Request edit access
Stewart R. Custis Memorial Scholarship Application
Please complete the application and attach additional pages if needed.
Email *
Name of Applicant: *
Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian *
Address: *
Phone number (Please include the area code.) *
Current school attending: *
Current ESYCC Member?
Golf Experience:
Clear selection

Include a brief essay (approx. 500 words) explaining your experience, why you would like to be a member of the ESYCC Junior Golf program, explain your love for the sport, your goals and aspirations in the sport, and how this scholarship can help you achieve them.


 *

Please provide any additional details for the selection committee to consider on your behalf:

A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Eastern Shore Yacht & Country Club. Report Abuse
Google Forms