<p> Siskiyou Junior Golf Scholarship Application 2014</p><p>Student’s Name: ______Date of Birth: ______Address: ______City:______State: ______Zip Code: ______Phone: ______Email: ______</p><p>Parent and/or Guardian Name(s): ______Parent/Guardian Address: ______</p><p>Mother’s Occupation: ______Employer: ______</p><p>Father’s Occupation: ______Employer: ______</p><p>Brothers/Sisters (Ages):______</p><p>High School: ______H.S. Graduation Date: ______</p><p>Elementary School: ______Intended College/University:______</p><p>Qualifications & Instructions</p><p>1. Minimum of 3 years active participation in Siskiyou Junior Golf Program</p><p>2. Minimum 2.5 average GPA throughout high school</p><p>3. High School or home school graduate</p><p>4. Application must be delivered to the Mt. Shasta Parks & Recreation District office by 5 pm on April 4, 2014. </p><p>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.</p><p>Mt. Shasta Recreation & Parks District Office PO Box 314 Mt. Shasta, CA 96067 530.926.2494 Siskiyou Junior Golf Scholarship Application 2014</p><p>Please provide the following by typing and attaching a separate page(s) to your application.</p><p>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.</p><p>2. List Varsity sports in which you have lettered.</p><p>3. List your student activities, including offices held.</p><p>4. Describe your participation in organized activities outside of school (church, community youth groups, etc.)</p><p>5. List any honors or awards in school or the community.</p><p>6. What career path do you plan to follow? Explain why you feel suited to this career.</p><p>7. What is your college major? Why have you chosen this major?</p><p>8. What college do you plan to attend if you receive this scholarship?</p><p>9. How will your college education be financed?</p><p>10. List any employment/employers and a brief description of duties performed. </p><p>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? </p><p>Mt. Shasta Recreation & Parks District Office PO Box 314 Mt. Shasta, CA 96067 530.926.2494 </p>