The Michael F. Wortis Scholarship
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Date
Are you a Citizen of United States?
*
Yes
No
Legal Guardian Name
*
First Name
Last Name
Years student has been involved with golf?
*
Name of Current School
*
Current School Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list and describe any appropriate extracurricular activities.
Please list and describe any appropriate community activities.
ESSAY QUESTION: Why do you believe you should be awarded this scholarship? (500 words or less)
*
Please upload (1) letter of recommendation from a Golf Professional.
*
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of
Please include a headshot or appropriate photograph of student.
*
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of
Questions?
If you have any questions, or are unable to complete a portion of the application, please email our Foundation Director, Michael Packard, PGA: mpackard@pgahq.com
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