Follow the steps to successfully complete your application form.

1. Press the ‘Get Form’ button to access the application and open it in your online editor.
2. Enter your full name in the designated field, ensuring it matches your legal documents. Include your student ID number, term of re-entry, and the current date.
3. Fill in your Social Security Number or Tax Identification Number in the respective fields, and select your gender by ticking the appropriate box.
4. Provide your date of birth, complete legal name (last, first, middle initial), and current address including street, city, state, and zip code.
5. Record your phone numbers for home, work, and cell. Indicate if you are a veteran by selecting ‘Yes’ or ‘No’.
6. Specify your country of citizenship and, if applicable, your Alien Registration Number.
7. Indicate your academic status. If you have attended other colleges since leaving Broward College, list them alongside attendance dates and degrees or credits earned.
8. Select your academic program and the term you wish to enroll in, indicating your preferred campus and whether you intend to complete a degree or certificate.
9. Review the Florida resident statement carefully, then fill in the required information, including proof of residency if applicable.
10. Complete the good conduct/citizen certification section honestly. If necessary, prepare an additional statement for submission.
11. Sign and date the form at the end. Make sure all statements are accurate to the best of your knowledge.
12. Once you have finished filling out the form, save your changes. You may also choose to download, print, or share your completed form.

Complete your Broward College Re Entry Application Form online today!