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Written by The TCGA

TRIPLE  CITIES  GOLF  ASSOCIATION

SCHOLARSHIP  APPLICATION


STUDENTS NAME:_______________________________________________________
ADDRESS:_____________________________________________________________
CITY:______________________       STATE:___________     ZIP CODE:___________
E-Mail ADDRESS:_______________________________________________________
DATE OF BIRTH:______________________     PHONE #:______________________

HIGH SCHOOL:__________________________  PHONE #:____________________
GUIDANCE COUNSELOR’S NAME:______________________________________
GOLF COACH’S NAME:_________________________________________________
PARENT’S OR GUARDIAN’S NAME:_____________________________________

Description of Golf Achievements:  (Provide attachment if necessary)
__________________________________________________________________

Description of Academic Achievements:  (Provide attachment if necessary)
__________________________________________________________________

Please attach a written recommendation from your golf coach,
PGA Professional or golf course owner who are members of the TCGA and mail to:

Doug Courtright
207 South Page Avenue
Endicott, NY   13760
607-785-3598
This e-mail address is being protected from spambots. You need JavaScript enabled to view it

The deadline for submitting all materials is June 15, 2011.