North Carolina Central University
Men's Achievement Center
African American Male Initiative (AAMI)
We invite you to take part in the Men’s Achievement Center (MAC) African American Male initiative. Male students selected into the program uphold legacy of intelligence, integrity and creativity as they pursue academic excellence. Only 40 freshman male students are accepted into the AAMI program each year.



Last Name: *
(Last Name Only)
Your answer
First Name *
(First Name Only)
Your answer
MI:
(Middle Initial)
Your answer
Student ID: *
(Ex.: 820-XXX-XXX)
Your answer
NCCU Student Email Address: *
(It ends with @eagles.nccu.edu)
Your answer
Alternate Email Address: *
(Ex.: @yahoo.com, @gmail.com, etc.)
Your answer
Instagram Username
(If applicable)
Your answer
Twitter Username
(If applicable)
Your answer
Permanent Address
(Street Address)
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Mobile Telephone Number: *
(Ex.: (919) 555-5555)
Your answer
Race *
(Choose One)
Are you a first-generation student (select one)? *
(None of your parents or grandparents graduated from a four-year college.)
Are you an incoming freshman/first-time college student? *
Field of study (Major) *
Your answer
What is your current high school G.P.A
Your answer
What is your current high school ACT/SAT score
Your answer
High School Clubs & Activities *
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy