KAUAI JUNIOR GOLF ASSOCIATION

SCHOLARSHIP APPLICATION FORM

The enclosed Scholarship Application form collects a variety of student and parent background information required for scholarship processing. All information requested must be complete in order to be considered. Kauai Junior Golf Association honors the applicant's privacy and uses any information provided solely for the purpose of evaluating the eligibility of the applicant.

PURPOSE:

The purpose of the Kauai Junior Golf Association Scholarship Program is to encourage and promote the attainment of higher education goals for Kauai's junior golfers.

ELIGIBILITY:

The applicant for Kauai Junior Golf Association Scholarships must be a member in good standing of the Kauai Junior Golf Association and a graduating high school senior. The applicant's golfing ability will not be a factor in the evaluation process. The applicant will need to give details of his/her involvement in the Kauai Junior Golf Association program on the application.

SCHOLARSHIP BENEFITS:

The Kauai Junior Golf Association Scholarship Fund is designed to award a $1,000 scholarship to a male and female Kauai junior golfer who will be furthering their educational goals. The Kauai Junior Golf Association Jerry Bond Scholarship Fund is designed to award a $500 scholarship to a female Kauai junior golfer who will be furthering her educational goals. The scholarship funds will be distributed directly to the applicant. Scholarship Funds shall be used towards the payment of tuition and general fees.

The awarding of the Kauai Junior Golf Association Scholarships is expressly contingent upon the provision of evidence by the applicant of acceptance as a full time Bachelor's Degree candidate in an accredited four year college or university or an Associate's Degree candidate in an accredited two year college. A full time student is defined as one who is taking 12 or more credits per semester.

SELECTION OF RECIPIENTS:

Scholarship recipients will be selected on the following competitive basis by using a combination of criteria:

1.        Financial need

2.         Academic Record

3.         Essay with 200 words or more on "What the Kauai Junior Golf Association has done for me", and "How I have contributed to the Kauai Junior Golf Association" (essay required for both subjects).

4.         Junior Golf participation (verified by Group Leaders and/or Board of Directors)

TRANSCRIPT INFORMATION:

If you are currently in high school, you must submit a copy of your high school transcript. This transcript must include:

1. Your cumulative high school grade point average.

2. Class rank

3. A copy of your ACT/SAT score(s)

The class rank and grade point average should reflect the first term grades for your senior year.

FINANCIAL INFORMATION:

Applicant must include total gross family income, number of dependants and any other information you feel to be pertinent to the Kauai Junior Golf Association Scholarship Committee.

Applicant must state whether financial aid is currently being received and/or has been applied for from any other source, with an explanation.

Applicant must provide the approximate total cost for attending the institution during the academic school year, including room and board (if applicable).

FILING APPLICATION:

Mail completed application to:

KAUAI JUNIOR GOLF ASSOCIATION

Scholarship Committee

PO Box 1064

Lihue, HI 96766

The application must be received by the July 1st deadline stated in the membership handbook or at the website www.kjga.org. Scholarship application forms must be fully complete to be accepted by the Scholarship Committee.

CHECKLIST:

____        Completed and signed application form

____        Attach current photograph to page 1

____        High school transcript and a copy of your 1st semester grades

____        (2) essays

____        A copy of a letter of acceptance from your chosen university or college

SCHOLARSHIP APPLICATION CERTIFICATION:

I certify that the enclosed information is true and correct to the best of my knowledge as reflected by the appropriate school records. Any false information will automatically void this application.

Applicant's Signature:  __________________________________  Date:  ___________  

Parent's Signature:  ____________________________________  Date:  ___________

Parent's Name (please print):  _____________________________________________

Address:  ______________________________________________________________

Telephone Number:  _______________________

Telephone Number:  _______________________

Email:  _______________________________________

Email:  _______________________________________


To be considered for the Kauai Junior Golf Association Scholarships, you must complete this application in its entirety. The application must be received by the Kauai Junior Golf Association by the deadline stated in the membership handbook under Scholarships. The information supplied must be accurate and will be kept strictly confidential by the Kauai Junior Golf Association Scholarship Committee.

        ___________        KAUAI JUNIOR GOLF ASSOCIATION SCHOLARSHIP

        ___________        JERRY BOND SCHOLARSHIP (females only please)

STUDENT INFORMATION SECTION (please print or type):

A. Name:  _________________________________________________  Male  /  Female  (please circle)

B. Social Security:  ___________________________________________________________________

C. Mailing Address:  __________________________________________________________________

D. City, State, Zip Code:  _______________________________________________________________

E. Telephone No:  ____________________________________________________________________

F. Date of Birth:  _____________________________________________________________________

G. High School Attending:  _____________________________________________________________

H. City, State:  _______________________________________________________________________

I. High School Rank: _______________________  J. High School GPA:  _________________________

K. ACT/SAT Composite Score:  ____________   L. Date ACT/ SAT was Taken:  ___________________

M. When will you enroll in college as a first time full-time student?  ______________________________

N. Total gross family income:  ____________________  Total number of dependents:  _______

O. Name and address of colleges/ universities to which you have made an application?

  1. Name:  _____________________________________________________________________

Address:  _____________________________________________________________________

Cost:  _______________________________________  Accepted Yet:  Yes  /  No  (please circle)

        Anticipated Field of Study:  _______________________________________________________

  1. Name:  _____________________________________________________________________

Address:  _____________________________________________________________________

Cost:  _______________________________________  Accepted Yet:  Yes  /  No  (please circle)

        Anticipated Field of Study:  _______________________________________________________

  1. Name:  _____________________________________________________________________

Address:  _____________________________________________________________________

Cost:  _______________________________________  Accepted Yet:  Yes  /  No  (please circle)

        Anticipated Field of Study:  _______________________________________________________

  1. Name:  _____________________________________________________________________

Address:  _____________________________________________________________________

Cost:  _______________________________________  Accepted Yet:  Yes  /  No  (please circle)

        Anticipated Field of Study:  _______________________________________________________

 P. Have you applied for and/or received other financial aid from any other sources (i.e. grants, athletic scholarship, academic scholarship, etc)?         Yes  /  No  (please circle)


Q. If you answered yes to question P above, please describe the source, amount, date, and time period.

SOURCE

AMOUNT

DATE OR TIME PERIOD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JUNIOR GOLF PARTICIPATION:

Kauai Junior Golf Association (i.e. member years, awards, teams, etc.)

Other information:

ESSAY:  (please attach)

Rev. April 2015