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LEVARIS FOUNDATION

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Apply Here

Medical Assistant and Phlebotomy Program Application

READ THIS FIRST:

Seats are limited and selection is competitive. Please answer each question thoughtfully. We want to understand your story, why this opportunity matters to you and how it will impact your life. Unfortunately, one-sentence answers don't give us enough insight to consider your application acceptance.

Take your time and show effort. 

Application fees  and school registration fees are non-refundable.

Which program are you interested in?
Phlebotomy
Medical Assistant
For the OPTIONAL clinical component, you are required to be able to get to Philadelphia, PA & it's outskirts OR Townson, MD. Are you able to travel there?
YES
NO
This program has a strong online component and requires approximately 3-6 weeks (depending on the program) of self-paced independent study. Can you commit to this?
YES
NO
As a Part of Your Application, You Are Required to Repost Our Flyer on Your Social Media. If Selected, You Are Required to Collaborate on Posts. Can You Adhere to Those Guidelines?
YES
NO
Levaris Foundation uses responses (EXCLUDING private information) for promotion on websites and social media. Do you consent to this?
YES
NO
Selected participants agree to take part in program documentation- including photos, videos or testimonials highlighting their journey. This is required and helps us share real stories of impact and inspire future participants. Modesty will be respected.
AGREE
DISAGREE
Application Fee. APPLICATION WILL NOT BE PROCCESSED WITHOUT FEE PAID.
$25
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