Student Portal Forms

START @ECC Registration

First Name(Required)
Middle Name
Last Name(Required)
Date of Birth(Required)
Month
Day
Year
Mailing Address(Required)
City(Required)
State(Required)
Zip(Required)
Email Address(Required)
Phone Number(Required)
Intended Major
Hidden
Session Choice(Required)
- Monday, July 13, 9 a.m. (Tarboro)
- Monday, July 13, 5 p.m. (Rocky Mount)
Date
MM slash DD slash YYYY
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