Advisory College Point Application

Please complete to the best of your knowledge and submit. You should receive a response within 3-4 working days.

Your E-Mail Address

Subject

First Name

Last Name

PID

Advisory College

Name for Activity, Event, Inititiative, or Service

Please briefly describe Activity, Event, Initiative, or Service

Please choose a category that best describes your initiative

Are you acting on behalf of a student organization?

Yes
No

If so, what is the name of the organization?

Does this initiative directly benefit yourself or your organization?

Yes
No

Comments?

Contact Us

University of North Carolina School of Medicine
Larry Keith Advisory Colleges
1060 Bondurant Hall
CB# 9535
Chapel Hill, NC 27599-9535

(919) 962-8104 (office)
(919) 966-0730 (fax)