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African American Symposium Registration 2009
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The fields that have an * beside them, are required before submitting this form.

* First Name:
Middle Initial:
* Last Name:
* Address:
(Street, Route, or Box Number)
* City:
* State:
* Zip Code:
  Phone Number:
ex. (xxx) xxx-xxxx
* Email Address:
 

 

* Please indicate your student status:
First Year Freshman
Transfer Student

 

* Will you be attending the African American Symposium on August?
Yes, I will be attending Session 1 of the Symposium, Wednesday, August 12 - Thursday, August 13, 2009. (Please note that this session is only for students in the following colleges):
  • College of Agriculture and Life Sciences
  • College of Education
  • College of Engineering
  • College of Natural Resources
  • College of Textiles
  • College of Physical and Mathematical Sciences
 
Yes, I will be attending Session 2 of the Symposium, Thursday, August 13th - Friday, August 14th. Please note that this session is only for students in the following colleges:
 
  • College of Humanities and Social Sciences
  • First Year College
  • Transition Program
  • College of Management
  • College of Design
 
No, but I will be attending NC State in the Fall
No, I will not be attending NC State in the Fall

 

* What College are you in (Based on Your Major):
Agricultural Institute, College of Agriculture and Life Sciences (2 year program)
College of Agriculture and Life Sciences (4 year programs)
College of Design
College of Education
College of Engineering
College of Humanities and Social Sciences
College of Management
College of Natural Resources
College of Physical and Mathematical Sciences
College of Textiles
First Year College
Transition Program

 

* Will you be living on-campus for the 2009-10 academic year?
Yes
No

 

If you are living on campus for the 2009-10 academic year, what day will you be checking into the Residence Hall?
Tuesday, August 11th (1pm-4pm )-Reserved for out-of-state students and those traveling more than 3 hours that will be attending Session 1 of the Symposium.
Wednesday, August 12th (8:30 A.M.-10:00 A.M.) - Regular Check-in for Session 1 of the Symposium
Wednesday, August 12th (1pm-4pm )-Reserved for out-of-state students and those traveling more than 3 hours that will be attending Session 2 of the Symposium.
Thursday, August 13th (8:30 A.M.- 10:00 A.M.)- Regular Check-in for Session 2 of the Symposium.

 

Will your parents or family members be attending the symposium with you?
Yes
(Please indicate here how many people, not including you)
No
Not sure

 

 
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Last Updated: March 26, 2009
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