This is an application form to apply for a full scholarship for the Gero Nurse Prep online training course, via the Oregon Health Care Association with funding from the Oregon Department of Human Services (ODHS). More details are here: 

Please complete all required questions and hit the "Submit the Application Form" button for your form to be completed and processed. Incomplete forms will not be considered.

To qualify for a scholarship, RNs must have submitted a completed nomination form (this form) and have an active Oregon RN license. There is currently no requirement to work in certain settings. Scholarships are available on a first come, first served basis until scholarships run out or by June 30, 2024, at the latest.

Please contact OHCA,, with any questions or concerns.

Follow-up Communication
OHCA will communicate directly with scholarship applicants within 15 business days following submission of this form. 

Applicants will be notified if they :

  • Meet program requirements and are approved for a scholarship OR
  • Do not meet program requirements
Individuals that are notified that they are approved for a scholarship will receive follow-up communication from the Gero Nurse Prep Course staff, located within the College of Nursing at the University of Nebraska Medical Center. This will include instructions for course enrollment, how to access the course, and what to do to join a cohort.

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* 1. Applicant Information (RN's Information)

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* 2. Nominator Information (If Different from Applicant)

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* 3. Do you/does the intended scholarship recipient (listed in Q1) have an active registered nurse (RN) license in Oregon?

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* 4. Why are you interested in this program?