Carteret Community College C-STEP Interest Form
Applicants should complete & return this form to one of the C-STEP advisors listed at the bottom of this sheet. A screening
interview will be set up for you with one of the advisors if this form is fully completed and is accompanied by transcripts.
CCC C-STEP Advisor:
Melinda Rouse
rousem@carteret.edu
(252) 222-6175
133 McGee Bldg.
Student’s Name/Birthdate: __________________________________________________________________________
Name
Birthdate
Mailing Address: __________________________________________________________________________________
Street
City
State
Zip
Phone Number/ E-Mail: ____________________________________________________________________________
Phone Number
E-Mail
Cumulative HS GPA/Graduation Date: _______________________________________________________________
GPA
Month and Year of Graduation
SAT, ACT, or CCC Placement Scores: ________________________________________________________________
(If available)
Verbal/Critical
Written
Math
Date Taken
Anticipated major at UNC Chapel Hill? _______________________________________________________________
Which category best reflects your family’s gross annual income?




$0–$30,000
$30,000–$60,000
$60,000–$80,000
Above $80,000
Family size: ____________
Number of immediate family members enrolled in college: _______________
Has anyone in your family ever attended UNC Chapel Hill? If so, please indicate____________________________


Copy of High School transcript (unofficial transcript is acceptable)
Copy of Community College transcript (if applicable; unofficial transcript available through WebAdvisor)
Parental Education (check each box that applies)
Parent
High School Diploma or GED
Associate’s Degree
Bachelor’s Degree
Master’s Degree
Mother
Father
Step-Mother
Step-Father
Consider carefully the following questions regarding the Carolina Student Transfer Excellence Program:

I am interested in completing my A.S. or A. A. in two years.

I am interested in attending University of North Carolina at Chapel Hill.

I would like to dedicate a significant time to my academic studies in order to keep my GPA at 3.4 or above. (GPA
must be a minimum of 3.0 at the time of graduation from CCC.)

I would like to take a course load of at least 15 hours each semester.

I am willing to take three levels of a foreign language while at the community college.

I am willing to take Precalculus Algebra (MAT 171) and Precalculus Trig (MAT 172).

I would like to participate in academic, social, leadership, and cultural activities once or twice a month.
___________________________________________________________*
Student’s Signature
___________________________________________________________*
Parent/Guardian’s Signature
_________________________*
Date
_________________________*
Date
*Submission of this C-STEP Interest Form grants automatic approval for CCS, CCC, and UNC-CH staff to review this student’s transcript(s),
reference(s), and related information/records.
C-STEP APPLICATION & SUPPORTING
DOCUMENTS
Deadlines: Apr. 1st for high school seniors, Oct. 1st for community college students
A. Essay: The ideal C-STEP candidate is someone with demonstrated academic potential, history of leadership, extracurricular
involvement, and financial need. The selection process is a holistic one that may also consider factors such as the ability to overcome
obstacles, first-generation college status, employment history, and family responsibilities. On a separate typed page, please explain
in 500 words (or fewer) why you believe you would be a good candidate for C-STEP.
The student’s essay is attached.
____ Yes
B. High School Transcript:
An official (sealed) copy of the student’s high school transcript is attached.
____ Yes
An official (sealed) copy of the student’s college transcript is attached.
____ Yes
C. Community College Transcript (if applicable):
D. Student Aid Report (SAR) from FAFSA:
E. Reference Letter #1 (Faculty):
A copy of this report that includes the EFC is attached.
____Yes
An official (sealed) copy from Reference #1 is attached.
____ Yes
Reference #1 (Faculty): __________________________________________________________________
Name
Work Phone/E-Mail
F. Reference Letter #2 (Faculty or Staff):
Department or Class
____ Yes
An official (sealed) copy from Reference #2 is attached.
Reference #2 (Faculty/Staff): ______________________________________________________________
Name
G. Online Application & Honor Code:
Work Phone/E-Mail
Department or Class
Official application form & honor code have been submitted on-line.
All of the supporting documentation for the C-STEP application must be sent* to:
Rebecca Egbert, Sr. Asst. Director and C-STEP Program Director
Office of Undergraduate Admissions
The University of North Carolina at Chapel Hill
Jackson Hall, Campus Box 2200
Chapel Hill, NC 27599-2200
regbert@admissions.unc.edu
*We recommend placing all application materials in one large envelope and sending it certified mail.
_______Yes