Golf NB Scholarship Application Form – 2017

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GOLF NB SCHOLARSHIP APPLICATION FORM Golf NB annually awards University Scholarships to be used towards the cost of tuition at any recognized University or College. These awards include the “NBGA 50th Anniversary Scholarship” for male golfers, the “NBLGA 50th Anniversary Scholarship” for female golfers, and the “John Patrick Sears Golf Scholarship” which is open to both genders and is renewable annually. Golf NB invites applications from resident junior golfers who have demonstrated scholastic and golf ability over several years. Please submit only one (1) application form. The Golf NB Scholarship Committee will consider all applicants for the scholarship(s) for which they qualify. Successful recipients will be presented with their award at the Golf NB Annual Golf Awards Dinner in the fall. Award Criteria: 1. Academic Performance (40 Points)  Students currently attending high school and applying to enter a University or College: An applicant’s transcript must show a Grade B or 75% average in each of the last two years of high school. 

Students currently attending University or College: An applicant’s transcript must show a Grade Point Average 3.0 or 75%.

2. Successful competitive experience at Club, Regional, Provincial, National and/or International level in golf (Value: 35 points) 3. Participation in extracurricular, community and other sport, activities, and giving back to the game of golf. (Value: 25 points) Award Policies: 1. A University Entrance Merit Award is not renewable but applicants may apply the following year for John Patrick Sears award. 2. The John Patrick Sears Golf Scholarship program is renewable, up to a maximum of four years of undergraduate study, provided the recipient continues to meet the award criteria. Recipients must reapply annually in order to be considered for renewal. 3. Any award is contingent upon an applicant being accepted at a recognized University or College of his/her choice. 4. Consideration will be given to the applicants who have graduated or will be graduating from High School at the time of the application, provided all other terms of the award criteria are met. 5. Candidates will be judged on the basis of substantiated information contained in their application and support material. Applicants may be asked to appear before the Scholarship Committee. 6. In order to remain eligible for scholarship funding, recipients must maintain their status as an amateur golfer as defined in the Golf Canada Rules of Amateur Status. In the event of investigations surrounding alleged amateur status violations, scholarship funding may be withheld pending a final decision on the matter. Golf New Brunswick 500 Beaverbrook Court, Suite 440 – Fredericton, NB E3B 5X4 – Phone (506) 451-1324 – Fax 1-888-307-2963 email: [email protected] – web: www.golfnb.ca

APPLICATIONS WILL BE ACCEPTED BETWEEN MAY 1st AND SEPTEMBER 15th Please select one of the following two options: 1. I am entering into my first year of university or college 2. I am currently or have been attending a university or college Application forms must be completed in their entirety in order to be considered. If there are any questions please contact Golf NB (contact information can be found at the end of the application)

APPLICATION CHECKLIST (Please ensure the following are included with your application form: o Official transcript & Principal’s or Prof/Dean/Chair Evaluation if applicable o Picture (head and shoulders photograph, suitable for publication in the Annual Awards Dinner Booklet) o Completed Application Form o Three letters of Reference: Club Representative, High School Principal/teacher or University Professor, and a Personal Reference

APPLICANT: (please submit the following) Name: ______________________________________________________________________________ Address: ____________________________________________________________________________ City: ___________________________ Postal Code: ______________ Date of Birth: ______________ Telephone: ____________________________ Email: _______________________________________ Parents Names: ______________________________________________________________________ Address: ____________________________________________________________________________ City: _________________________________ Postal Code: __________________________________ Telephone: ____________________________ Email: _______________________________________ CURRENT HANDICAP FACTOR: Please list your current Golf Canada Handicap Factor: _______________________________________ HIGH SCHOOL ATTENDED: Name & Address of Institution: __________________________________________________________ Dates Entered and Years of Attendance: ___________________________________________________ Date of Graduation: ____________________________ GPA/Percentage:________________________ Golf New Brunswick 500 Beaverbrook Court, Suite 440 – Fredericton, NB E3B 5X4 – Phone (506) 451-1324 – Fax 1-888-307-2963 email: [email protected] – web: www.golfnb.ca

NAMES OF COLLEGES / UNIVERSITIES YOU CURRENTLY ATTEND OR HAVE APPLIED FOR ADMISSION: Name of College / University

*Have you been accepted? Yes

Not Yet

Yes

Not Yet

Yes

Not Yet

Degree(s) or Course(s) you are, or intend on, pursuing: _______________________________________

ON A SEPARATE SHEET, OUTLINE THE DATES AND DETAILS FOR THE FOLLOWING: 1. ACADEMIC EXCELLENCE: What special recognition have you received for academic excellence? 2. ACTIVITIES, SPECIAL ACHIEVEMENTS, RECOGNITION AND AWARDS: List activities in which you have taken part as a representative of your school, and/or office(s) you have held in student organization(s). Comment on any special achievements, awards or recognition you have received (Attach extra page(s) if necessary) 3. COMMUNITY ACTIVITIES AND HOBBIES: List community or other organization(s), not connected with your school, in which you have been active, and indicate position(s) you have held 4. GOLF ACHIEVEMENTS: In chronological order, list your achievements in golf over the past 5 years. 5. GOLF INVOLVEMENT: In chronological order, list your involvement with golf at a local/club, provincial/regional, and national/international level:

I certify that the information in this application is true and accurate to the best of my knowledge and belief.

Signed: ________________________________ Witness: _____________________________________

Date: __________________________________ If there are any questions please do not hesitate to contact Golf NB. Application forms must be completed in their entirety for consideration.

Golf New Brunswick 500 Beaverbrook Court, Suite 440 – Fredericton, NB E3B 5X4 – Phone (506) 451-1324 – Fax 1-888-307-2963 email: [email protected] – web: www.golfnb.ca

CONFIDENTIAL APPLICANTS ARE ENCOURAGED TO HAVE THE FOLLOWING COMPLETED BY THEIR:  

HIGH SCHOOL PRINCIPAL (For High School Applicants) PROF / CHAIR / DEAN (For University or College Applicants)

Golf NB Scholarship Applicant: Name: ____________________________________________________________________ Address: ___________________________________________________________________ City: _________________________________ Postal Code: ___________________________ This report should be completed by the Principal, Dean/Chair/Prof or his/her designate and must not be given to the applicant. Please check the appropriate box to describe the candidate’s suitability for a Golf NB Scholarship. Candidate Appraisal

Outstanding

Above Average

Average

Below Average

Poor

Inadequate Opportunity to Observe

Background/ Preparation Originality Initiative/ Motivation Judgment Maturity Work Habits Overall Ability OTHER COMMENTS: __________________________________________________________________ ___________________________________________________________________________________ Position: ____________________________________________________________________________ High School/University/College: _________________________________________________________ Signed: _____________________________________________________________________________ Date: ______________________________________________________________________________ Please forward to the coordinates below no later than September 15th.

Golf New Brunswick 500 Beaverbrook Court, Suite 440 – Fredericton, NB E3B 5X4 – Phone (506) 451-1324 – Fax 1-888-307-2963 email: [email protected] – web: www.golfnb.ca