Summer START 2017 Interest Form
Thank you for your interest in Summer START. Please fill out the following form to receive additional information about the Summer START program at NC State University and be kept informed of important application deadlines.

You do not have to be an admitted NC State student to complete this form.

Program Dates: June 21 - August 2, 2017
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First Name *
Last Name *
Student ID Number
If unknown, please leave blank.
Email Address *
Secondary Email Address (optional)
Phone Number *
Primary contact will be through email unless you prefer otherwise.
Prospective College *
Are you an international or IEP student? *
Please share any questions you have about Summer START.
A member of our staff will follow up with you to answer your questions. An email response will be sent to the primary email address provided above.
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