The First Tee of Greater Dallas Scholarship Application

Academic Year - 2017 - 2018

Deadline: Friday, March 3rd, 2017 at 5pm CST

(late or incomplete applications will not be accepted)

Please complete the application below and return it with attachments (essays, FAFSA, transcripts, etc) to The First Tee of Greater Dallas (TFTGD) office at 16200 Addison Rd., suite 255, Addison, TX, 75001by 5pm on Friday, March 3rd, 2017. The First Tee of Greater Dallaswill announce the 2017-2018awards on Friday, March 24th.

Name: ______

(Please type or print clearly) LastFirstMiddle Initial

Last 4 digits of Social Security Number: ______Date of Birth: ____/_____/_____ Gender:

Street Address:______City, State, Zip: ______

Country of Citizenship: ______Telephone: (______)_____ - Email:

Last high school attended:______Year of graduation:

Name City/ State

Guidance Counselor: Email or Telephone:

Class Rank (if available): ______Class Size: ______Cumulative Grade Point Average (out of 4.0):

College Entrance Test Scores:SAT ______ACT ______

Class year you will enter in college: Freshman______Sophomore ______Junior______Senior_____ Graduate____

College, university or vocational school you plan to attend:

First Choice:______

NameAddress City/State/Zip

Cost of tuition for one year: ______Cost of room and board for one year: ______

Second Choice:______

NameAddress City/State/Zip

Cost of tuition for one year: ______Cost of room and board for one year: ______

Intended major/minor:______

Degree you will pursue: AA______AS______BA______BS______MA_____ Ph.D.______Other

Month/Year you will graduate from college: ______/______Will you be registered full-time?__

Will you attend the full academic term?______If no, which terms will you attend?______

Where do you plan to live? On campus ______With parent ____ Other ______

Household Income: ______Less than $40,000 ______$40,001 - $60,000 ______$60,001 - $80,000

______$80,001 - $100,000 ______More than $100,000

Number of Dependents in Household: ______More than 5 ______3 – 5 ______Less than 3

(over)

Estimated number of TFTD events and or clinics you have attended since becoming a TFTD member:

______More than 100 ______50 – 99 ______25 – 49 ______10 – 24 ______1 – 9

Highest AttainedTFTDProgram Level: ______Ace ______Eagle ______Birdie ______Par

List all community service/extracurricular activities in which you have participated during the last four years (e.g., student government, music, sports, part-time employment, volunteer community service, etc.).

Year(s)ActivitySpecial Award, Honors, Offices Held

______

______

______

______

______

______

Please list below the source and amount of any grants or scholarships pending or awarded for the coming school year:

Name of Grant/ScholarshipAmountGranted or Pending

______

______

______

If there are any unusual family or personal circumstances that affect your ability to pursue your educational goals, please describe: ______

Applicant Certification:

I (we) affirm the information reported is true, correct, and complete to the best of my knowledge. I (we) agree that to verify the information reported on this form, I (we) will, on request, provide documentation necessary to verify information reported. Falsification of information may result in termination of any scholarship granted.

Applicant’s Signature______Date

Parent/Guardian’s Signature______Date

Please include the following attachments:

Copy of your Student Aid Report (SAR) and Expected Family Contribution (EFC) information, which you will receive when you complete your Free Application for Federal Student Aid (FAFSA). Note: The FAFSA is available at libraries, colleges, universities, and online at You should fill out the FAFSA and submit your information after January 1, but before mid-February. You will receive the SAR approximately four weeks after you file your FAFSA.

Essays answeringtwo of the following three questions. Each essay should be 250 words or less.1)Ten years after you have graduated from college, which of The First Tee Nine Core Values do you think you will still be using and how? 2)Please tell us about an obstacle you have overcome and how this scholarship would benefit you.3)How has your family background affected the way you see the world?

Copy of your most recent high school/college transcript, which must indicate the following: cumulative grade point average and class rank (if available)

Copy of your SAT and ACT scores (if available)

Reminder: All applications are due in the offices of The First Tee of Greater Dallas by Friday, March 3rd, 2017, at 5pm. Attention: The First Tee of Greater Dallas College Scholarship, 16200 Addison Rd., suite 255, Addison, TX 75001. TFTDreserves the right to process only those applications found to be complete as of the deadline date. Please contact Gianna Misenhelterat 214-954-4402 or , if you have any questions.