Information Request

Fill out the form below to create your account. Your Email address MUST be valid and will become your username to log back into this site. Your next step will be to choose and complete the appropriate application.

Contact Information

First Name

Do you have a Middle Initial or Name?

Middle Name

Last Name

Birth Date

Please type your birth month, day, and year in this format: mm/dd/yyyy

Mailing Address

Address format examples: 123 Maple Lane OR 123 Maple Lane Apt C

Additional Address Information

Address format example: P.O. Box 4556 (when used in addition to street address)

City

State/Province

ZIP/Postal Code

Cell Phone

Please enter your phone number as ###-###-####. Example: 419-555-3535

Home Phone

Please enter your phone number as ###-###-####. Example: 419-555-3535

Email Address / Application Login Username

Please provide a personal (NOT your school) email address that you can access for communications regarding your application. This email address will serve as your username for login purposes to access your application's status.

If you don't have an email account, please visit yahoomail.com or gmail.com to create a free e-mail account.

Email Address

Confirm Email Address

What type of application will you be completing?

NC State General Admissions - For applicants who have already completed high school or earned a GED, or high school seniors who plan to attend AFTER high school graduation.

The following applications are for Middle and High School Students ONLY who will attend BEFORE high school graduation.

College Credit Plus (CCP) Admissions - For applicants in 7th-12th grade who are still enrolled in middle/high school and plan to take some college courses BEFORE high school graduation.

College-NOW and Early College Academy Admissions - For applicants who want to apply to any of the following programs:

College-NOW - For applicants who plan to attend college in their Junior and Senior years of high school INSTEAD of high school to earn an associate degree and high school diploma at the same time. These programs include:
- College-NOW Bioscience
- College-NOW Business
- College-NOW Engineering
- College-NOW Science/Medical Academy
Galion's Early College Academy (GECA) - For Galion City School students entering their junior year of high school to take college courses full-time to earn an associate degree in Liberal Arts.
- Galion Liberal Arts Academy

When do you plan to start taking classes?

Create Account

Contact Information

Email Address / Application Login Username

Account Information