Medical Assistant Scholarship Application

The purpose of this scholarship is to encourage and support medical assistant students at Concorde Career College – Kansas City and Mid-America Nursing & Allied Health Institute. The goal of this scholarship is to assist students that may be struggling to meet both academic and financial obligations while completing their externship. Scholarships of up to $3,000 are awarded to cover any personal expenses that students incur while on externship. The scholarship is paid via stipend through the student’s school. The awarded scholarship will be split into two separate payments based on progress through the program.

Eligibility

Concorde Career College – Kansas City: Only students enrolled in the medical assistant eight-month program at Concorde Career College – Kansas City are eligible to apply. Students are eligible to apply during the 4th term within the medical assisting program.

Mid-America Nursing & Allied Health Institute: Only students enrolled in the medical assistant program at Mid-America Nursing & Allied Health Institute are eligible to apply. Students are eligible to apply during the 2nd term within the medical assisting program.

Application Requirements

Completed online application.

Deadlines

There will be no exceptions made to the application due date. Please see applicable due dates listed below.

Application Deadlines	Award Notifications
6/20/2022	7/21/2022
7/18/2022	8/25/2022
8/22/2022	9/22/2022
9/19/2022	10/20/2022

Please note all applications must be completed online. The system requires that you submit all information at the same time. You will not be able to start your application and come back to it at a later time. If you have questions about completing the application, please email scholarships@theresearchfoundationkc.org or call 816-276-4218.

Applicant Information

Name

First Name *

Last Name *

Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Primary Phone (Required)

Secondary Phone

Email (Required)

Confirm Email (Required)

Current Education

College or University (Required)

Student ID (Required)

Expected Date of MA Externship

Expected Date of Graduation from MA Program

Past Education

List the school from which you received a high school diploma or GED.

High School or GED Program (Required)

State of High School or GED Program (Required)

Dates Attended

Financial Information

Please list your current or most recent employment.

Company (Required)

Position (Required)

Company Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Dates Employed

Source of Monthly Income

Please put $0 if the category does not apply to you.

Salary or wages from your current employment (Required)

Salary or wages from spouse’s current employment (Required)

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Social Security benefits (Required)

Unemployment compensation (Required)

Alimony or child support (Required)

Additional financial assistance (WIC, housing assistance, SNAP, disability, etc.) (Required)

All other sources of income combined (Required)

Please describe other sources of income

Monthly Financial Obligations

Please put $0 if the category does not apply to you.

Mortgage or rent payments (Required)

Auto payments (Required)

Childcare (Required)

Credit card payments (Required)

Utilities (Required)

Medical bills (Required)

All other payments combined (Required)

Please describe all other payments combined

Number of person(s) in household (Required)

Number should include applicant

Description of household member(s) including relationship and age

Not required if applicant lives alone

Community Involvement

Please list any community service or volunteer work.

Please list your hobbies and special interests.

Application Questions

Why are you interested in a health care career? (Required)

Why do you need scholarship support during the MA program? (Required)

Authorization For Disclosure Of Educational Records

In accordance with Family Education Rights and Policy Act of 1974 (which is popularly known as “FERPA” or the “Buckley Amendment”), I hereby authorize the name of college or university listed above to disclose information in my education records to The Research Foundation, including any and all academic and financial records. This authorization will remain in effect until revoked in writing by me. This information will be used for The Research Foundation scholarship application process only. I understand that any information disclosed and transmitted by telephone or through any electronic media, including without limitation e-mail, computer disc or facsimile, is not secure and may be accessed by persons without the knowledge of me or the College and I release and waive any and all rights to be disclosed and transmitted other than in writing or in person.

Yes, I authorize my college or university listed above to disclose information in my education records to The Research Foundation.
No, I do not authorize my college or university listed above to disclose information in my education records to The Research Foundation.

I certify that the information on this application is true to the best of my knowledge.

Medical Assistant (MA) Scholarship Application