The purpose of this revelatory case study is to explore how the DACA Initiative (DI) transformed the School of Medicine (SOM) beyond just changing student demographics. In this research, I specifically explored if, through the DI, SOM organizationally changed enough to be considered transformative change in its efforts to enhance the acceptance and support of DACA medical students. In addition, I looked at the evolution of the financial operations at SOM to support DACA medical students. The research questions that guided this study were: As a result of the DI, did the organizational changes implemented by SOM to accept and support DACA medical students result in transformative change for SOM? What makes DACA students feel welcomed at an institution and how did SOM evolve to make them feel welcomed? Data was collected from focus groups and interviews that explored what the DI means to different SOM stakeholders: DACA alumni, and key personnel from leadership and administrators. In addition, individual interviews were conducted with three of the five financial institutions that loaned money to SOM DACA medical students for medical school tuition. Transformative Organizational Change theory and Institutional Culture and Context framework were combined to allow me to look at both the change that is occurring and the location of that change within the organization. The research uncovered SOM's journey embracing DACA students and showcases resilience and commitment to diversity, though commitment levels vary within the university. Potential discrepancies between public support and private hesitations raise questions about true dedication to inclusivity, urging transparency and consistent communication from the University. As competition to attract DACA students into professional programs increases, sustaining support and evolving initiatives beyond recruitment become essential for long-term success. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]