No matter what challenges you’re facing right now, you’re not alone. ENGAGE North Carolina wants to help you get back on track and provide you with a personal mentor! The first step is to share your current plan for school.

Please take a few minutes to fill out this brief information form so we can update your records. We’d greatly appreciate it! If you prefer, call us at 704-303-8099.

ENGAGE North Carolina

Student First Name

Student Last Name

Student Date of Birth

(MM/DD/YYYY)

Parent/Guardian First Name

Parent/Guardian Last Name

Are you currently living in the state of North Carolina?

YesNo

Do you or your family currently need food, housing, or other assistance?

YesNo

What is the current schooling status of the student?

Please explain schooling status

Is a language other than English the primary language spoken in the home?

What language do you speak most at home?

What's the best way to contact you?

PhoneTextEmail

Phone

Email

You have the option to work with a free personal mentor to help you get back on track with school. Mentors work with students and families to answer questions, connect them with resources, and develop a plan to be their best in and out of the classroom this school year. There is no cost for mentoring and success coaching. This option is not available to homeschool or private school students.

What are your plans for school this fall?

What's Your Plan For School?