Online EOF Admissions Application

I. Student Information

Name*

First Middle Last Suffix

Date of Birth*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Is this phone number a house phone or cell phone?*

Landline
Cell Phone

Email Address*

Enter Email Confirm Email

Gender*

Male
Female
Other

Gender Identity

If "Other", please self-identify your gender.

Preferred Pronouns*

He/Him/His
She/Her/Hers
They/Their/Theirs

Social Security Number*

Please enter in ###-##-#### format.

Permanent Resident

If you are a permanent resident, please provide your Alien Registration Number.

II. Demographic Information

Citizenship Status*

U.S. Citizen
Naturalized Citizen
Permanent Resident
Other

NJ Dreamers*

Please select if you are a DACA recipient.

Yes
No

Residency Status*

Have you lived in New Jersey for a minimum of twelve (12) consecutive months?

Yes
No

Marital Status*

Single
Married
Legally Separated
Divorced
Widowed

Race/Ethnicity*

Please self-identify.

Hispanic/Latinx*

Please select if you identify as Hispanic/Latinx.

Yes
No

III. Enrollment Information

Have you applied to Brookdale Community College?*

Yes
No

Brookdale ID

If you have been admitted to Brookdale Community College, please enter your seven-digit student ID number.

Brookdale Email

If you have been admitted to Brookdale Community College, please enter your student email address (e.g., if your name is Jane Doe, the format would be jdoe99@my.brookdalecc.edu).

Financial Aid Eligibility*

Have you submitted your FAFSA or NJAFAA for the 2023 - 2024 academic year?

Yes
No

Enrollment Term*

Please select the academic term you are applying for program admissions.

Enrollment Status*

Please select one (1) of the following to note your program entrance status.

First-Time College Student (High School Senior/Graduate)
First-Time College Student (GED/High School Equivalency Diploma Recipient)
EOF/EOP Transfer Student (Previously enrolled in an EOF/EOP program at another college/university)
Transfer Student (Never enrolled in an EOF/EOP program at another college/university)
Brookdale Student (Never enrolled in an EOF/EOP program)

IV. Family/Household Information

Please upload your completed Family/Household Worksheet.

Upload Your Family/Household Worksheet

Please attach file here.

Accepted file types: xls, xlsx, pdf, Max. file size: 50 MB.

If you are unable to upload the completed worksheet, you may type the information below.

Please list each household member (first & last name, age, and relationship).

V. Personal Statement

Please upload your personal statement in essay form (minimum length of 250 words). Only prospective students who do not meet the academic eligibility requirements are required to upload a Personal Statement. (Please see the instructions at the top of this page for details.)

Upload Your Personal Statement

Please attach file here.

Accepted file types: doc, docx, pdf, rtf, Max. file size: 10 MB.

If you are unable to upload your Personal Statement, you may choose to type it below.

Everyone has a life story. What are some aspects of yours, and how have your personal experiences influenced your academic and career goals?

VI. Submission

Application Certification*

I certify that the information entered above is true and accurate, to the best of my knowledge. I understand that admission to the EOF program at Brookdale Community College is subject to meeting the program's academic requirements & the state's income/asset eligibility requirements. If additional documentation is requested, the EOF Office will contact me by phone or email. I understand that if I do not meet the program requirements for admission, I will not be enrolled in the EOF program at Brookdale Community College.

Yes
No

Today's Date*

Comments

This field is for validation purposes and should be left unchanged.

EOF Online Admissions Application

2021-2022 EOF Admissions Application

I. Student Information

II. Demographic Information

III. Enrollment Information

IV. Family/Household Information

V. Personal Statement

VI. Submission

Online EOF Admissions Application

EOF Online Admissions Application

2021-2022 EOF Admissions Application

I. Student Information

II. Demographic Information

III. Enrollment Information

IV. Family/Household Information

V. Personal Statement

VI. Submission

Find your path at Brookdale. We’re here to help!