Application Checklist

Application Process and Checklist

Submit the following to LPGA Headquarters  Completed Application Form  Application fee of $450  Completed Verification of Employment Form  Two (2) Letters of Recommendation  Proof of Education (i.e. High School or College diploma)  Completed Professional Self-Assessment Form  Proof of Playing Ability Test (PAT) Equivalency NOTE: If submitting PAT equivalency, include $150 PAT equivalency fee  Completed Rules Test NOTE: If you took the LPGA PAT, you already completed the Rules Test and do not need to re- submit.

 Credit Card/ Check Information to charge Fees or you may call LPGA 386-274-6225 to provide credit card information over the phone

Total Amount to Charge: $______

Method of Payment: Check #: ______MasterCard Visa American Express

Card #: - - - Exp. Date: /

Name as it appears on the card: ___

Signature:

MMMEEEMMMBBBEEERRRSSSHHHIIIPPP AAAPPPPPPLLLIIICCCAAATTTIIIOOONNN

Legal Name Preferred Name

Home Address

City State Zip Country

Home Phone Cell Phone

E-mail Date of Birth

Birthplace Citizenship

Marital Status Spouse Former Name

Race/Ethnicity: (optional)  African American (not Hispanic)  Asian, Asian American or Pacific Islander  Caucasian (not Hispanic)  Hispanic American (Not Caucasian or African American)  North American Indian or Alaskan Native  Other

I will require accommodations under the ADA: (optional)  Yes  No I have the following physical and/or learning disabilities (brief explanation with medical backup required for accommodation requests)

Name of Emergency Contact

Phone Relationship

Highest Level of Education Achieved  HS  AA  AS  BA  BS  MA  MS Year of Degree: ______ MBA  EDD  JD  PHD

School:

Are you caurrently a member of the:

LPGA Tour  No  Yes Current Classification

PGA of America  No  Yes Current Classification Member #

Other Approved Golf Industry Association:  No  Yes Current Classification Member #

Have you applied to the LPGA Teaching and Club Professional Membership before?  No  Yes, When?

 LPGA Playing Ability Test (PAT) - Successfully completed on at  PAT Equivalency (Enclose proof of completion, LPGA Rules Test and $150 equivalency fee)  Not required, eligible for A-2 status

I, the undersigned, have carefully reviewed the information provided pertaining to the LPGA Teaching and Club Professional Membership and hereby submit application or membership. I understand that this is only an application for LPGA Teaching and Club Professional Membership and I do not have any rights or privileges including use of the LPGA logo, name, etc. The information I have provided above is factual, and I understand that falsification of information will result in application rejection.

Signature Date Application for LPGA Teaching and Club Profession Membership constitutes “Forfeiture of Amateur Status” (USGA Rules of Golf)

Teaching and Club Professionals 100 International Golf Drive Verification of Employment Daytona Beach, Florida 32124-1092 and References

Name of Current Employer______

Name of Facility

Job Title

Address of Facility

City State Zip Country

Phone Fax

Type of facility:  private  semi-private  daily fee  municipal  resort  golf range  other

My primary job responsibilities include:

Average number of hours per week Number of months employed in the last 12 months

Employment Verification

I verify that the information above is accurate and understand that falsification of information could result in application rejection.

Name of direct supervisor Signature of direct supervisor

Phone Number Date

Signature of Applicant Date

NOTE: If your current employer does not meet the minimum employment requirements, make a copy of this page and have your previous employer fill out the form as well.

Two Character References Name Affiliation Phone Number

Referred by

Name of LPGA T&CP Member who referred you to the program:

Teaching and Club Professionals 100 International Golf Drive Daytona Beach, Florida 32124-1092 Professional Self-Assessment

Applicant Name

Educational and Professional Background Degree/certification School/program Dates

Professional Workshops/Seminars attended in the last 5 years Workshop/seminar name Dates

What are your education interests? (Check all that apply)  teaching  coaching individuals  college coaching  high school coaching  business  management

 marketing  computer skills  Other

What are your current professional goals? Where do you see yourself in 3 years? 5 years?

How do you believe the LPGA can best assist you in meeting your immediate and long-term professional goals?

Why do you want to become an LPGA T&CP Member?

What do you believe are the benefits of LPGA T&CP Membership?

In what ways do you wish to contribute to the LPGA T&CP Membership?

Teaching and Club Professionals 100 International Golf Drive Daytona Beach, Florida 32124-1092 Professional Self-Assessment

Professional Golf Skills Golf Shop Operations None Some Skilled None Some Skilled Starting Times    Club fitting    Merchandising/Display    Club repair    Sales    Rules officiating    Marketing    Calligraphy    Accounting/Bookkeeping    Public relations    Computer skills Public speaking skills    Word Processing    Writing skills    Spreadsheets    Golf car operations    Graphics/Desktop Publishing    Course maintenance    Internet    Practice tee operation    Teaching Playing ability    Individual lessons    Other ______   Group lessons    Junior lessons    Video lessons    Golf / players with disabilities    Other______  

Personal Golf Experience How long have you played and when did you start playing golf?

Describe the golf instruction you have had, when did you begin instruction, how much have you had?

How often do you play golf now?  3-5+ times a week  1-3 times a week  2-3 times a month  other (please state)

Do you have competitive experience as an amateur/professional?

Has your golf equipment been “fit” for you?  Yes  no

If yes, what system was used?

Prioritize the following regarding your enjoyment of golf (1-5 with 1 being the highest):

performance being outside fun the challenge social interaction other

What sports (other that golf) have you excelled in?

What sports (other than golf) have you played?

What hobbies or activities do you enjoy most or do for fun?

Have you had experience with or are familiar with:  the LPGA/USGA Girls Golf program?  EWGA?

THE LADIES PROFESSIONAL GOLF ASSOCIATION TEACHING AND CLUB PROFESSIONALS

RULES EXAMINATION

VERSION #1

PLEASE PRINT THE FOLLOWING INFORMATION CLEARLY

Name:

Address:

City, State Zip:

Home Number: Work Number:

E-Mail:

Facility:

PAT Date:

Score:

If participating in the LPGA PAT, please submit a completed copy of this test to the PAT administrator prior to taking the PAT.

If completing PAT equivalency, please submit completed copy of this test with your membership application and required documentation.

Version #1

TRUE AND FALSE Questions

1. _____ If a ball is incorrectly substituted for the ball in play, the ball so substituted is not a wrong ball but becomes the ball in play. If the mistake is not corrected as provided in Rule 20-6 and the player makes a stroke at it, he incurs a penalty.

2. _____ A competitor is responsible for the addition of scores on his/her card.

3. _____ Through the green, sand and loose soil are loose impediments.

4. _____ If a player's ball at rest is moved by another ball, the moved ball must be replaced.

5. _____ A player, out of necessity, is entitled to see the ball when playing a stroke.

6. _____ Time spent in playing a wrong ball does not count in the five-minute period allowed for searching for a lost ball.

7. _____ After following the proper procedure, a player may lift his/her ball in a water hazard to determine if it is unfit for play.

8. _____ If a player drops a ball through the green and it rolls onto, and comes to rest on the green, but not more than two club lengths nor closer to the hole than its original position, the ball shall be played as it lies.

9. _____ In exceptional individual cases, including a serious breach of etiquette, the committee may disqualify a player.

10. _____ If a competitor plays a second ball in accordance with Rule 3-3, she/he must report the facts of the situation to the Committee before returning her/his scorecard. If she/he fails to do so, she/he is disqualified.

11. _____ A player may have more than one caddie, at any one time, without penalty.

12. _____ Information on the Rules of Golf is not considered advice.

13. _____ A ball is unfit for play if its surface is scratched or scraped or its paint is damaged or discolored.

14. _____ A player’s 5 iron is damaged in the normal course of play and is unfit for play. If the player chooses to replace the club, it must be replaced with another 5 iron.

15. _____ A player may repair a ball mark on the putting green only if the ball lies on the putting green.

Version #1 MULTIPLE CHOICE Questions

16. _____ In stroke play, a player plays his/her tee shot from outside the teeing ground. What penalty, if any, does the player incur?

A. No penalty; play the ball as it lies. B. One-Stroke penalty; a ball must be played from within the teeing ground. C. Two-Stroke penalty; a ball must be played from within the teeing ground. D. Two-Stroke penalty; play the ball as it lies.

17. _____ In stroke play, a player by accident slightly moves his ball in play while making a practice swing on the putting green. Which of the following is correct?

A. The player incurs no penalty and must play the ball as it lies. B. The player incurs no penalty and must replace the ball. C. The player incurs a one stroke penalty and must play the ball as it lies. D. The player incurs a one stroke penalty and must replace the ball.

18. _____ A player who started a stipulated round with 13 clubs wishes to add a club during the round. The player is permitted to obtain a club from:

A. A fellow-competitor in his/her group. B. An opponent. C. A spectator carrying a club. D. Anyone playing on the course.

19. _____ A player’s ball lies in a bunker against a rake. He moves the rake, causing the ball to move. What is the ruling?

A. There is a penalty of one stroke; the ball is played as it lies. B. There is a penalty of one stroke; the ball must be replaced. C. There is no penalty; the ball is played as it lies. D. There is no penalty; the ball must be replaced.

20. _____ Which one of the following statements is false?

A. Manufactured ice is an obstruction. B. In stroke play, the number of holes in a stipulated round is 18 unless a larger number is authorized by the Committee. C. All ground within the margin of a water hazard is part of the water hazard. D. Sand and loose soil are loose impediments on the putting green only.

Version #1

21. _____ In stroke play, a competitor's ball lies in a hazard. The competitor lifts a loose impediment in the hazard. What penalty, if any, does the competitor incur?

A. No penalty B. One stroke C. Two stokes D. Disqualification

22. _____ Which of the following is not considered an outside agency?

A A dog B. A maintenance cart C. Wind D. A referee

23. _____ At the conclusion of a stroke play round, the marker hands the scorecard to the competitor, but forgets to sign it. The marker waits with the player while the player signs the scorecard and returns it to the committee. The score is posted. Before the competition closes, the Committee discovers that the marker did not sign the card although it was correct in every other way. What is the ruling?

A. If the marker is not available, the Committee should accept the card without his signature. B. If the marker is available, the Committee should have him belatedly sign the card. C. The player is disqualified. D. In equity, the player should not be penalized for the marker’s mistake.

24. _____ A ball shall be re-dropped without penalty in which of the following situations?

A. It comes to rest more than two club-lengths from where it first struck a part of the course. B. It rolls and comes to rest on a putting green. C. It rolls and comes to rest in a hazard. D. All of the above.

25. _____ In which of the following situations may a player touch the line of his putt?

A. In pressing down a ball-marker. B. In moving loose impediments on the putting green. C. In repairing old hole plugs or ball marks on the putting green. D. All of the above.

Version #1