Pre-College Program Application

Applicant Information

Which program would you like to be considered for?

Native Education Forum

Emerging Scholars Academy

CAMINOS: Your Journey to College

First Name*

Middle Name

Last Name*

Preferred Name

Birthdate*

Sex

Gender

Pronouns (select all that apply)

She/Her/Hers

He/Him/His

They/Them/Theirs

Other

If other, please specify below:

Do you identify as Hispanic or Latinx?

Yes

No

Please indicate how you identify yourself (select one or more)

Tribal Affiliation (If Any)

What is the main language spoken in your home? (select all that apply)

English

Spanish

Other

If other, please specify below:

Cell Phone Number

Home Phone Number

Email Address*

Mailing Address*

Country

Street

City

Region

Postal Code

How did you hear about the Pre-College Programs*

Have you participated in a Pre-College Program at NC State before?

Yes

No

If so, which program?

Parent/Guardian Information

Parent/Guardian 1 First Name*

Parent/Guardian 1 Last Name*

Parent/Guardian 1 Phone*

Parent/Guardian Email*

How is this person related to you?*

Highest Education Level for Parent/Guardian 1

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

How is this person related to you?

Highest Education Level for Parent/Guardian 2

School Information

Name of Current High School*

High School Graduation Year*

High School Counselor Name*

High School Counselor Email Address*

High School Counselor Phone Number

Weighted GPA*

Unweighted GPA*

Extracurricular Activities (sports, clubs, community/church involvement, volunteering, family obligations)

Work Experience

Academic areas of interest (Ctrl + click to select multiple)

Intended Career

Our programs will include a variety of college readiness events, including academic lectures, college essay and application workshops, and students will build a community of like-minded scholars. How do you believe participating in our program will contribute to your personal and/or academic development?

To complete your application, an unofficial copy of your high school transcript is required. Upload now or email a copy to undergrad-precollege@ncsu.edu.

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Computer and Information Sciences
Construction Trades
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Criminology
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Engineering
English
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Foreign Languages
Funeral Service
Health and Physical Education
Health Sciences
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Natural Resources and Conservation
Nursing
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Pharmacy
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Psychology
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Social Work
Sociology
Undecided
Veterinary Medicine
Visual and Performing Arts