Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to secure the form and open it for editing.
2. Begin by entering your full name in the designated fields: last name, first name, middle name, and maiden name, followed by your Social Security number.
3. Provide your mailing address, which will be used for your license correspondence. Include your email address, home phone, and work phone numbers in the specified fields.
4. Complete the demographic information section by indicating your gender, date of birth, and race. Choose all that apply in this section.
5. Specify your program and program completion date. In the degree type section, select the appropriate option that applies to your academic achievements.
6. In the student status section, answer the questions regarding your current employment status in North Carolina and the type of license you may hold by responding with ‘Yes’ or ‘No’ as applicable.
7. Indicate how many semesters it took you to complete your program after admission.
8. Select your enrollment status, choosing between part-time or full-time.
9. Fill in details about your previous education by listing your majors, the institutions granting the degrees, and their completion dates.
10. Respond to the question regarding any felony convictions. If applicable, provide additional information on a separate sheet of paper.
11. Sign and date the application as the applicant. Additionally, seek the program coordinator's signature for verification, along with the corresponding date.
12. Once all fields are completed, save your changes, and you can choose to download, print, or share the form as needed.

Complete your documents online today to ensure a smooth application process.