Tar Heel Bus Tour Application

We appreciate your interest in this year's Tar Heel Bus Tour, which is scheduled from Monday, May 12, to Friday, May 16, 2008. Please complete this application and send it through campus mail to Linda Douglas, Office of Community Relations, CB# 6225. You may also complete this form on-line and submit via e-mail by pressing "submit" at the end of the document. To be considered for the 2008 tour, all applications must be received by February 15, 2008. All applications will be forwarded to the Office of the Associate Provost for final approval and participant selection. Applicants who are chosen to participate will be notified by e-mail or campus mail by March 15, 2008.

Applications for the 2008 Tar Heel Bus Tour are no longer being accepted. You may contact (919) 843-9846 with any questions.

Full Name:
Preferred Name:
Title:
Date of Faculty Appointment:
Department:
Department Chair or Division Head:
Campus Address:
Campus Box #:
Work Phone:
Home Phone:
Fax Number:
Email Address:

Applicant has been nominated by:(Faculty may apply without a nomination. Complete only if applicable.) :
Name:
Title:
Please provide the following information in the space below: Education, Hometown, Academic Research/Public Service Interests, and your reason for wanting to participate in the Tar Heel Bus Tour.
Comments:

After you have submitted your application, a confirmation page should appear. You will also receive an email confirmation from a staff person in the Office of Community Relations the same day you submit your application. If you do not receive this confirmation, please call Brooks Henderson at (919) 843-9846.

Please be thorough in filling out this application. If you are selected, your information will appear in the participant profile section of the bus tour field guide.