Governor's Page Program Application Form

Submitted by dlfaison on Mon, 08/02/2021 - 17:22

Thank you for your interest in the Governor’s Page Program. The 2025 page applications are now open.

If you have any questions, please contact govpage@nc.gov.

Indicates required field

Legal First Name

Legal Last Name

Preferred Name

Date of Birth

Please note: Demographic information is not used in the evaluation of an application.

Sex

What is your race/ethnicity? (Please select all that apply)

White

Black or African American

Latino or Hispanic

Asian

Native American or Alaska Native

Native Hawaiian or Other Pacific Islander

Middle Eastern or North African

Other

Prefer not to answer

Other Race/Ethnicity

If you checked other above, please tell us how you identify yourself.

County Where You Live

Applicant's Email

(Do not submit your parent/guardian’s email)

Street Address

Secondary Address Information

suite#, apt#, building#, etc

City

State

Postal Code

Home Phone

School Name

Anticipated Graduation Year