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Application for Phlebotomy Technician Program

ID : 10707   
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Please set up a profile and complete this form for our Winter/Spring 2022 Phlebotomy Technician Program. 

This class is limited to 10 students and additional steps/documents are required before acceptance to the program. Once all application steps are completed, student will be provided with additional Registration/Payment information.  Availability is based on first-come, first-served basis for those completing application requirements.
These steps include emailing the following to  
1.  Resume or Job History 
2.  1 page Letter of Interest explaining (1) why you would be a good candidate for this program and (2) how you hope to use an industry credential in your future career plans. 
3.  Copy of High School Diploma or Equivalent
4.  TABE Testing
Copy of TABE scores – must have tested within the past 24 months. Minimum scores of 536 and a corresponding NRS Level of 4 or higher are required in Reading and Math on the TABE 11/12 Assessment. Return to the Home page of this site and add a test date to your cart.  Testing session is approximately 4 hours.  
Criminal Background Check

All Phlebotomy Technician Program applicants will be required to submit a Criminal Background Check with the Virginia State Police via a  CVCC Workforce Development Representative.  The Criminal History Background Check result must be received by the Office of Workforce Development prior to an official acceptance into the Phlebotomy Program can be finalized.  Forms can be completed by Workforce Development Staff on a TABE Testing Date.

The Phlebotomy Technician applicant is responsible for the $20.00 charge which is payable to the Virginia State Police by Money Order only.  Please bring a State issued ID or a State issued driver’s license.

Drug Screening

All Phlebotomy Technician Program applicants will be required to have a eight drug screen urine test.

Option 1: Blue Ridge Scientific
102 Archway Court
Lynchburg VA 24502

Appointments are not needed. Walk-ins are accepted any time between 9:00 – 5:00, Monday – Friday. (Closed Christmas Eve, Christmas Day, New Year’s Eve, New Year’s Day)

The student is responsible for the fee of $60.00 (cash) or $62.50 (credit/debit card).

Option 2: HealthWorks
Centra Lynchburg Medical Center Building
125 Nationwide Drive (upper level)
Lynchburg VA 24502
  • The student is responsible for the fee of $60.00
  • MRO Fee: For positive reviews only $50.00 per positive
  • Urine Drug Screen 9 panel ($45.00) and Nicotine Urine Screen ($15.00): Total $60.00
  • TB Skin Test - $26.00
  • Flu Immunization - $35.00
  • Titers – Free of charge to CVCC PBT students

Please call 434-200-6934 to make an appointment.

The drug screen and nicotine urine screen results must be included with your application materials. The drug screening results must be emailed to directly from Blue Ridge Scientific or HealthWorks.

Financial Aid Options - please review so that Workforce Development Staff can assist in your registration and payment
FastForward Credential Grant/New Economy Workforce Credential Grant
Eligible Virginia Residents pay 1/3 of tuition with grant funding.  Criteria includes: length of time of residency in Virginia, length of time income taxes have been paid in Virginia, etc. 
Non-COVID Affected:
BENEFIT: Will pay portion of first third of any FastForward Program.

REQUIREMENT: Student must be a Virginia resident and complete application and provide documentation verifying financial need. This program is income based if your current adjusted income is at or below 200% of the Federal Poverty Guideline. 
Federal Poverty Guidelines 2020
200% of Poverty Guideline
Household Income Threshold
Adjusted Gross Income

Persons in Household       2x Poverty Guidelines
1                                      $
2                                      $
3                                      $
4                                      $
5                                      $
6                                      $
7                                      $
8                                      $
9                                      $
10                                    $
COVID Affected: (In order of greatest benefit to student)
Virginia Ready State Aid (VRSA)
BENEFIT: Will pay full first third of specific FastForward Program PLUS $1,000 if they obtain the related credential.

REQUIREMENT: Student must be a Virginia resident, apply to become a Virginia Ready Scholar, be approved, and complete an application meeting one of the following criteria:
1. Unemployed due to COVID-19; or
2. Eligible for FANTIC or current adjusted income is at or below 200% of the Federal Poverty Guideline; or
3. Currently earning less than $15/hour and working less than 30 hours a week; or
4. Currently earning less than $15/hour and unable to access employer benefits for medical coverage and/or paid time off.
Re Employing Virginia (REV) 
BENEFIT: Will pay full first third of any G3 FastForward Program.

REQUIREMENT: Student must be a Virginia resident and completes simple application with two criteria:

1. Lost their job due to COVID-19 and received state unemployment benefits before/after August 1, 2020, or
2. Business where they worked closed and they were laid off from full-time and are now working part-time and earn less than $15 hour
Tobacco Commission Aid
Eligible FastForward/Workforce Credential Grant students residing in a VA Tobacco dependent locality such as Appomattox, Bedford or Campbell Counties.  See complete list of eligible counties at Counties & Cities Eligible for Tobacco Commission Funding – Virginia Tobacco Region Revitalization Commission (   
Additional resources are available through Community Partners.




Class Details

180 Sessions
Online 24/7

Main Campus - Merritt Hall - First Floor

TBD Instructor 



Registration Closes On
Tuesday, January 11, 2022 @ 11:59 PM

Schedule Information

Date(s) Class Days Times Location Instructor(s)
7/16/2021 - 1/11/2022 Online 24/7 12:00 AM - 12:00 AM Lynchburg, Main Campus - Merritt Hall - First Floor  Map TBD Instructor