NC Eastern AHEC
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NC Eastern AHEC
YHSC-TIF end usage date-July 24-2023
Refer Friends & Get $100!
Log Hours
Charts
Events
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Create an account to track your volunteer hours.
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High School:
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Camden County High School
Camden Early College
C.S. Brown High School
Currituck High School
Elizabeth City Pasquotank Early College
First Flight High School
Gates High School
Hertford County High School
Jacksonville High School
J.H. Rose High School
Northeastern High School
Pamlico High School
Pasquotank County High School
Perquimans High School
South Central High School
Spring Creek High School
Washington County High School
Wayne Early College
Manteo High School
John A. Holmes High School
NA - Administrative Account
High School graduation year:
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First Name:
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Middle Name:
Last Name:
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Phone Number (Primary):
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Phone Number (Secondary):
Street Address:
City/Town:
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State:
Zip Code:
Gender:
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Female
Male
Date of birth:
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Special medical needs/physical limitations/allergies::
The name of the University/College you plan to attend:
University/College Projected Graduation Year:
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2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
University/College Major:
University/College Minor:
Emergency Contact Name:
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Emergency Contact Relationship:
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Emergency Contact Address:
Emergency contact Phone:
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Mother’s educational background:
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Less than high school diploma
High school diploma
Associate’s Degree (2 yrs.)
Bachelor’s Degree (4 yrs.)
Master’s Degree (>4 yrs.)
Other advanced award
Father’s educational background:
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Less than high school diploma
High school diploma
Associate’s Degree (2 yrs.)
Bachelor’s Degree (4 yrs.)
Master’s Degree (>4 yrs.)
Other advanced award
Racial background:
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American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Not Available
More Than One Race
Are you Hispanic?:
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Yes
No
What languages, other than English, are you fluent in?:
Have you volunteered previously in any AHEC Programs?:
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Yes
No
If yes, please list programs/projects:
Have you ever been a volunteer or provided community service?:
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Yes, in school the year before
Yes, with a youth organization
Yes, with my church
Yes, with my family
Yes, with my neighborhood
No
What activities do you currently participate in?:
Do you have special skills or hobbies?:
State briefly your motivation for applying:
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