GOLF WESTERN MASS
GOLF WESTERN MASS
SCHOLARSHIP APPLICATION
GOLF WESTERN MASS is awarding 4 scholarships (2 girls and 2 boys) to high schools seniors, on the Varsity Golf Team, that have been accepted to a post-secondary institution.
This application is to be completed by the applicant and their parent or guardian.
Please print
Applicant’s Name:________________________________________________________
Applicant’s Address:______________________________________________________
_______________________________________________________________________
Date of Birth:__________________ E-Mail___________________________________
Please specify the post-secondary institution to which the applicant has been accepted and plans to attend:
_______________________________________________________________________
Has the applicant applied for financial aid?_____________________________________
HOUSEHOLD INFORMATION
As parents or guardians, are you the only source of support for the applicant?__________
If no, please specify (student has a job, Social Security Survivors support, etc.) other source
Other source(s) of support for the applicant._____________________________________
________________________________________________________________________
As parents or guardians, please specify your current status:
_____Single _____Married _____Separated _____Divorced ______Widowed
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As parents or guardians, please fill in the following:
_______Total household number during the next school year (include applicant and other
Dependent children or adults)
_______Of the household number given above, how many will be enrolled at a post-
secondary institution during the next school year?
APPLICANT”S ESSAY:
• As part of the GOLF WESTERN MASS Scholarship application, please submit a one page essay describing how Golf has influenced your life. The essay should be typed or
word processed.
The GOLF WESTERN MASS Scholarship application must include the following:
• GOLF WESTERN MASS Scholarship application
• Applicant’s essay
• Applicant’s high school transcripts
• Varsity Coach’s recommendation
• Name of person in Bursar’s Office of the institution applicant will be attending as
Check will be mailed directly to the school
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