Wake Forest College LAUNCH Inquiry Form

I am submitting this inquiry as a ________.

Educators, please visit the link below to complete the Educator Inquiry and Student Referral Form.
https://slate.summer.wfu.edu/register/educators

Community Partners, please visit the link below to complete the Community Partner Inquiry and Student Referral Form.
https://slate.summer.wfu.edu/register/communitypartners

Relationship to Student

First Name

Last Name

Email Address

Student's First Name

Student's Middle Name

Student's Last Name

Student's Email Address

Student's Birthdate

Of the two College LAUNCH programs, which is closest to your student's school and/or hometown?

Charlotte

Winston-Salem

What is your student's high school graduation year?

2026

2027

2028

2029

Will your student be the first in your family to go to college?

Yes

No

Does your student attend a Title 1 High School?

Yes

No

Is your student eligible to receive free or reduced lunch at school?

Yes

No

Comments/Questions:

Student's First Name

Student's Middle Name

Student's Last Name

Student's Email Address

Student's Birthdate

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Describe this person's relationship to student

What is the name of the student's school?

Of the two College LAUNCH programs, which is closest to your school and/or hometown?

Charlotte

Winston-Salem

What is your high school graduation year?

2025

2026

2027

2028

Will you be the first in your family to go to college?

Yes

No

Do you attend a Title 1 High School?

Yes

No

Are you eligible to receive free or reduced lunch at school?

Yes

No

Comments/Questions: