EFOHCA Scholarships are Available for: Certification Scholarships are Available for:

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2 The Educational Foundation of OHCA (EFOHCA) was established in 1989 with the primary mission of fostering careers in long term care. Since we began, we have helped adults, like you, go to school to advance their professional careers while contributing to a better long term care workforce. We are proud of the fact that since our establishment in 1989, EFOHCA has awarded over $1.4M in scholarships to nearly 750 individuals. You too could be eligible to receive either a $2,000 or $4,000 scholarship for the upcoming school year beginning July 1, In addition, EFOHCA awards scholarships for certification programs in the amount equal to 50% of the cost of the certification course, not to exceed $1,500. A promising future in long term care awaits you. Apply for EFOHCA scholarship today! Scholarship Criteria: You must be an employee, or be related to an employee, who has worked for a minimum of 1 year for a member of the Ohio Health Care Association, Ohio Centers for Assisted Living, or Ohio Centers for Intellectual Disabilities. You must be enrolled, or are about to be enrolled, in an institution of higher learning which offers accredited courses for obtaining a certificate, baccalaureate or post-graduate degree required for a career in long term health care. You must be enrolled for the school year or certification program running July 1, 2015 through June 30, Scholarship dollars may only be used for unmet educational expenses billed through your institution (i.e. tuition, fees, books, supplies, room and board) and will be payable directly to your school. Unspent funds at the completion of your degree or disenrollment from your learning institution, must be returned to EFOHCA. EFOHCA Scholarships are Available for: Licensed Nursing Home Administrator Licensed Practical Nurse / Registered Nurse / MSN Licensed Social Worker / MSW Occupational Therapist / COTA Physical Therapist / PTA Registered Dietitian / DTR Registered Pharmacist Respiratory Therapist Speech Pathologist Certification Scholarships are Available for: Activity Director Billing & Coding Core of Knowledge for Nursing Home Administrators Certified Executive for Assisted Living Dietary Management Electronic Health Record Human Resources Wound Management

3 Scholarship Application Deadlines: Due Friday, March 13, 2015 The EFOHCA Scholarship Application Letter of Recommendation Essay Questions (Existing Students) Recent Transcript with Grades as Proof of Enrollment FAFSA Student Aid Report (complete 5-page report) does not apply for Certification Applicants EFOHCA requires each applicant to complete the Free Application for Federal Student Aid (FAFSA). The Free Application for Federal Student Aid (FAFSA) can be completed online beginning January 1, 2015 by visiting Once the FAFSA is complete, please print and return the complete 5-page report Student Aid Report to EFOHCA. New or Prospective Students Only Due Friday, June 12, 2015 Acceptance Letter from your School as Proof of Enrollment in your School or Certification Program. For students enrolling in a new school for the school year or certification program, EFOHCA is allowing until Friday, June 12, 2015 for receipt of a copy of an acceptance letter from your school or accredited program. If you are selected for an EFOHCA scholarship, you will be notified in late March 2015 and will have until June 12, 2015 to provide proof of enrollment in order for the check to be issued on your behalf. Dedicated Scholarships For Certification Programs? What is FAFSA & Why Should I Apply? The Free Application for Federal Student Aid, or FAFSA, is the first step in the financial aid process. Use it to apply for federal student financial aid, such as the Pell Grant, student loans, and college work-study. In addition, most states and schools use FAFSA information to award their financial aid. Completing the FAFSA not only is a condition of the EFOHCA scholarship program, it also opens up to you the world of other financial aid possibilities. Log on beginning Jan 1, 2015 to begin the FAFSA process for the school year. No FAFSA Needed Mark Application Accordingly

4 Please detach the EFOHCA scholarship application and return by the deadlines provided. Return application and all supporting documents to: Debbie Jamieson Ohio Health Care Association 55 Green Meadows Drive South Lewis Center, OH Questions can be directed to Debbie Jamieson or Diane Dietz at

5 EFOHCA Scholarship Application Applicant Information: Last Name First Name Middle Initial Permanent Address City State Zip Home Telephone Number Cell Telephone Number Address Employment Information: I am employed by an OHCA / OCAL / OCID member facility or organization. My family member is employed by an OHCA / OCAL / OCID member facility or organization. Name of Family Member Relationship to Family Member \ Family Member s Date of Hire OHCA / OCAL / OCID Employer OHCA / OCAL / OCID Employer Address City State Zip Date of Hire Name of Supervisor / HR Manager: Address: Phone Number:

6 School Information: or or I am currently enrolled in the school listed below and have included my most recent transcript with grades as proof of enrollment. I have applied to the school listed below and will send you a copy of my acceptance letter as proof of enrollment on or before Friday, June 12, I have applied to the organization listed below for the certification program anticipated. I will send a copy of my acceptance letter as proof of enrollment on or before Friday, June 12, Name of School / Organization Address of School City State Zip Area of Study Degree / Certification Program Anticipated Start Date You Began Program $ Cost of Certification Program Anticipated Completion Date Following graduation, I hope to work for an: assisted living facility facility for the mentally retarded home health agency hospital physician office skilled nursing facility other:

7 Work Experience: Current Work Experience: Current Position Start Date Place of Employment # Hours / Week Work Other Positions held with Current Employer: Position Employment Dates to Position Employment Dates to Previous Work Experience: 1. Previous Employer Position Employment Dates to 2. Previous Employer Position Employment Dates to 3. Previous Employer Position Employment Dates to I have worked in long term care: More than 5 years Between 3 and 5 years Between 1 and 2 years

8 Letter of Recommendation: Please submit with this application one (1) letter of recommendation from an immediate supervisor or manager. The letter is to be on your employer s stationary. We ask that the letter speak to your qualities, skills and performance in your current position, as well as any characteristic that would contribute to your success in the long term care profession. Essay Questions: Please submit on a separate piece of paper, the answers to the following three questions. Please either print or type each question and your response. When answering these questions, we encourage you to please consider personal experiences that help to demonstrate your special qualities and skills. Also remember to consider any volunteer activities and or occasions where you did something beyond what was expected of you when answering these three questions. 1. Please tell us what got you interested in working with older and disabled people in long-term care. 2. Please tell us about your professional goals and how the degree/certification you are pursuing will help you reach those goals. 3. Please tell us about your commitment to long term care. Describe any personal qualities or characteristics you possess and how those qualities and characteristics make you a good long term care professional. Scholarship Checklist Thank you for applying for an EFOHCA scholarship. Winners will be notified the end of March 2015 and all scholarships will be presented at our EFOHCA Scholarship Ceremony, held during the OHCA / OCAL / OCID Annual Convention & Exposition on Wednesday, April 29, Remember, scholarships are for the school year which begins July 1, 2015 and runs through June 30, Have you enclosed? Please check all that apply EFOHCA Scholarship Application, due by Friday, March 13, Letter of Recommendation from a Supervisor/ Manager, written on your company s letterhead, due by Friday, March 13, Three Essay Questions, either typed or printed on a separate sheet of paper, due by Friday, March 13, (Existing Students) Recent Transcript with grades as proof of enrollment, due by Friday, March 13, Copy of your complete 5-page Student Aid Report (SAR) obtained from completion of the Free Application for Federal Student Aid (FAFSA) (does not apply for Certification Applicants). This is due by Friday, March 13, (New/Prospective Students and Certification Applicants) Acceptance Letter from school as proof of enrollment, due by Friday, June 12, Failure to provide all documents listed above when they are due will result in an incomplete application and will not be considered. If you have any questions, please contact either Debbie Jamieson or Diane Dietz at Please return all information to: EFOHCA 55 Green Meadows Drive South Lewis Center, OH Phone: Fax: Web: Additional copies of the application can be downloaded from