APPLICANT'S CERTIFICATION
I believe myself eligible for and hereby make application to receive one of the Scholarships administered by the Ohio Lactation Consultant Association (OLCA). I certify that all statements made in this application are complete and accurate. I understand that:

• Falsification on my application or other attachments will disqualify my application.
  
• Failure to follow all instructions of this application and to submit attachments will render my application incomplete.
  
• Failure to submit my application before the deadline listed will disqualify my application.
  
• Selection will be made with input from the Selection committee and approval by the OLCA Board. The Board decision will be final.
  
• Incomplete applications will not be considered.
  
• Monies must be used within one year of award date.