NCWC: Early Registration

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

EARLY REGISTRATION FORM
Name:	Last	First	M.I.
Address:
City:
State:
Zip:
Phone:
E-mail:
Date Attending:	June 15^th, 2007 July 13^st, 2007
Name (s) of parent or guardian attending:
How many will be attending including yourself?
Please include any special accommodations that you might require:

If this registration form does not submit properly, please call 252-985-5200 for registration. Thank you.

If you have any questions please call Admission at (252) 985-5200 or 1-800-488-6292.

For additional dates, please see the academic information in our Campus Calendar.