Parent and Family Interest Form

This form is for parents and family members of prospective students who want to receive information about NC State. If you are a prospective student or counselor, please complete our student interest form or counselor connection form.

Your Information

First Name*

Last Name*

Email Address*

Mobile Phone Number

Mailing Address

(By providing your mailing address, you will receive helpful information about NC State.)

Mailing Address

(By providing your mailing address, you will receive helpful information about NC State.)

Country

Street

City

Region

Postal Code

Your Student's Information

Student's First Name*

Student's Last Name*

Student Email Address* (Please provide your student's personal email address. Do not submit your own email address or a school-issued email address.)

Student's Date of Birth*

What is your relation to the student listed above?*

When does your student plan to start at NC State?*

Please describe your student*

My student has not graduated from high school.

My student is interested in transferring to NC State.

High School Name (Start typing school name, then select from list)

Current or most recent institution (Start typing institution name, then select from list)