1.First Name

2.Last Name

3.Student ID #

4.Phone #

5.Broward College Email Address

6.Anticipated Graduation Date (Term/Year)

7.Number of Credits Earned

8.Which Campus are you applying for?

North Campus

Central Campus

South Campus

9.Must be enrolled in a minimum of six (6) credit hours per term.

I understand/meet these requirements

10.Be admitted to the College in a degree or eligible certificate program of study (Dual Enrollment students are NOT eligible, College Academy Students must be designated as such to be eligible)

I understand/meet these requirements

11.Must have and maintain a minimum cumulative GPA of 2.0.

I understand/meet these requirments

12.What is your cumulative GPA? (can be found on your Degree Audit in Navigate)

13.Some Campus Activities Board positions are scholarship positions and require additional fulfillment of duties.
Service scholarships shall be awarded to each Officer at the end of the Fall and Spring semesters for successful completion of duties.
Are you interested in a scholarship position with additional responsibility?

Yes, I am willing to take on additional responsibility

No, I would just like to be a volunteer