Propel Scholarship Student Information Form Have you completed your North Carolina Residency Determination form? If not, you can do so now by clicking on the button, and then add your verification number in the blank below. In-state residents could be eligible for additional funding options that require residency verification for eligibility.Residency Determination Service RDS Verification Number Have you completed your NCWorks registration? If not, you can do so now by clicking on the blue button, and then add your NCWorks username in the blank below. NCWorks NCWorks Username First Name Middle Name Last Name Suffix Street Address Address2 Apt, suite, building, etc. City State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Email Address Phone Number Which class interests you? BioWork: Process Technician Associate Professional in Human Resources (aPHR) Bookkeeping: Intuit QuickBooks Certified User Online Certified Bookkeeper Apartment Maintenance Technician HVAC Technician Certified Nurse Aide I Certified Nurse Aide II Central Sterile Processing Technician EKG Technician Emergency Medical Technician Basic (EMT-B) Emergency Medical Technician Paramedic (EMT-P) Advanced Emergency Medical Technician (AEMT) Healthcare Billing Healthcare Coding Massage Therapy Medical Terminology Phlebotomy Basic Culinary Arts & Restaurant Fundamentals Certification Hotel and Restaurant Hospitality Certification AWS Certified Solutions Architect Associate Cisco Certified Network Associate (CCNA) CompTIA Certified Cybersecurity Analyst (CySA) CompTIA PenTest+ Computer Technology Basics for Digital Literacy Data Analytics for Business Professionals IT Support Technician Microsoft Office 365/Office 2019 for Office Administration Network Technician Software Developer using Python Web Programmer using HTML5, CSS and Javascript Basic Law Enforcement Training Advanced Automotive Technician Automotive Maintenance and Light Repair Other If "Other," provide the course name. Are you currently enrolled in this course? - Select -YesNo Are you unemployed or underemployed, a military veteran or the spouse of a veteran, or a N.C. National Guard member? - Select -YesNo A laptop may be available to you if you are in need. Are you interested in being considered for one? - None -YesNo COVID-19 Attestation Check this box to indicate your desire to be considered for additional federal aid based on the impacts of the COVID-19 pandemic. Your choice to apply for additional federal aid does not impact your application for other sources of aid. If you check this box, please include in your description above how the pandemic has affected your ability to complete your educational and vocational goals.By checking this box, I certify that I am experiencing financial impacts from the COVID-19 pandemic, and all information included in this request for emergency aid is true and complete. I understand that, if I am found to have knowingly or intentionally given false or fraudulent statements and/or documentation, my request will be denied, withdrawn, reduced or canceled. I also am aware that I may be required to pay all funds back and that future eligibility for federal education stimulus dollars could be jeopardized.
