Application for Admission to the Community of Scholars               

Honors Program  (TRACK 2)

at Central Florida Community College

PLEASE TYPE OR NEATLY PRINT—USE ADDITIONAL PAPER IF NEEDED

Name ___________________________________________________                S.S. # __________________________________________________

Address  _________________________________________________               Phone __________________________________________________

________________________________________________________                E-Mail Address __________________________________________

High School ______________________________________________               GPA ___________________________________________________

Please list the courses in which you are currently enrolled.

________________________________________________________                ________________________________________________________

________________________________________________________                ________________________________________________________

________________________________________________________                ________________________________________________________

________________________________________________________                ________________________________________________________

________________________________________________________                ________________________________________________________

Indicate CFCC organizations/activities in which you participate as an active member:
_______________________________________________________________________________________________________________________

What college major do you plan to pursue? (Don’t use “Undecided”) ________________________________________________________________

When do you plan to enroll at CFCC? _________________________________________________________________________________________

When do you plan to graduate from CFCC? ____________________________________________________________________________________

List all scholarships, awards and other honors you have received ___________________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

Discuss the importance of your educational experiences in your life.

What do you hope to receive from the Community of Scholars program?

What do you hope to give to the Community of Scholars program and to CFCC?

I certify that all of the information listed above is correct.

Applicant’s Signature __________________________________________________________   Date  _____________________________________

Mail or deliver to:  Mr. Mike Shuler, Bldg. 31, Room 108, Central Florida Community College, P.O. Box 1388, Ocala, FL 34478-1388

-an equal opportunity college-

Revised 8/08