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Elizabeth City State University

Welcome Prospective student to Vikingland!

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Here at ECSU we will help you find your way to learn. We look forward to receiving your information and learning more about you. Once you have submitted your information expect to hear from us very soon!

Prospect Name
Prefix:
First Name:
Middle Name:
Last Name:
Suffix:
Nickname:

Primary Address
Valid From:	Month Day Year (YYYY)
Until:	Month Day Year (YYYY)
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number:	- (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

Prospect Birthdate
Date of Birth:	Month Day Year (YYYY)

E-Mail Address
E-mail Address:
Verify E-mail Address:

Prospect Entry Term
Term of Entry:

Prospect Prior College
College Code:
Prior College Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Attended From:
Attended To:
Graduation Date:	Month Day Year (YYYY)
GPA:	(example: 9.99)
Degree:

Prospect Major
Major:

How Prospect Learned About Us
How I Learned About Elizabeth City State University:

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[ Click here to email Admissions | Click here to visit www.cfnc.org ]

Release: 8.7.2.12