2024 Iowa Total Care Executive Health Care Leadership Scholarship Application Form

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. Additionally in this application, applicants have the opportunity to apply for a full scholarship, made possible by Iowa Total Care, to attend the 2024-2025 leadership institute. Nine scholarships will be offered to provide for the $1,500 registration fee to participate in the IHCA Executive Leadership Institute program. To be eligible for a scholarship, applications are due by May 31, 2024.

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. 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.
Max. file size: 50 MB.
Please upload a copy of your most recent resume.

Scholarship Award Terms, Conditions + Terms of Agreement

2024 Iowa Total Care Executive Health Care Leadership Institute Scholarship(Required)
2024 Iowa Total Care Executive Health Care Leadership Institute Scholarship Award Process(Required)
The IHCA Foundation Board of Directors and IHCA Vice President of Quality Improvement and Regulatory Compliance will judge qualified applications. Recipients will be notified of the results by the end of July. Awarded scholarship funds are placed in the care of the recipient with IHCA for use for the IHCA Executive Health Care Leadership Institute. If accepted into the 2024-2025 program or selected as a recipient for the scholarship, the program must be completed by the end of July 2025.
Other IHCA Foundation Scholarship Applications
If you are applying for additional IHCA Foundation scholarships this year, please select all of the scholarship types for which you are applying. (Check all that apply)

Terms of Agreement and Conditions

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. 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.
I certify with my initials below that I meet all the requirements for a student in good standing at an approved educational institution and that I meet all the eligibility requirements for the scholarship for which I am applying. I certify that all the information contained herein is true and correct. I further certify that I have read, understand and agree to the Scholarship Award Terms and Conditions.