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 Middle Last

Davidson-Davie Student ID Number(Required)

If you're new to Davidson-Davie & don’t have an ID number, write “None, new student.” You’ll receive a separate new student form by email to complete.

Date of Birth

Address(Required)

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

Phone(Required)

Personal Email(Required)

Davidson-Davie Email (if none, leave blank)

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:

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If you did not answer yes to a least 1 of the 2 above questions, you are not eligible for this scholarship; please do not continue.

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

Yes

Which health care course 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)

Have you been approved to register for your selected course?(Required)

Yes

Novant Short-Term Training & Education Scholarship

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