Application Interest Form

Be the First to Know

Fill out this short form to be notified when the next Carolina Youth Coalition (CYC) application opens!

Student Information

First Name *

Last Name *

Gender *

Graduation Year *

High School *

Didn’t see your school? Tell us the name here:

Current Unweighted GPA (if you don't know it, please write “N/A”) *

Contact Information

Student Phone Number *

Personal Email Address (NOT CMS email) *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Program Prefernces

Which CYC Campus are you interested in applying for? *

East Campus

Southwest Campus

How did you hear about CYC? *

If a current CYC Fellow referred you, please list their name here: