Florida State Golf Association

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