NCWC Traditional Day Inquiry

Traditional Day Program Information Request

Contact us: adm@ncwc.edu (800) 488-6292 (252) 985-5200
Office of Admission NCWC 3400 N. Wesleyan Blvd Rocky Mount, NC 27804

We are glad you want to know more about North Carolina Wesleyan College. Please take a moment to fill out this form and we will send you the information you need.

Your Contact Information
Name:	Last	First	M.I.
Preferred Name:
Gender:	Female Male
Street Address (box, apt):
City:
	(If from the state of NC, please enter the county in which you reside)
County:
State, Zip:
Phone:	( ) -
E-mail:
First heard about NCWC through:

Academic Information
First-time Freshman Transfer Student
Current Institution:	High School College
	Institution Code: (look up code? )
High School Graduation Year:
Intended Major:
Starting Term:

Activities and Interests (Ctrl-click to choose more than one)
Varsity Sports:
Co-Curricular Activities:
Other Interests and Notes:

Affirmative Action Information