Black Scholars Application

First Name

Last Name

Student ID number

Citrus College Email Address

Phone Number

Is this your first semester at Citrus College?

What is your goal at Citrus College?

What is your major or program of study?

If planning to transfer, where would you like to transfer?

How did you hear about Black Scholars?

If you selected Other for the previous question, please provide information.

Are you part of or interested in any programs at the college?

(For example: EOPS, clubs, athletics, etc. If you are not in or interested in a program, please type No)

What are you looking to gain from this community?

If selected Other for what you are looking to gain from this community, please provide information.

Send me a copy of my responses