Siskiyou Junior Golf Scholarship Application 2014

Student’s Name: ______Date of Birth: ______Address: ______City:______State: ______Zip Code: ______Phone: ______Email: ______

Parent and/or Guardian Name(s): ______Parent/Guardian Address: ______

Mother’s Occupation: ______Employer: ______

Father’s Occupation: ______Employer: ______

Brothers/Sisters (Ages):______

High School: ______H.S. Graduation Date: ______

Elementary School: ______Intended College/University:______

Qualifications & Instructions

1. Minimum of 3 years active participation in Siskiyou Junior Golf Program

2. Minimum 2.5 average GPA throughout high school

3. High School or home school graduate

4. Application must be delivered to the Mt. Shasta Parks & Recreation District office by 5 pm on April 4, 2014.

5. Eligible applicants must have attended Siskiyou County High Schools for at least 3 semesters/trimesters prior to graduation. This requirement may be waived by the Board under special circumstances.

Mt. Shasta Recreation & Parks District Office PO Box 314 Mt. Shasta, CA 96067 530.926.2494 Siskiyou Junior Golf Scholarship Application 2014

Please provide the following by typing and attaching a separate page(s) to your application.

1. If any member of your family is attending an institution of higher learning, please give the following information: Age, years completed, total anticipated years & the name of the institution.

2. List Varsity sports in which you have lettered.

3. List your student activities, including offices held.

4. Describe your participation in organized activities outside of school (church, community youth groups, etc.)

5. List any honors or awards in school or the community.

6. What career path do you plan to follow? Explain why you feel suited to this career.

7. What is your college major? Why have you chosen this major?

8. What college do you plan to attend if you receive this scholarship?

9. How will your college education be financed?

10. List any employment/employers and a brief description of duties performed.

11. How has your participation in golf/sports assisted you in developing positive character traits that will prove to be beneficial to both you and your future employer?

Mt. Shasta Recreation & Parks District Office PO Box 314 Mt. Shasta, CA 96067 530.926.2494