Diabetes Certificate Scholarship Application

IMPORTANT: To qualify for the scholarship, applicants must provide healthcare services to residents with diabetes or prediabetes in Stockton or San Joaquin County, CA. If you don't practice in this area, unfortunately, you won't be eligible. However, if you're passionate about improving your diabetes care skills, we still invite you to enroll in our program! Additionally, check with your employer as they may offer tuition coverage.

If you do meet the criteria, we encourage you to apply! The scholarship will cover 100% of the tuition and requires students to complete all courses in the specific track for which they've applied in order to receive the Certificate (all 3 courses for the Paraprofessional track, all 5 courses for the Clinical track, or the Diabetes Fundamentals Specialty track that relates to your professional field). For the Clinician's program only, students may meet virtually with the instructor to design an individualized plan to complete sections of the course relevant to their practice settings, claim partial CME credit, and forgo the Certificate.

General Information

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To which program are you applying? *
Please check one or more of the following groups in which you consider yourself to be a member: *

Learner and Impact Information

Please answer a few questions that will help us determine the reach of this program and the diversity of the people you impact. 

These next questions refer to people with or at risk for prediabetes/diabetes that you impact.

1. Do your patients with prediabetes or diabetes live in Stockton, CA? *
1a. Please estimate the number of people you impact each calendar year who reside within these Stockton, CA zip code areas: 95201, 95202, 95207, 95203, 95206. *
 
2. Which of the following best describes their predominant race(s) or ethnicity(s)? (Check all that apply) *
3. What is their primary language(s) used while seeking your support? (Check all that apply) *
 
4. What is their gender / sexual orientation? (Check all that apply) *
 
5. Select your professional credential, certification or role (check all that apply): *
 
6. Where do you provide diabetes prevention or care? (select all that apply) *
 
7. What is your specialty? (select all that apply) *
 
9. Please share what motivated you to take this course/program. *
 
11. I understand the following once my application has been reviewed and accepted:
• I'm required to cover a one-time, non-refundable application processing fee ($50 for Clinicians or $25 for Paraprofessionals and Specialty tracks). After payment is received, I will be enrolled in the course within 10 business days.
• The scholarship covers 100% of the tuition for the Diabetes Essentials Certificate Programs: Clinicians ($995) or Paraprofessionals ($295), or the Diabetes Fundamentals Specialty Certificate Programs (any professional track, $395)
• I understand this program is self-paced and requires my consistent effort to complete:
-within a year for Clinicians (up to 100 hours)
-within 4 months for Paraprofessionals (30 hours)
-within 6 months for Specialty courses (50 hours for providers, 30 hours for all other professionals).
•I'll start the course within two weeks of being enrolled and spend around two hours per week to finish on time. I can put in more time if needed to finish sooner.
• Funding for this program is contingent on the acceptance of my application and ability to complete the program, so if I'm not actively doing coursework for a month, and am not responsive to a series of instructor's emails, I will be dropped from the course. Exception - if prior arrangements were made with the instructor for extended vacations, leave of absence, illness, maternity leave, just needing a break, etc.
• The role of the instructor is to support my efforts and answer questions but not to remind me to do the coursework. I will communicate with the instructor when I anticipate pauses in my ability to do the coursework.

We want you to succeed in completing this dynamic program aimed at helping you improve the care and outcomes of those living with prediabetes and diabetes! *
 

Employment

Please provide your current employment information below.
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Abbott Fund Scholarship

Students who help people with prediabetes or diabetes in Stockton or San Joaquin County, CA, may apply for the Abbott Fund Scholarship that covers 100% of the tuition for the Diabetes Essentials Certificate program at University of the Pacific and be a part of the Future Well Communities initiative.

Please attach a Word document answering the following questions if you would like to be considered for the scholarship. There is no maximum word count requirement.
  1. Why is learning about diabetes education and care important to you?
  2. How will this certificate program serve you in your current position specifically?
  3. *Optional: Briefly describe your financial need for this scholarship
PLEASE NOTE:
~If you're selected to receive this scholarship (and after completing course requirements), you'll be asked to provide feedback on the impact this program has had on you and/or the community you serve. This is for internal purposes only and will not be published on our website in any format without your explicit written permission to do so. The intent is to share the collective good this will have. Format: either a 1-minute video or a clear photo of you with a paragraph describing how being an Abbott Fund scholarship recipient helped your role and/or the community you serve. Photo or video not mandatory but encouraged.
 
~Up to 100 hours CME credit is available for the Diabetes Essentials for Clinician's course (AACME, ACPE and ASWB). If you're enrolled in the shorter Diabetes Fundamentals course, the CMEs range from 30-50 credits based on your disclipline.
 
~Expect feedback on your application typically within 3 business days and know that access to the course may take an additional 10 business days due to the volume of applicants. 
 
Thank you!