Please select the eligible leadership program you are enrolled in.(Required) American Organization for Nursing Leadership Certificate Program Association of Post-Acute Care Nursing Nurse Leader Fundamentals Course Des Moines Area Community College Leadership Training Eastern Iowa Community College Frontline Leadership Series Hawkeye Community College LEAD Certificate Program – Leadership Basics HealthStream Post-Acute Programs Iowa Health Care Association AL Regulatory Nurse/Manager Class (Nov. 2, 2023) Iowa Health Care Association DON/Nurse Leader Bootcamp (July 11-12, 2023) Iowa Health Care Association AL Leadership Conference (Aug. 22, 2023) Iowa Health Care Association Leadership 101 Series (On Demand) Iowa Health Care Association Long-Term Care Nurse Leadership Series (On Demand) Iowa Lakes Community College Leadership Courses Iowa Valley Leadership Development Program Johns Hopkins Nursing Leadership Training Kirkwood Community College Excellence in Leadership Certificate Series (Online) National Council of Post-Acute Care Practitioners Nurse Executive Course Northeast Iowa Community College Leadership Academy Proactive LTC Consulting Dynamic DON Training Other
Essay(Required) Compose and upload an essay of 500 words. It must be your own work and include discussion on the following: 1.) The reason you have selected long-term care as a career field and your work history in long-term care (i.e., nursing facility, assisted living facility or home health agency), 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). Describe your career goals specific to long-term care (i.e., nursing facility, assisted living facility or home health agency). 3.) Describe how you plan to apply what you learn from the leadership training covered by the scholarship to your work in long-term care. Describe how this leadership program will improve or enhance your current supervisory skills and outcomes.
Letter of Recommendation(Required) 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. Also in the letter, ask them to describe why they believe you would be a worthy recipient of an IHCA Foundation scholarship. Please limit letters to 200 words or less.
Terms and Conditions(Required) Upon being awarded the scholarship, a recipient is required to execute any and all documents IHCA determines are necessary, including but not limited to a promissory note. If the scholarship recipient does not complete the educational program during the time frame for which scholarship funds are provided, any unused funds are to be returned to the IHCA Foundation. If awarded the scholarship, the scholarship recipient agrees to remain employed with an IHCA member organization and to complete 1,500 hours of work for that organization following the completion of the educational program funded by this scholarship. If the scholarship recipient voluntarily terminates employment with an IHCA member organization, or is terminated by the IHCA member organization for cause, before working the required number of hours, the recipient agrees that within 30 days of termination the recipient will reimburse the IHCA Foundation in the amount of the scholarship on a prorated basis based on the number of work hours actually completed following the completion of the education program as follows: 1,125-1,499 hours completed = Reimbursement required in an amount equal to 25% of the total scholarship awarded to the recipient, 470-1,124 hours completed = Reimbursement required in an amount equal to 50% of the total scholarship awarded to the recipient, 375-469 hours completed = Reimbursement required in an amount equal to 75% of the total scholarship awarded to the recipient, Less than 374 hours completed = Reimbursement required in an amount equal to 100% of the total scholarship awarded to the recipient. This scholarship is not intended nor in any way should it be construed as an obligation by the IHCA member organization to employ or continue to employ the recipient. If awarded the scholarship, the scholarship recipient grants IHCA permission to publish any information provided in the scholarship application for scholarship fundraising purposes and to use the recipient’s likeness in any photograph or video in any and all of its publications, including television commercials, print advertisements, website and social media entries without payment or any other consideration.