2024 Executive Health Care Leadership Institute Application

This form is an application for individuals from IHCA, ICAL and ICHC member facilities interested in joining the 2024-2025 IHCA Executive Health Care Leadership Institute. This program is specially designed for leaders who work in long-term care and includes the leadership fundamentals necessary to lead others and the specific technical skills in demand in long-term care settings.

Applicant Information

Applicant Name(Required)
Applicant Address(Required)

Employer Information

Is your employer a member of the Iowa Health Care Association?(Required)
Employer Address
Administrator/Director's Name(Required)

Required Documents

Max. file size: 50 MB.
Compose and upload an essay of no more than 500 words. It must be your own work and include discussion on the following: 1) The reason you selected long-term care (nursing facility, continuing care retirement community, assisted living facility or home health agency) as your career field and your work history in long-term care, including any supervisory experience or future anticipated supervisory duties. Please include the number of direct reports you have directly supervised and the scope of your supervisory responsibility. 2) Your career goals specific to long-term care (i.e., nursing facility, continuing care retirement community, assisted living facility or home health agency). 3) How you plan to apply what you learn from the IHCA Executive Health Care Leadership Institute to your work in long-term care. Describe how this course will improve or enhance your current supervisory skills and outcomes.
Max. file size: 50 MB.
Upload one letter of recommendation from your administrator/director or manager. Please ask them to include your name, their name, organization name, telephone and email address in the letter.
Max. file size: 50 MB.
Please upload a copy of your most recent resume.

Terms of Agreement and Conditions

I certify with my initials below that I meet all the requirements to be part of the Executive Health Care Leadership Institute and the information listed in this application are true and correct.