Novant Short-Term Training & Education Scholarship

Student Application Instructions:

Complete this application using the form below. Eligible students must reside or work in Davidson County, North Carolina, and be actively pursuing short-term or continuing education studies in the healthcare field through programs that result in attaining a recognized credential or certification.

Name(Required)

First Last

Student ID Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

Do you reside in Davidson County, North Carolina?(Required)

Yes

Are you employed in Davidson County, North Carolina?(Required)

Yes

If currently employed in Davidson County, please list the name of your employer:

Are you pursuing studies in a healthcare field?(Required)

Yes

Which health care studies are you currently pursuing?(Required)

If you chose "Other" in your field of study, please list your field of study information here:

Course Dates (start and end):(Required)

Novant Short-Term Training & Education Scholarship

OUR DEDICATION. YOUR JOURNEY.

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