2026 Scholarship Application

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If you have two years or more of long-term care experience, are working full time or part time in a THCA/TNCAL member facility as an employee of the facility and are committed to the long-term care profession and ready for the next level of academic achievement as it relates to long-term care, the Tennessee Health Care Education Foundation (THCEF) wants to assist you in your educational endeavors.

The scholarship period covers the summer 2026 term through the spring 2027 term. Scholarship funds apply only to tuition, books, and school fees. Complete answers must be given to all items to guarantee consideration of the application. A complete application includes: (1) the 2026 Scholarship Application with verification that the nominee has either applied, been admitted, or is enrolled in an approved course of study, (2) a letter uploaded from the applicant’s immediate supervisor, (3) the Facility Nomination Form completed by the administrator, (4) uploaded course of study admission and/or enrollment forms, (5) uploaded official transcripts from all schools listed in the application. All items must be submitted by Friday, April 10, 2026.

Your Personal Information

Your Name(Required)

First Middle Last

Age(Required)

Birth Year:(Required)

Email Address(Required)

Your Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Facility Name(Required)

Facility Address(Required)

City State

Immediate Supervisor(Required)

(Must have accompanying letter of recommendation, unless your immediate supervisor is the facility administrator.)

First Last

Applicant Photo:(Required)

Accepted file types: jpg, jpeg, pdf, Max. file size: 5 MB.

Course Enrollment

Choose One:(Required)

I have applied for admission

I have been accepted for admission

I am currently enrolled

Name of School(Required)

School Address(Required)

Street Address Address Line 2 City State ZIP Code

Name of program to which the applicant has been accepted(Required)

Course of Study(Required)

LPN

MSN

Dietary

Social Work

Recreation Therapy

Other

Course Study - Other(Required)

Expected date of graduation(Required)

For RN applicants, what was your National League for Nursing (NLN) score?

For LPN applicants, what was your Nurse Entrance Exam (NET) score?

Please do not include your Social Security number on any uploaded documents. Applicants may also mail any supporting documents to THCA.

Copies of Admissions and/or Enrollment Forms(Required)

Drop files here or

Accepted file types: doc, docx, pdf, Max. file size: 5 MB, Max. files: 5.

Scholastic History

High School(Required)

Name

Location

Date Confered

Grade Point Average

High School Diploma of GED(Required)

Diploma

GED

Higher Education

(Please include OFFICIAL transcripts for schools listed)

Vocational/Technical School

Credit Hours

Certificate or Degree

Date Conferred

Grade Point Average

Please do not include your Social Security number on any uploaded documents. Applicants may also mail any supporting documents to THCA.

Copies of Vocational/Technical School Transcripts

Drop files here or

Accepted file types: doc, docx, pdf, Max. file size: 5 MB, Max. files: 5.

Higher Education

(Please include OFFICIAL transcripts for schools listed)

College/University

Credit Hours

Certificate or Degree

Date Conferred

Grade Point Average

Please do not include your Social Security number on any uploaded documents. Applicants may also mail any supporting documents to THCA.

Copies of College/University Transcripts

Drop files here or

Accepted file types: doc, docx, pdf, Max. file size: 5 MB, Max. files: 5.

Other Types of Formal Education

Such as facility training/certification programs or technical training (example: Nurse Aide Certification Program)

Name and Location of Training/Program

Credit Hours

Certificate or Degree

Date Conferred

Grade Point Average

Please list any additional school/college programs in which you have participated in the last five years.

Please include transcripts even if you did not complete the program.

Please do not include your Social Security number on any uploaded documents. Applicants may also mail any supporting documents to THCA.

Copies of Other School/College Program Transcripts

Drop files here or

Accepted file types: doc, docx, pdf, Max. file size: 5 MB, Max. files: 5.

Employment History

Note: To be considered, applicants must have been employed for at least two years in long-term care by April 2026. YOUR TOTAL YEARS OF EMPLOYMENT IN LONG-TERM CARE SHOULD MATCH ALL FACILITIES WHERE YOU HAVE BEEN EMPLOYED, in addition to your current place of employment.

Employment History(Required)

CLICK THE + ICON TO ADD THREE ADDITIONAL EMPLOYERS.

Facility/Company

Start Date

End Date

Position

Total number of years employed in long-term health care (should match totals listed above)(Required)

Financial Need

Are you a previous recipient of a THCEF scholarship?(Required)

Yes

On a scale of 1-10, with 10 being the most, what is your level of financial need?(Required)

Please share some examples of financial hardship if applicable:

Please list all years and amounts:(Required)

Long Term Care Interest and Goals

Please explain the reasons behind your interest in long-term care, commenting on your involvement to date with nursing homes and assisted care living. How have you benefited from this involvement, both personally and professionally? Describe your career goals and plans to accomplish them.(Required)

Have you ever been convicted of a crime other than a minor traffic violation?(Required)

Yes

If yes, please explain:(Required)

If you are awarded a THCEF scholarship, do you pledge to practice in a THCA/TNCAL member facility for at least one year after completing your course of study?(Required)

Yes

If no, please elaborate on this decision.(Required)

I certify that all information contained herein is true and correct.(Required)

Yes

I understand that if I am selected as a scholarship recipient, quotes from my application may appear in press releases sent to media outlets. With this signature, I authorize the publication of this information in materials developed by THCA for public distribution.(Required)

Yes

Applicant Checklist. Did you:

Fill out all items. (Applications with incomplete answers will not be considered.)(Required)

Yes

Attach copies of an admission or enrollment form in an approved course of study.(Required)

Yes

Include official transcripts (high school, college, etc.)(Required)

Yes

Include a copy of test scores and/or other evidence of academic experience(Required)

Yes

Include a letter of recommendation from your immediate supervisor (if different from the administrator)(Required)

Yes

Include a copy of current state licensure (CNA, LPN, RN, etc.)(Required)

Yes

2026 Scholarship Application

Your Personal Information

Course Enrollment

Scholastic History

Employment History

Financial Need

Long Term Care Interest and Goals

Applicant Checklist. Did you:

THCA/TNCAL Convention & Trade Show