Patient Care Technician Scholarship

Thank you for your interest in the Patient Care Techician Career Pathway Scholarship.

Recipients will receive a scholarship for full tuition, books and materials related training. This scholarship will be instrumental in starting a career pathway of success and stability as a healthcare worker in St. Petersburg.

Please note that this is an inquiry form and not a guarantee for funding.

Contact Information

Enter the following information about yourself.

* 1.

Full Name

FirstLast

* 2.

Date of Birth

Month / Day / Year

* 3.

Current Address

Address / P.O. Box / Apt. #

CityStateZIP

* 4.

Preferred email address

* 5.

Phone number

6.

SPC Student ID Number (If Applicable)

Employment History

Please enter the following information about your Employment History.

*

Name of Current or Previous Employer

*

Employer Address

Address / P.O. Box / Apt. #

CityStateZIP

*

Job Industry

*

Position/Job Title

*

Job Start Date

Month / Day / Year

Other Information

* 7.

Please share how the Patient Care Techician scholarship will assist your career goals.

If you have comments about this form or questions regarding how to complete this form, please contact Eric McClendon at mcclendon.eric@spcollege.edu or call 727-341-3508.

The Board of Trustees of St. Petersburg College affirms its equal opportunity policy in accordance with the provisions of the Florida Educational Equity Act and all other relevant state and federal laws, rules and regulations. The college will not discriminate on the basis of race, color, ethnicity, religion, sex, age, national origin, marital status, pregnancy, sexual orientation, gender identity, genetic information, or against any qualified individual with disabilities in its employment practices or in the admission and treatment of students. Recognizing that sexual harassment constitutes discrimination on the basis of sex and violates this Rule, the college will not tolerate such conduct. Should you experience such behavior, please contact the Equal Access Equal Opportunity Director/Title IX Coordinator at 727-341-3261; by mail at P.O. Box 13489, St. Petersburg, FL 33733-3489; or by email at eaeo_director@spcollege.edu or spctitleix@spcollege.edu.