Instructions and Guidelines

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• Download the appropriate form (scroll down).

• Client must complete client portion of the application. Client must submit copy of ID (driver’s license, photo id, school id, etc)  

• Clinician or service provider must complete provider portion of the application. Provider must submit a copy of their license(s) to practice.

• Applications are to be submitted by email, mail, or in person to: info@theagatefoundation.org, PO Box 5605, Emerald Isle, NC 28594, or 8101B Emerald Drive, Suite B, Emerald Isle, NC 28594

• Once both parts of the application are received, our board of directors will review the application.

• Scholarships are limited to mental and behavioral health and/or addiction treatment. Scholarships are not granted for medical procedures.

• Applicants must be a resident of Onslow or Carteret County, or their contiguous counties in NC.

• Clients are required to financially contribute to the services for which they are requesting a scholarship.  Contributions may be as low as $1.00. 

• Scholarships are only applicable for services rendered from the time of the scholarship application and not for services historically received. Funds are paid to the service provider. Funds will be issued pending receipt of invoice for services rendered and amounts granted are paid only for services rendered as determined by provider’s treatment plan.

• Scholarships may be provided for partial amounts requested.