Nebraska AHEC Scholars Program 2025 Application

We are pleased to open our applications for the Nebraska AHEC Scholars Program!

The Nebraska AHEC Scholars Program is part of a national initiative that prepares health profession students who want to serve in rural or underserved areas. Nebraska AHEC Scholars gain access to exclusive workshops, potential employers, community leaders, and national and state resources on the latest health topics to better understand the healthcare workforce needs in Nebraska.

Students enrolled in the following health professions programs are eligible to apply: ADN or BSN Nursing, Dentistry, Medicine (M.D./D.O.), Nurse Practitioner, Pharmacy, Physical Therapy, Physician Assistant, and Radiologic Technology.

To be considered, applicants must meet all eligibility criteria, agree to all program requirements, and submit a complete application by September 30, 2025 and space is competitive.

If needed, you may start and stop your application by clicking Save my progress and resume later. Note, demographic information collected is used for federal reporting.

The application asks two short-answer questions:

1. What about the AHEC Scholars Program interests you?

2. What appeals to you in practicing in rural/underserved communities?

Application Timeline:

You will hear by October 3rd, 2025 regarding potential acceptance.

If accepted:

The AHEC Scholars Program starts in October 2025. If accepted, you will receive additional information.

For additional information or questions, please contact the Nebraska AHEC Program.

Section 1: Personal Information

First Name

Middle Name

If not applicable, list 'None'.

Last Name

Any other last name you may be known as?

E.g. maiden name

Date of Birth

Gender

MaleFemale

Permanent Home Address: This is where we could reach you if you move (e.g., a family address)

Permanent Street Address

Permanent City

Permanent State

Permanent Zip Code

Permanent County

Begin typing and choices will appear. Type 'Other' if outside NE.

Are you currently living at a different address then the one listed above?

Yes
No

If you are currently living somewhere other than your permanent address, please also list your current address. This is where you could be receiving mail throughout the program.

Current Street Address

Current City

Current State

Current Zip Code

Current County

Begin typing and choices will appear. Type 'Other' if outside NE.

Cell Phone. You may occasionally receive text messages at this number

School Email Address

Personal Email Address

Please indicate preferred email address:

School emailPersonal email

This is page 1 of 5.

Section 2: Academic Information

Please list your hometown (e.g. Where you grew up)

High School Information

High School Name

City

Graduation Year

College/Professional School Information List the school you are or will be attending for your health profession program. *Must be enrolled or accepted into a health profession program by Fall 2024.

College or University Name

Please select your UNMC college and location

Expected Graduation Month

Expected Graduation Year

Academic Status

Full TimePart Time

Health Profession Program Only health professions program listed are eligible for the Nebraska AHEC Scholars Program.

Section 3: Employment Intentions

If accepted as an AHEC Scholar, we will place you in a designated AHEC region to best serve your future interests.

I am interested in staying in Nebraska to practice health care.

YesNo

Based on the AHEC regions map above, please select your first choice in future employment location after completing the AHEC Scholars Program.

Please select your second choice.

Why do you want to work in the region(s) you selected?

Do you know of any specific community(ies) you are interested in practicing? Please list your reasons why?

Section 4: AHEC Information

Have you previously participated in AHEC sponsored programming (e.g., 8th grade science meet/fair, career symposium, job shadowing, health career club, summer health careers, HOSA)?

YesNo

Have you participated in any of the below programs?

Yes - Urban Health Opportunities Program (UHOP)
Yes - Rural Health Opportunities Program (RHOP)
Yes - Kearney Health Opportunities Program (KHOP)
No

How did you learn about the Nebraska AHEC Scholars Program?

Section 5: Short-Answer Essay

What about the AHEC Scholars Program interests you? Your response should be between 100 - 250 words.

What appeals to you about practicing in rural/underserved communities? Your response should be between 100 - 250 words.

Section 7:Expectations, Agreement, and Release

By submitting this application, you acknowledge the following requirements for enrollment in the Nebraska AHEC Scholars Program:

A two-year commitment to program completion
Maintain enrollment in one of the following health professions programs (ADN or BSN Nursing, Dentistry, Medicine (M.D./D.O., Nurse Practitioner, Pharmacy, Physical Therapy, and Radiologic Technology)
Complete 40 hours of didactic education and 40 hours of community-based experiential training each academic year. (Note: Required clinical clerkships and/or rotations for your degree/certification may apply if completed in a rural and/or underserved area)
Maintain communication with the Nebraska AHEC Program
Complete necessary evaluations throughout the program
Complete a one-year graduation follow up

I understand that by completing this application I am applying to participate in the Nebraska AHEC Scholars Program and agree to the above-stated requirements and recognize these requirements are outside of my academic health profession program. I agree to continued engagement with the Nebraska AHEC Program until my health profession graduation and provide employment information one year post-graduation and will provide current contact information to the Nebraska AHEC Program Office whenever a change occurs. I understand that through my participation in the program I will be required to provide information necessary for federal reporting.

I am authorizing my academic institution to disclose any personal information pertaining to my acceptance or enrollment in their institution and to verify my community-based training (clinical rotations). The information to be released under this consent is for reporting and verification regarding my acceptance into the Nebraska AHEC Scholars Program.

In accordance with the Family Educational Rights and Privacy Act (FERPA), the undersigned student hereby grants to the Board of Regents of the University of Nebraska, its campuses, its representatives, employees, agents and assigns, the irrevocable and unrestricted right to use, reproduce and publish photo/video of me, including my image and likeness as depicted therein, which are identified below, for editorial, trade, advertising or any other purpose and in any manner and medium, and to alter the same without restriction and to copyright the same.

I hereby release the University of Nebraska, its components, campuses and its Regents, officers, employees, agents, legal representatives and assigns from any and all claims, actions and liability related to its use of said photographs. I recognize by signing below, I waive any right to royalties or other compensation arising from or related to the use of the photo and/or video. My signature below also grants the University of Nebraska the use of my image for seven years from the date on this form.

The Nebraska AHEC Program is held within the University of Nebraska. The Nebraska AHEC Program subcontracts with the following entities and therefore are included in this release: Central Nebraska AHEC, Nebraska Panhandle AHEC, Northern Nebraska AHEC, Omaha AHEC, and Southeast Nebraska AHEC.

By typing your name below this acts as your electronic signature

Date