Support for those pursuing a degree

ESAP supplies financial aid to substance abuse professionals who are seeking college or graduate school degrees. If you have already been accepted into the ESAP program, please complete the form below to apply for the next term.

renewal Deadlines

For full information on other deadlines (grades, invoices), see this page.

Renewal form

Printable form

If you have difficulty with online renewal form, you use the printable form and FAX it to 919/990-9518.

Printable renewal form PDF logo

Online form

ESAP ID: (No ID? Apply now or contact us)
First Name:  
Last Name:
e-mail address:
College/University:
Degree Pursued:
School/Field:
Applying for term:
Tuition:
Due date for Tuition:
Anticipated book expense:
Other financial aid will total:
Amount requested from ESAP:

If your contact information or financial situation has changed since you last notified us, please enter the changes in the box below, or if they are extensive, check that you want to fill out a new form.

I need to complete a new application form to update my contact and/or financial information.

Please read all of the following statements and check the boxes to indicate your agreement.

I understand that continuing financial support for my college or university tuition and books is contingent both upon my maintaining a C average in each of my courses and upon the ESAP Office’s availability of funds. I have not been promised in any way that continued support is guaranteed beyond the current term.
I attest that the ESAP financial aid does not duplicate other financial aid from other sources. (I have reported if I have other educational loans.)
The information supplied on this form is accurate.

 


 

 

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