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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