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:
_____________________________________
_____________________________________
_____________________________________