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One-time Event Registration Form
1801 Fayetteville St. Durham NC 27707
919-530-6100

One-time Event Registration Form

This form is for non-profit agencies and registered student organizations who want to help NCCU students fulfill their graduation requirement by hosting and supervising student volunteers for a One-Time Event. For more information about what is expected of partner agencies, click here. To view upcoming One-Time Events, click here.


Event Information

Name of Event: [Required] 

Date of Event: [Required]     Set-up Time: [Required] 

Start Time: [Required]   End Time: [Required] 

Will the event take place on campus?

Where will the event take place? [Required] 


Is the event open to the public?

What, if any, is the admission price for the event? $

Have you already contacted the ticket office?  

How will your project engage the community? [Required] 


What are your expectations of the NCCU volunteers? [Required] 



Organization Information

Is your organization is registered as a Student Club at NCCU?  

Name of Agency or Student Organization: [Required] 


Representative: [Required] 


Phone Number: [Required] 

Email: [Required] 

If a Student Organization, Advisor's Name:

Advisor's Phone Number:       Facsimile Number:

Address: [Required] 

City: [Required]    State: [Required]    Zip: [Required] 

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