FLORIDA STATE GOLF ASSOCIATION
Future of Golf Foundation
Scholarship Application
The FSGA Scholarship is a need and academic based scholarship.
Application Material Checklist:
__ Completed Application
__ Official copy of most recent transcripts
__ Applicants most recent 1040 tax return (and parent’s if dependant)
__ Head shot photo of applicant
Please return the completed application to:
FSGA
ATTN: Scholarship Committee
12630 Telecom Drive
Tampa, FL 33637
Future of Golf Foundation
Scholarship Application
Name: ______
Address: ______
City: ______State: ____ Zip: ______
County: ______
Telephone: ____-____-______x ______Alternate Telephone: ____-____-______x ______
Email: ______
Parent Email:______
Date of Birth: __/__/____
Social Security Number: ____-___-_____
Gender: Male or Female
City/State/ Country of Birth: ______
Dates of Florida Residency: ______
Are you a citizen of the United States? Y or N
If you are not a citizen and you are a legal resident of the US, please submit a copy of your Green Card or Visa.
Club Official or Supervisor Endorsement (a letter of recommendation with the information required below included may be substitute.)
Club: ______
Employed at Club since: ___/___/___
Position/Job Title: ______
Supervisors Name: ______
Is the Applicant a/an __ employee?
__ dependant of an employee?
Additional Comments:
______
Applicant’s Employment Information (please give two years employment history)
Place of Employment: ______
Dates of Employment: ______
Position: ______
Supervisors Name: ______
Previous Employer: ______
Dates of Employment: ______
Position: ______
Supervisors Name: ______
School Information
Name of School Currently Attending: ______
Current year in High School or College: ______
Major (current or future): ______
Cumulative GPA: ______(please include an official copy of your most recent transcripts)
SAT Score: ______
ACT Score: ______
List all Colleges/ Universities Applied to:
______
______
______
Financial Information
Applicants Annual Gross Income: $______(please include a copy of your most recent 1040 tax return)
Parents Annual Gross Income (if dependant): $ ______(please include a copy of their most recent 1040 tax return)
Are you currently or planning on receiving financial aid? Yes or No
Have you filed a 2004-2005 Free Application for Federal Student Aid? Yes or No
List all scholarships, grants or awards you are presently receiving:
______List all (2004-2005) scholarships, grants or awards applied for:
______
Percentage of college costs paid by:
Yourself ___%
Parents/Relatives ____%
Scholarships/ Grants ___%
Loans ____%
Other (please explain) ____%
Total estimated yearly college expenses: $______
Tuition and books $ ______
Room and Board $ ______
Other (please explain) $ ______
School or Community Activities
List any membership (dates and offices if held) in honor societies or other organizations:
______
______
List any involvement in organized sports: (include dates):
______
______
List any volunteer involvement (include place, duties, and hours):
______
______
List any golf related interests or activities:
______
______
Career
What are your career goals?
______
______
List any career related accomplishments:
______
______
Recommendations: (letters of recommendation with the information required below included may be substituted)
Name: ______
Relationship to Applicant: ______
Telephone: ______
Comments:
______
Name: ______
Relationship to Applicant: ______
Telephone: ______
Comments:
______
______
Essay:
Please write approximately 300 words on “Why you should be selected for this scholarship”.
______
Please feel free to provide any additional information you think may be helpful to the review committee.
The information provided in this application to my knowledge is true and correct. My name and photo may be used in FSGA publications/website if selected as a recipient for this scholarship.
______Date ___/___/____
Signature
______
Print Name