Scholarship Application Agricultural Medicine: Occupational and Environmental Health for Rural Health Professionals Training Dates: June 8-12, 2015 Location: Iowa City, Iowa The Iowa Department of Public Health – State Office of Rural Health, in collaboration with the Great Plains Center for Agricultural Health, is providing scholarship funds to pay the registration fees for two Iowa healthcare providers to attend the Agricultural Medicine: Occupational and Environmental Health for Rural Health Professionals course June 8-12, 2015. This course is designed to provide the information and skills needed to enable safety and health professionals to anticipate, recognize, and prevent occupational illnesses and injuries among members of the agricultural community. Successful completion of this course allows qualified participants to join AgriSafe ® as a Certified Member. AgriSafe® benefits include clinical resources, technical assistance, continuing education, and use of the trademarked name AgriSafe® in promoting agricultural health services. TOPICS COVERED Overview of Agricultural Regulations Case Study: Youth in Agriculture Occupational Safety and Health in Agriculture Transportation Hazards in Agriculture Case Study: Agricultural Environmental Health Issues Networking Reception/Research Poster Display National Education Center for Agricultural Safety (NECAS) Site visit Agricultural Injury Safety and Rescue Demonstrations Pesticide Exposures and Associated Health Effects Iowa Fatality Assessment & Control Evaluation (FACE) Overview and Case Study Occupational Diseases of the Lungs in Agricultural Settings Livestock Production Biological Risk Assessment of Zoonotic Disease Occupational Skin Disorders in Agriculture Behavioral and Emotional Health Total Worker Health Ergonomics in Agriculture Musculoskeletal Disorders among Agricultural Workers Prevention of Agricultural Injuries and Illnesses Amana Farm Tour Cancer among Agricultural Workers Physical Agents/ Use and Selection of PPE Rural Medicine Practice Agricultural Health Resources Panel Discussion Applicant must attend both sessions of the training course and satisfactorily complete both exams. Contact Kay Mohling at kay-mohling@uiowa.edu or (319) 335-4219 for more information. The training brochure with agenda is available at cph.uiowa.edu/gpcah/education/iowa-ag-med-course Application Instructions Complete the attached Scholarship Application and send application with one-page bio sketch, resume, or CV to: Kay Mohling GPCAH/I-CASH UI Research Park, 202 IREH Iowa City, IA 52242 Email: kay-mohling@uiowa.edu Scholarship Application Agricultural Medicine: Occupational and Environmental Health for Rural Health Professionals Training Dates: June 8-12, 2015 Location: Iowa City, Iowa Applicant Name _____________________________________________________ Name of Organization ________________________________________________ Specialty/Degree ____________________________________________________ Address/City/State/Zip ____________________________________________________ Phone Number(s) ________________________________________________________ E-Mail _________________________________________________________________ Describe how you plan to incorporate the knowledge from this training into your job responsibilities. ***** Attach a brief, one-page bio sketch, resume, or CV of the scholarship applicant Mail or email the completed application and one-page bio sketch to: Kay Mohling GPCAH/I-CASH UI Research Park, 202 IREH Iowa City, IA 52242 Email: kay-mohling@uiowa.edu Applications must be received by May 1, 2015