Self-Endorsement Form

To be considered for the Park Scholarships program, you must apply for undergraduate admission to NC State by 11:59 p.m. ET on November 1. If you do not submit your application to NC State by the November 1 deadline, you are not eligible for the Park Scholarships.


  1. Enter the required information for each screen.
  2. Upon submission of your self-endorsement form, you will receive an automatic confirmation email. If you cannot locate this email, check your spam or bulk mail folders.

I certify that...


Student Personal Information
Date of Birth:    
Begin typing the name of the school, then select the correct school from the list that displays.
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Student Contact Information


Ensure this is the email address you will use on your application for admission to NC State.

This email is already being used.