Transitional Programs Orientation Registration

Transitional Programs Orientation Registration

Please choose an orientation date then provide your information.
Please note: If you are 16 or 17 years old, please call Ms. Medus at 919-739-6922 to schedule an appointment. Do not fill out this form.
Which program would you like to enroll in?
Are you a returning student?
Are you in the Reentry program? (Case Manager: Delano Blaizes)
Are you in the Workforce Innovation Opportunity Act (WIOA) program?
Please select which orientation session you would like to attend. REMEMBER: You must attend BOTH dates listed in the session.
Your Name

First NameMiddle InitialLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number
Format: (000) 000-0000.
Date of Birth

MonthDayYear
Your Email Address
Please verify that you are human
Should be Empty: