Membership Application

BROWARD COUNTY ASSOCIATION OF STUDENT COUNCILMEMBERSHIP APPLICATIONINSTRUCTIONS: 

1. Type or print the information requested

2. Have the principal sign on the line indicated

3. Make check payable to:     Coral Springs High School Student Government

                                          BCASC Treasurer 

4. Send the check to: Coral Springs High School

                                Student Government Association

                                7201 W. Sample Road

                                Coral Springs, FL 33065

SCHOOL NAME    __________________________________

                        __________________________________

ADDRESS ____________________________            Zip_____ 

TELEPHONE ____________________________________ 

FACSIMILE ____________________________________ 

PRINCIPAL’S SIGNATURE ____________________________________ 

ADVISOR’S NAME ____________________________________ 

PRESIDENT’S NAME ____________________________________ 

BCASC DUES: High School dues are $100.00 and are payable on or before November1, of the current year. (Dues include an $80.00 donation to the BCASC Scholarshipfund).

Middle School dues are $20.00 and are payable on or before November1, of the currentyear. It is also acceptable to make donations to the scholarship fund. 

High School Dues: $20.00_                   Middle School Dues: $20.00

Donation: $80.00_                               Donation: ______

Total: $100.00                                    Total: ______

*See Scholarship Requirements for additional information.

    
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Broward County, Florida
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