Application for SC Rural EMT Tuition Assistance

Thank you for your interest in the SC Rural EMT Tuition Assistance Program. Applications are accepted on a rolling basis. Applications will be reviewed competitively and awards will be based on funds available, level of practice, rurality, and completeness of application. Awards will be made on behalf of individuals to their EMT course provider ONLY. For questions about the program please call Sarah Craig at 803.454.3850 or email her at craig@scorh.net.

YOU MUST BE CURRENTLY ENROLLED IN A PROGRAM IN ORDER TO RECEIVE FUNDING.

IF YOU HAVE APPLIED TO THIS PROGRAM IN THE PAST TWELVE MONTHS AND YOUR INFORMATION HAS NOT CHANGED, THERE IS NO REASON TO RE-APPLY AT THIS TIME. HOWEVER, IF YOU RECEIVED A NON-AWARD EMAIL, PLEASE REAPPLY AT YOUR CONVENIENCE.

First Name:

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* 1. First Name:

Last Name:

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* 2. Last Name:

Phone Number:

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* 3. Phone Number:

Email Address:

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* 4. Email Address:

Home Address:

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* 5. Home Address:

City:

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* 6. City:

Zip Code:

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* 7. Zip Code:

Current Certification Level:

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* 8. Current Certification Level:

Desired Course

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* 9. Desired Course

Course Start Date:

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* 10. Course Start Date:

Course End Date:

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* 11. Course End Date:

Course Cost:

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* 12. Course Cost:

Tuition Assistance Amount Requested:

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* 13. Tuition Assistance Amount Requested:

Course Provider:

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* 14. Course Provider:

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