General Information The Hawai'i/Pacific Basin Area Health Education Center is pleased to announce the first ever Hawaiʻi Outreach for Medical Education in Rural Under-resourced Neighborhoods (HOME RUN) education award program that will pay tuition in healthcare training in exchange for your commitment to work in rural Hawaii full time (at least 36 hours a week) for five years following graduation from your health professions training program.
To qualify for HOME RUN, applicants must be in good standing with at least a C average in a healthcare education training program (all clinical and health IT professions) that will result in you becoming a healthcare professional who is licensed or otherwise certified to practice in Hawai'i. You will be required to provide or support high quality effective value based patient care to human patients living in rural Hawai'i (as defined by HI Revised Statutes §1B-1). If you are awarded, you will have to commit to working in rural Hawaii for five years after graduation. You may change your place of employment as long as it remains in rural Hawaii.
Map of Rural Hawai'i (open in new tab to zoom in).
In addition, applicants must be United States citizens or lawful permanent residents, have no outstanding contractual obligation for health professional services to the Federal Government or other agencies that may force you to leave rural Hawaii, no judgment lien against their property for a debt to the U.S. government or default of loan repayment, and not be excluded, debarred, suspended, or disqualified by a Federal agency.
Initial eligibility will be evaluated through application, transcripts, background checks and credit checks.
Awarded participants will be selected by the HOME RUN Education Award Committee representing a majority of health professions training programs, legislators, and healthcare representatives in Hawaii.
All applicants who are selected for the HOME RUN program and choose to participate are obligated to commit to a minimum of five (5) years of full-time service (at least 36 hours a week) at a site serving patients in rural Hawai'i. In addition to caring for the community they serve, participants are encouraged to be involved with workforce development activities, including health career recruitment, teaching, or community health outreach.
Funds are expected to continue through 2031, however continuation of funds from year to year is subject to the availability of funds appropriated by the Centers for Medicare & Medicaid Services (CMS).
Instructions for Applying ● Contracts will be awarded on a competitive basis. The highest priority will be given to students from and committed to providing services in rural Hawaii long term as well as healthcare clinicians and providers planning to serve the areas for which there is the greatest documented shortages.
● The following documents MUST BE submitted for an application package to be considered complete:
1. Completed Online Application, including all parts.
The following must be submitted in PDF Format via Dropbox link:
2. Copy of Acceptance letter from a health-related professions program, if not yet enrolled.
3. Copy of most recent transcript if currently enrolled in a health-related professions program (does not need to be official).
4. Copy of a valid government-issued identification (such as passport or driver's
5. Brief statement of your interest in Rural Hawai'i and healthcare career plans (profession and location you are hoping to settle in). Max 500 words.
6. Letter of recommendation (1-2 pages, from a teacher or supervisor who knows you well to touch on your benefit to healthcare in rural Hawaii.) Note: Please be sure that it is signed and includes a mode of contact.
If you have questions regarding the application, application process, or your eligibility for the program, please email us at ahecfund@hawaii.edu or call our program at: (808) 778-7961 or our main office at: (808) 692-1060.
* Last Name: * First Name: Middle Initial:
*required
* City: * Country: * State: * Zip:
Work Cell
Work Personal
M-D-Y
Male
Female
Are you a veteran of the U.S. Armed Forces?
* must provide value
Yes
No
Do you have any legal commitments you have made to practice outside of rural Hawaii? If yes, please explain.
* must provide value
Race/Ethnicity:
The race/ethnicity information requested below is optional and will not be used for the purposes of evaluating your application. It will be used to satisfy federal and/or State of Hawaii reporting requirements and may be used for other purposes allowed by law. Please select all that apply.
Please select all that apply:
List languages you speak, read, and or write in addition to English, in which you are proficient (check all that apply):
Speaking or Reading or Writing or Basic medical training:
Speaking or Reading or Writing or Basic medical training:
Speaking or Reading or Writing or Basic medical training:
* Professional School, Program, or Course where enrolled: GPA, if applicable: *Anticipated Year of Graduation:
*required
Professional School, Program, or Course where enrolled:
* must provide value
Anticipated Year of Graduation:
* must provide value
Prior Training or Education: Year Completed /or Expected Year of Completion:
Prior Training or Education:
Year Completed /or Expected Year of Completion:
* 1. Are you a United States citizen or lawful permanent resident? * 2. Are you free of judgments arising from Federal or student debt? * 3. Are you delinquent with any court-ordered child support? * 4. Did you apply for the NHSC Federal Loan Repayment Program? (If yes, please indicate the date of submission):
* a. Do you owe an existing service obligation to another entity, or have you received any other loan repayment funding in the past? (i.e., National Health Service Corps, Department of Defense, Public Health Service)
(If yes, please indicate existing service obligation or source of other loan repayment funding)
1. Are you a United States citizen or lawful permanent resident?
* must provide value
Yes No
2. Are you free of judgments arising from Federal or student debt?
* must provide value
Yes No
3. Are you delinquent with any court-ordered child support?
* must provide value
Yes No
4. Did you apply for NHSC Federal Loan Repayment Program?
* must provide value
Yes No
Please indicate the date of submission:
Today M-D-Y
a. Do you owe an existing service obligation to another entity, or have you received any other loan repayment funding in the past? (i.e., National Health Service Corps, Department of Defense, Public Health Service)
Yes No
If yes, please indicate existing service obligation or source of other loan repayment funding:
Select the current health profession / degree / certification you are pursuing:
* must provide value
Acupuncturist
Athletic Training
Audiologist
Clinical Laboratory Director
Clinical Laboratory Specialist
Cytotechnologist
Dental Hygienist
Dentist
Licensed Clinical Social Worker
Licensed Genetic Counselor
Licensed Marriage/Family Therapist
Licensed Social Worker
Medical Assistant
Medical Laboratory Technician
Medical Technologist (MLS)
Mental Health Counselor
Naturopathic Physician
Nurse Aide
Nursing, PhD
Nursing, Doctorate in Nursing Practice, Nurse Practitioner, Specialty:
Nursing, Doctorate in Nursing Practice, Other Specialty:
Nursing, Masters, Specialty:
Nursing, Associates
Nursing, Bachelors
Nursing, Licensed Practical Nurse
Nursing Home Administrator
Occupational Therapist
Occupational Therapy Assistant
Pharmacist
Physical Therapist
Physical Therapist Assistant
Physician, Specialty:
Physician Assistant, Specialty:
Podiatrist
Psychologist
Radiologic Technology
Registered Dietician
Respiratory Therapist
School Psychologist
Speech Language Pathologist
Surgical Technician
Other:
Doctorate in Nursing Practice, Nurse Practitioner, Specialty:
* must provide value
Doctorate in Nursing Practice, Other Specialty:
* must provide value
Nursing, Masters, Specialty:
* must provide value
Physician Specialty:
* must provide value
Physician Assistant Specialty:
* must provide value
If Other health profession, please specify:
* must provide value
Please specify outreach activities you performed in Hawaii:
* must provide value
Please specify where and when you worked in healthcare in Hawaii:
* must provide value
Where did you hear about Hawaii's HOME RUN program?
Please specify other source where you heard of Hawaii's HOME RUN:
I certify that I am the person herein named subscribing to this application; that I am at least 18 years of age; that I have read the complete application, know the full content thereof, and declare under penalty of perjury, that all the information contained herein, and evidence or other credentials submitted herewith are true and correct and that I am willing to sign, or have signed a written agreement committing to provide direct patient care or IT support in a rural area of Hawaii for a minimum of five years on a full-time (36 hours per week, 47 weeks a year) basis.
I authorize representatives of the University of Hawai'i, including but not limited to representatives from the John A. Burns School of Medicine, Hawai'i Pacific Basin Area Health Education Center (UH JABSOM HPB AHEC), to contact educational institutions I attended, institutions holding any of the listed educational loans, and employers to verify the accuracy of the information contained in this application. I also authorize representatives of the University of Hawai'i, only for the purpose of evaluating whether I am qualified for HOME RUN to which I am applying, to obtain a copy of my credit report and investigate my background and qualifications, which may include obtaining information relating to my criminal history record, transcripts, educational enrollment and grades. I understand that the University of Hawai'i may utilize an outside firm(s) to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company's choice. I also understand that I may withhold my permission and that in such a case, no investigation will occur, and my application for the HOME RUN will not be processed further.
The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudications and delinquent conduct committed as a juvenile. I understand that if I remain a participant, the criminal history records check, and credit check may be repeated at any time.
I hereby affirm that my answers to the foregoing questions are true and correct and that I have not knowingly withheld any fact of circumstances that would, if disclosed, affect my application unfavorably. I understand that false information submitted in this application may result in my discharge and/or termination from HOME RUN.
I understand that I am not allowed to receive tuition assistance/education award from an additional source that requires a commitment that may conflict with HOME RUN (such as National Health Service Corps) during my participation in the HOME RUN program. I understand that the UH JABSOM HPB AHEC staff will periodically contact my school to verify enrollment status.
I understand that if I fail to meet my service commitment to HOME RUN, I will have to repay the University of Hawai'i in the amounts and/or rates specified in my Applicant Terms and Conditions, which are the terms and conditions of HOME RUN that each participant signs and agrees to upon acceptance and matriculation into HOME RUN. Damages and penalty terms if I do not meet my service commitment would result in payment by me of an amount equal to: the total amount of Program support paid by UH on my behalf for any period of service commitment not served times 1.1 (110% of what UH paid for tuition and fees) within one year. UH will allow for a payment plan to be established within one year. If neither payment in full or payment plan development are accomplished within 1 calendar year (12 months), then interest at 20% will begin on the total debt.
I, the undersigned, do, for myself, my heirs, executors, and administrators, hereby waive, release, and discharge any and all claims, demands, actions, rights, and causes of action for any and all illness, personal or bodily injury, death, economic and property damage, severe emotional loss, and any other loss, damage, or injury (collectively the "Injuries/Damages"), that I may sustain or suffer from the investigation of my background in connection with my application to become a participant of HOME RUN (collectively the "Released Claims").
I agree to indemnify, defend, and hold harmless the University of Hawai'i, and its past, present and future Board of Regent members and University of Hawai'i officers, employees, agents, and assigns from any and all Released Claims and any and all demands, actions, judgments, injunctions, orders, directives, penalties, assessments, liens, liabilities, losses, damages, costs, and expenses (including attorneys' fees), arising or resulting from or caused by the investigation of my background in connection with my application to become a participant of HOME RUN.
This program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as a part of a financial assistance award totalling $188,592,439.75 with 100 percent funded by CMS/HHS. The contents are those of the author and do not necessarily represent the official views of, nor endorsement of CMS/HHS, or the U.S. Government.
Did you read and complete each section of the application in its entirety and to the best of your ability? Did you submit all files in PDF Format to the Dropbox?
Submission Checklist:
Completed Online Application. Copy of Acceptance Letter, if not yet enrolled (submit via Dropbox). Copy of Transcript / Report (submit via Dropbox). Copy of Government-Issued Identification (submit via Dropbox). Copy of Letter of Recommendation (submit via Dropbox). Brief statement outlining Hawai'i career plans & goals (submit via Dropbox).
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