MAC Program Application

A completed copy of this application is necessary for meeting the MAC application requirements. As a part of the admissions process, all applicants completing a MAC Application package by February 1 are considered for NC State's merit-based MAC fellowships.

Please submit this application no later than March 1st.

Options for submitting your application

1. Complete the form below online. Your response will be emailed to the admissions committee.
2. Download a Word version of this form, complete it, and email it as an attachment to Ryan Platin, MAC student services assistant.
3. Print out a Word version of this form, complete it, and mail it to:
   MAC Program
   Attn: Ryan Platin
   Box 8113, NC State University
   Raleigh, NC 27695
4. Print out a Word version of this form, complete it, and fax it to: (Attn: Ryan Platin), 919-515-4446

Complete your application online

Instructions for completing the following online form.

Read through all of the questions first, and prepare your answers. Use the Tab button to move from one entry line to the next. Do NOT use the Enter/Return key until you are finished with the entire application. If you use the Enter/Return key before you are finished, the incomplete form will be submitted.

If you accidentally submit an incomplete application, you must re-submit a complete one. The MAC admissions committee will review the most complete application.

You may prepare answers to the open text portions of this application with other word processing software and then "cut and paste" into the fields below.

Name: Last, First, Middle Initial:

Current Address:

Telephone number:

Email address:

Permanent address (if different from above):

RECORD OF ACTIVITIES AND HONORS For each of the categories below, please give thorough answers. Provide the most recent items first and show dates where appropriate.

List university or community activities in which you currently participate and/or have participated in the past. Provide a description of each activity to include your time investment, responsibilities and major accomplishments.

List and provide a description of the honors, honors nominations (scholastic, civic, athletic, artistic, etc.), prizes, or other recognition you have received.

List offices or positions you have held during your college career or in your community. Provide a description of each office or position to include your time investment, responsibilities and major accomplishments.

List employment experience, including part-time and summers. Provide a description of each job or internship to include your time investment, responsibilities and major accomplishments.

Hobbies or special interests: