2017 Scholarship - ONLINE APPLICATION



SECTION 4. RIVER CUP SCHOLARSHIP APPLICATION

Please complete this application in its entirety.  Incomplete applications will be ineligible for consideration.



APPLICANT INFORMATION:
First Name:
Middle Name:
Last Name:
Address:
 
City:
State:
Zip:
Cell Phone:
Birthdate:
Email:
PARENT INFORMATION:
Father's Name:
Mother's Name:
Address:
 
City:
State:
Zip:
Phone:
Parent Email:
APPLICANT HIGH SCHOOL INFORMATION:
High School Name:
Address:
 
City:
State:
Zip:
Principal Name:
Career/Guidance
Counselor Name:
Anticipated
Graduation Date:
Applicant Cumulative
Grade Point Average:
(beginning of the
present school year)
Please list all extra
curricular or
community activities
you have participated
in during your high
school year:
MISCELLANEOUS INFORMATION:
Please indicate your
involvement with
GOLF during your life:
Have you held a job
during high school?:
Yes   No
If yes, please include
the name,address
and phone number of
your employer(s):
Have you been
accepted for
enrollment by a two
or four year college
or university?:
Yes   No
If yes, please list the
institution(s), the
address and phone
number of the
Admissions Office:
Have you decided on
a college major?:
Yes   No
If yes, please indicate
what your major will be:
REFERENCE INFORMATION:
(Please list below the name,address and
phone number of THREE references.
NOTE: Family members and relatives
may not be used as references)
Reference #1 Name:
Address:
City:
State:
Phone:
Reference #2 Name:
Address:
City:
State:
Phone:
Reference #3 Name:
Address:
City:
State:
Phone:
REQUIRED INFORMATION:
By choosing the SUBMIT button, we verify to the best of our knowledge the information provided herin is accurate and complete. We authorize the River Cup Foundation Scholarship Selection Committee to investigate the information contained herin, and we further authorize the release of my high school grade transcripts to the Selection Committee. We further authorize the Committee to contact references listed herin, as well ass parent(s), legal guardian, colleges and/or universities, and any employer or other individual associated with school and/or commuinity activities.
NOTE: Any application not signed by the applicant's parent(s) or legal guardian will be ineligible for consideration. Insertion of the parent or guardian name above will constitute an electronic signature. All information obtained by the Committee will be held strictly CONFIDENTIAL.