Complete the Student Registration form and return it to us by mail. Then send your $100 registration fee via the PayPal link below, or by mail with a money order.
SC School Of Midwifery
100 Marchant Street
Greer SC 29651
864-325-7791

NAME_________________________________

ADDRESS______________________________

CITY/STATE/ZIP_______________________

PHONE____________HOME____________CELL

EMAIL________________________________

WHAT ARE YOUR FUTURE GOALS?

_____________________________________

_____________________________________

_____________________________________

WHY HAVE YOU CHOSEN MIDWIFERY?

_____________________________________

_____________________________________

_____________________________________

PLEASE LIST ANY PREVIOUS EDUCATION:

_____________________________________

_____________________________________

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