mission Health before? If so, on what date? Have you been a recipient of a scholarship from Mission Hospitals before? If so, when? Have you ever been a Mission Health employee? Current, former or Neither? How did you hear about the Kesha Young Health Careers Scholarship? What historically underrepresented group do you identify with? By clicking here, I certify that I am not a Physician* or an immediate family member of a physician** The above information is true to the best of my knowledge. Email New Applicants: What are your long-term career goals? (Begin with a topic sentence that explains why you are choosing your particular field of study or career path.) New Applicants: Tell the scholarship committee about your story; what are the events that have inspired you towards your field of study or career path? New Applicants: How will this scholarship help you meet your career goals? New Applicants: Kesha Young was a young bi-racial woman with medical conditions requiring multiple surgeries at Mission Hospital. She was described by her adoptive parents as embodying the characteristics that are vital to how healthcare team members engage with patients, families and visitors: with a strong spirit, warm smile and positive encouragement. Let us know why you would like to be part of a program that honors her memory. Returning Applicants: Please update us on your long-term career goals, and share with us any impact the Kesha Young Program has had on the lens with which you view your coursework and goals. reCAPTCHA If you are human, leave this field blank. Submit Notification of scholarship selection status will be made by May 2022. Scholarship funds will be written to the College/University to be applied to Fall 2022 Tuition. Selected recipients will be invited to attend a Scholarship Reception at Mission Hospital in early June- attendance is encouraged! * Physician means any person who is a doctor of medicine or osteopathy, a doctor of dental surgery or dental medicine, a doctor of podiatric medicine, a doctor of optometry, or chiropractor, licensed by a jurisdiction within the United States. The term “Physician” includes without limitation any person who is an Immediate Family Member of a person described in the immediately preceding sentence. ** Immediate Family Member of a person means that person’s husband or wife; birth or adoptive parent, child, or sibling; stepparent, stepchild, stepbrother, or stepsister; father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law; grandparent or grandchild; grandparent’s or grandchild’s spouse.