L. Stanley Haywood Recovery Fund Residential Treatment Scholarship

Geographic Scope: North Carolina

Focus Areas: Residential treatment for healthcare professionals in recovery

Eligible Applicants:

• Pharmacists
• Pharmacy technicians (with specific requirements)
• Pharmacy students

Pharmacy Technician Eligibility Requirements (ALL three must be met):

1. Must be registered with the NCBOP as a "certified technician" (PTCB or ExCPT certified)
2. Must have been registered as a technician with the NCBOP for a minimum of five years
3. Must have been in current pharmacy technician position for at least two years

Fund Distribution: All funds are distributed directly to the residential treatment facility

Contact Information:

• Phone: (919) 870-4480 or (919) 870-4484
• Email: info@ncphp.org
• Address: 220 Horizon Drive Suite 201, Raleigh, NC 27615-4928

Background: Part of the L. Stanley Haywood Recovery Fund, managed by NCPHP's Assistant Director of Operations who coordinates treatment scholarship funds

Application Process

Application Format: Online form (4-step multi-page application)

Required Sections:

1. Biographical Information
   • Last 4 digits of SSN
   • Birthdate (MM/DD/YYYY)
   • Professional status (Pharmacist, Technician, or Student)
   • For technicians: Certification type (PTCB or ExCPT), NCBOP registration date, and date of hire in current position
2. Financial Information
   • Current employment status (Yes/No)
   • If not employed: last date worked and expected return date
   • Current monthly net income
   • Number of household members
   • Housing status (rent or own)
   • Total outstanding student loan balance
   • Monthly household expenses:
   • Mortgage/Rent payment
   • Car payment
   • Credit card payments
   • Student loan payment
   • Business loan payment
   • Other debt payments
   • Other monthly expenses
   • Liquid assets available:
   • Savings
   • Retirement savings plan balance
   • Investment portfolio value
   • Other financial resources available (Yes/No with explanation if applicable)
   • Overall financial circumstances description
3. Facility/Provider Information
   • Residential treatment facility name
   • Complete address (street, city, state, ZIP)
   • Phone number
   • Contact person name
   • Firm treatment start date (MM/DD/YYYY) - must have firm start date to qualify
4. Attestation
   • Declaration that information provided is true, correct, and complete
   • CAPTCHA verification required

Important Note: Must have a firm treatment start date to qualify for funds