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Pre-College Programs
Wake Forest University Precollege Programs
Summer Immersion Program
Middle School Summer Exploration
College LAUNCH
Staff
Contact Us
Main Content
Summer Exploration Program Inquiry Form
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* Field is required
I am a... *
I am a... *
Community Partner
Student
Parent / Guardian
Teacher
Advisor / Counselor
Principal / Head of School
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 and Student Referral Form.
https://slate.summer.wfu.edu/register/communitypartners
Student First Name *
Student Last Name *
Parent Email Address *
Parent Cell Phone Number *
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Name of Middle School *
Birthdate *
Birthdate *
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1901
1900
I am a... *
I am a... *
Rising 7th Grader
Rising 8th Grader
Rising 9th Grader
High School Graduation Year*
High School Graduation Year*
2026
2027
2028
Parent/Guardian Relationship Type
Brother
Caregiver
Father
Foster Parent
Grandparent
Legal Guardian
Mother
Sister
Step-Father
Step-Mother
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian E-mail Address
Parent/Guardian Cell Phone Number
Comments/Questions:
Relationship to Student *
Father
Legal Guardian
Mother
Step-Father
Step-Mother
First Name *
Last Name *
E-mail Address *
Cell Phone Number *
Student First Name *
Student Last Name *
Student Birthdate *
Student Birthdate *
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
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1916
1915
1914
1913
1912
1911
1910
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1907
1906
1905
1904
1903
1902
1901
1900
Student's School or Institution *
School or Institution CEEB Code
Student Graduation Year
Student Graduation Year
2026
2027
2028
Comments/Questions:
Submit
