VetsinTech Education Scholarship Application

Your Name:(required)

Please let us know your name.

Phone Number:(required)

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Were you referred by ENPP?(required)

Yes

No

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Your Email:(required)

Please let us know your email address.

State of Residence:(required)

You must select a state

Are you from L3 Harris?(required)

Yes

No

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Start Date of the Class You're Applying to:(required)

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Course You're Registering For:(required)

You must select a course

Have You Taken a Course Through VetsinTech Before?(required)

Yes

No

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If yes, specify the course and approximate date:

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Date for previous class:

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Years of Workforce Experience:(required)

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Ethnicity:(required)

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Gender:(required)

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Github Profile (if registering for a programming course):

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Dedicated Time Commitment per Week for the Course:(required)

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Do You Agree to the Time Requirement of Your Course for Success?(required)

I agree

I disagree

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How Will You Commit Your Time to Completing This Course?(required)

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Prerequisite Technical Skills:(required)

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Will You Make Yourself Available for Feedback and/or Interview as a Potential Success Story or Testimonial?(required)

Yes

No

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Why Are You Interested in Taking This Course?(required)

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Do You Have Any Other Questions or Comments?

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Describe Your Journey That Led You to Pursue This Course. What Significant Challenges Have You Overcome in Your Personal or Professional Life That Have Prepared You for the Rigors of This Program? Include any successes or achievements you have had.(required)

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Discuss a Time When You Had to Commit to a Long-Term Goal. How Did You Stay Motivated, and What Did You Learn About Yourself Through This Experience?(required)

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How Did You Envision Using the Skills From This Course to Make a Positive Impact in Your Community or Profession?(required)

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VetsinTech Education Scholarship Application

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