Visit NC State Program October 23 25, 2016

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Visit NC State Program October 23 25, 2016 Directions Submit completed applications, and all supplemental documents, to Brett A. Locklear (balockle@ncsu.edu), Director of Graduate Recruitment, electronically before the deadline date. Faculty letters of recommendation can be sent to Brett A. Locklear directly. The application is a fillable PDF. You can only access the form if using Adobe Reader (available for free download at get.adobe.com/reader/) or Adobe Acrobat. To save data to the form, click the Save as PDF button and save the file to your computer. Email the completed application, along with your resume/cv, your unofficial transcript, and your statement of interest. Deadlines, Selection Criteria, and Contact Information Deadlines & Notification Dates Application Deadline: September 12, 2016 @ 12 p.m. Notification of admission decision: September 26, 2016 Selection Criteria Prospective graduate students must possess a strong academic profile for the program they are interested in visiting. Have a minimum GPA of 3.25 Be a sophomore through senior in college, an enrolled master s student, or an interested postbaccalaureate Demonstrate serious consideration to attend NC State University Be a U.S. citizen or permanent resident (consideration for international students currently enrolled in a higher education institution within the continental U.S. may be considered) Complete the entire application (including faculty recommendation, unofficial transcript/s, and statement of interest) Contact Information Physical Address (Mailing) North Carolina State University The Graduate School ATTN: Brett A. Locklear 1020 Main Campus Drive Box 7102 Raleigh, NC 27695 T: 919.513.1981 F: 919.515.2873 W: ncsu.edu/grad E: balockle@ncsu.edu Program Website: go.ncsu.edu/visitncstate

Visit NC State Program October 23-25, 2016 Program Overview North Carolina State University s Graduate School is committed to enhancing the diversity of its graduate programs. Admitted students will 1) have a GPA of 3.25 or higher, 2) be a sophomore through senior in college, an enrolled master s student, or an interested post-baccalaureate, 3) be a US citizen or permanent resident, 4) demonstrate serious consideration to NC State University, and 5) submit this completed application, along with the following: a) 1 faculty letter of recommendation, b) unofficial transcript (from each institution attended), c) statement of interest (500 words or less directed towards your graduate program of interest that indicates your research and/or professional interest and why you want to pursue these interest at NC State University). All information received is treated with strict confidentiality. PERSONAL PROFILE Last Name First Name M I Gender Mailing Address Permanent Address Number & Street Number & Street Apartment Apartment City City State State Zip Code Zip Code Home Telephone Number Mobile Telephone Number E-Mail Address Nation of Citizenship Are you a US permanent resident? Yes No Birthplace (City/State/Province/Country) Are you or will you be the first person in your family to graduate from college? Yes No Ethnic Background (Check One) African American European-American/Caucasian/White Alaskan Native Hispanic/Latino/Chicano/Puerto Rican American Indian (specify tribal nation): Asian Pacific Islander (specify): EDUCATIONAL INFORMATION How was your undergraduate education funded? (Check all that apply) Family Federal Grants Federal Loans Scholarships Other (specify): Have you participated in the following TRIO Programs? (Check all that apply) Educational Opportunity Centers Upward Bound McNair Post-baccalaureate Achievement Upward Bound (STEM) Student Support Services (SSS) Veterans Upward Bound Talent Search N/A Birth Date (MM/DD/YYYY) Have you participated in any of these programs? (Check all that apply) Gates Millennium Scholars Mellon Mays Scholars IMSD Meyerhoff Scholars John Hopps Research Scholars Morehead Scholars LSAMP RISE MARC Park Scholars McNair Scholars Program Prep ***Other (specify): Are you, or an immediate family member, a veteran? Please select your affiliation. Veteran Dependent/Survivor Active Duty Service Member National Guard/Reservist Caregiver/Family Member N/A ***Specify Branch:

UNDERGRADUATE RECORD Present Institution (Name/City/State) Present Classification FR SO JR SR Masters Undergraduate Cumulative GPA Undergraduate Major GPA Overall Graduate GPA Institutions Attended Department/Major Degree Date Received/Expected GRADUATE RECORD Institutions Attended Department/Major Degree Date Received/Expected TEST SCORES GRE MAT (please specify) GMAT Date taken or to be taken Date taken or to be taken Verbal Verbal Quantitative Quantitative Analytical Writing Analytical Writing Total Composite Total Composite GRADUATE STUDY PLANS Department/Discipline* (for example, Biology) 1. 2. Major/Area of Interest* (for example, Molecular) Degree* (Masters or Ph.D.) Masters Ph.D. Method of delivery * (for example, Distance Ed) On-Campus Distance Ed Semester and year you plan to begin graduate studies Fall (year) Spring (year) * For online list or departments, majors, degree programs, click here: https://grad.ncsu.edu/programs/ RESEARCH EXPERIENCE Do you have research experience? If yes, give a brief description of your project/research. Yes No Where institution did you do your research? Are you interested in Summer Research Experience at NC State? Who was your faculty advisor? If so, what discipline or specific program*? Yes No * For online list SREs, click here: https://undergradresearch.dasa.ncsu.edu/ Honors, Distinctions, Awards, Memberships, Publications Are there other qualities/traits you would like to share? OTHER

SIGNATURE I understand that space in the 2016 Fall Visit NC State Visitation Program is limited, and that I must provide all required documentation before the deadline to be considered for acceptance. I also understand that attending this program does not guarantee admission to NC State, nor does participation in the program guarantee acceptance into any research program at NC State. I certify that all of the information above is accurate to the best of my knowledge. Applicant Signature Electronic Signature or Computer Generated Signature PROGRAMING LOGISTICS How will you be traveling to Raleigh? Will you require a hotel room? Driving Flying University Charter Bus Date What is your meal preference? *Airfare for admitted students must be confirmed by October 7, 2016. **Mileage reimbursement is 30 cents/mile. The organizer will determine the most cost efficient method of travel for participants. Yes (out of town participant) Yes (local resident) No (local resident) Non-vegetarian Vegetarian HOW DID YOU HEAR ABOUT THIS PROGRAM/EVENT? Direct email from Brett A. Locklear Friend Email from faculty member from NC State University Program Manager/Director/or other staff member Email from faculty member at my institution Recruiting Event (specify): Flyer posted at my institution Website (specify): Thank you for your interest in our graduate programs!

STATEMENT of INTEREST (500 word maximum) Include in your interest the following information: 1) What are your research and professional interest; 2) How will your intended graduate degree help you achieve those goals; and 3) Why do you want to pursue this interest at NC State University?