Nursing Detroit Financial Aid Application

SKILLED US Scholarship Application

This form collects basic information from individuals interested in nursing skilled trades to help connect them with relevant opportunities and resources.
Student Name*

First NameLast Name
Student Email*
example@example.com
Do you recieve SNAP benefits? Do you live OUTSIDE of Detroit. (To be eligible you must recieve SNAP benefits and live outside Detroit, but in Wayne County)*

Yes, I receive Snap Benefits. Yes I live OUTSIDE of Detroit.No, I do not receive Snap Benefits so I am not eligible.I live in Detroit so I am not eligible.
What city do you live in? *
Student DOB*
Student Phone Number*
Please enter a valid phone number.
Student Age*
Do you have a valid government-issued ID? *
Which Program Are You Interested In? (Select all that apply)*

Phlebotomy -4-Week Class; Evenings Only (3pm- 8pm)CNA (3 Week Classes; Day & Evening; In-person & online options
Which CNA class dates are you interested in (Pick all that apply)*

Sept 29- Oct 14, 2025Nov 3- Nov 19, 2025Jan 5- Jan 21, 2026Feb 2- Feb 18, 2026Mar 2- Mar 18, 2026Mar 30- April 15, 2026April 27-May 13, 2026June 1-June 17, 2026June 22-July 8, 2026July 13- July 29, 2026
Select a Class Time:*

CNA Day Classes (0800-2:30)CNA Afternoons (11:30am- 5:30pm)Phlebotomy Evenings (3pm-8pm)
Select a Class Type:*

In-PersonHybrid (combo of online & in-person)
Who referred you?
Additional information:
Please add any additional information that may help us ensure that we understand your needs.
Should be Empty:

SKILLED US Scholarship Application