FAST TRACK for students

Click HERE to download a copy of our Scholarship form to bring in to us.

If you want to fill out the form and submit it online/electronically, please scroll to the bottom of this page to begin.

Eligible Courses

CNA

Phlebotomy

Automotive Technology

Requirements:

NO previous felonies/background

Able to return the Friday after orientation for 4 hours

2023 to 2024 Orientation Dates

Feburary to June 2023

Class Start: 02/27/2023

Class End: 06/16/2023

Graduation: 06/27/2023

June to October 2023

Class Start: 06/19/2023

Class End: 10/06/2023

Graduation: TBD

October to Feburary 2024

Class Start: 10/16/2023

Class End: 02/02/2024

Graduation: TBD

ABOUT OUR FAST TRACK PROGRAM

Our fast track program was designed to get you into class ASAP. During orientation you will meet our Instructors and Admissions staff will be available to help you fill out enrollment and scholarship paperwork.

Be Focused. Be Determined.

Fill out our Scholarship form

Fast Track Scholarship Application

This form must be filled out and submitted in full. Please allow 10 to 45 minutes to complete. If you have any questions contact our admissions department.

Career Path

Automotive Technology

Certified Nursing Assistant

Phlebotomy

Applicant Information

Applicant Name

Date of Birth

Cell Phone #

Home Phone # (if applicable)

Address

City

State/Province

Zip/Postal

Country

Demographic Information: (Optional to Complete)

To which gender identity do you most identify?

Ethnicity

Veteran Status

What Categories of Veterans Are “Protected” by VEVRAA?
“Protected” veterans include the following categories: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These categories are defined below. A “disabled veteran” is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service. An “active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An “Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Disability Self-Identification

Yes, I have a disability, or have had one in the past

No, I do not have a disability and have not had one in the past

I do not want to answer

This is an invitation to self-identify, not a requirement. The self-identification of disability form is a voluntary form, so each individual may choose to disclose his or her disability status, or not.

If yes, please specify

Applicant Eligibility

If you cannot check all four (4) boxes below, please call SoE admissions dept.

18 years of age or older

Possess a valid, non-expired photo ID

Possess a valid Social Security Card - provide last 4 of SSNPossess a valid Social Security Card - provide last 4 of SSN

Work Eligibility Status - fill in status (ex: US Citizen, Green Card, Work Visa, etc)Work Eligibility Status - fill in status (ex: US Citizen, Green Card, Work Visa, etc)

Education - High School/GED

High School Diploma Awarded?

Yes

Date

School Name

School City & State

Last Grade Completed

Years Attended

Last School Name

Last School City & State

High School Equivalency - GED

Yes

Date

Other Professional Courses

If more than 2, please inform our admissions dept.

Do you have any other Courses/Licenses/Certifications?

Yes

Course Name

Date

Location - School/Authority Name, City and State

Course Name

Date

Location - School/Authority Name, City and State

Employment

Previous 5 Years - if all will not fit, please list from last/current and inform our admissions dept.

From Date

To Date

Position

Employer

Reason for Leaving

Wage/Salary

From Date

To Date

Position

Employer

Reason for Leaving

Wage/Salary

From Date

To Date

Position

Employer

Reason for Leaving

Wage/Salary

From Date

To Date

Position

Employer

Reason for Leaving

Wage/Salary

Criminal History

Do you have a criminal record?

Yes

Offense

Crime Category

Year

Sentence - (___Months/___Years)

Time Served - (___Months/___Years)

Explanation

Offense

Crime Category

Year

Sentence - (___Months/___Years)

Time Served - (___Months/___Years)

Explanation

Basic Financial Information

Do you have any Savings?

Yes

If yes, Total Amount

Do you have any Debts?

Yes

If yes, Total debt amount

Debt Type

Owed To

Years Accumulated

Previous Payments/Paid Down Total

Remaining Amount Due

Debt Type

Owed To

Years Accumulated

Previous Payments/Paid Down Total

Remaining Amount Due

Debt Type

Owed To

Years Accumulated

Previous Payments/Paid Down Total

Remaining Amount Due

Explanation

Statement of Need

Write clearly and be direct. Use specific examples and put in appropriate personal details. Tell us about your background, and why this profession makes sense to, and for, you. Remember to tell your story and have fun with it.

Paragraph

Current Monthly Income and Expenses Summary

Hourly Wage X 52 Weeks / 12 Months X 0.85 tax = Total

example: 10.00 X 52 = 520.00, 520 / 12 = 43.33, 43.33 X .85 = 36.83 Total

Monthly Earned Income

Applicant Earned Income Job #1

Applicant Earned Income Job #2

Applicant Earned Income Job #3

Other Household Member #1

Other Household Member #2

Other Household Member #3

Total of all Applicant Income

Total of all Household Members Income

Total Income of Applicant and Household

Monthly Expenses

List all expenses you currently have per month. If you also support other people in your household, please list their expenses under the "other household" listings.

Applicant Housing

Other Household Housing

Housing Total

Applicant Car Payment

Other Household Car Payment

Car Payment Total

Applicant Gasoline

Other Household Gasoline

Gas Total

Applicant Car Insurance

Other Household Car Insurance

Car Insurance Total

Applicant Bus Fare

Other Household Bus Fare

Bus Total

Applicant Child Care

Other Household Child Care

Child Care Total

Applicant Child Support

Other Household Child Support

Child Support Total

Applicant Utilities (water, gas, power, garbage, sewer)

Other Household Utilities (water, gas, power, garbage, sewer)

Utility Total

Applicant Food/Groceries

Other Household Food/Groceries

Food/Grocery Total

Applicant Hygiene/Clothing

Other Household Hygiene/Clothing

Hygiene/Clothing Total

Applicant Cell Phone

Other Household Cell Phone

Cell Phone Total

Applicant Other Expenses

Other Household Other Expenses

Other Expenses Total

Applicant Total Expenses

Other Household Total Expenses

if $0 or not applicable, type $0

Monthly Total of All

Please Verify all information is correct.

Summary

I verify that: (please check all that apply)

I have reviewed all information and it is correct.

All applicable fields are completed in full.

I need help completing the form. Please list the areas.I need help completing the form. Please list the areas.

I agree that if I receive a scholarship, I will report and submit a copy of my first paystub after gaining employment.

Signature

Clear

Todays Date

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