Arkansas State Golf Association Scholarship Application

General Information Form
Applicant First and Last Name

First NameLast Name
Applicant Email
example@example.com
Applicant Gender
Date of Birth

MonthDayYear
Date
Ethnic Background
Applicant Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #1 Name

First NameLast Name
Parent/Guardian #1 Email
example@example.com
Parent/Guardian #1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #1 Employer:
Parent/Guardian #1 Occupation
Parent/Guardian #2 Name

First NameLast Name
Parent/Guardian #2 Email
example@example.com
Parent/Guardian #2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #2 Employer
Parent/Guardian #2 Occupation
Grade Level as of December 31, 2025
High School Grade Point Average (Based on a 4.0 scale)
Total No. of Brothers/Sisters
No. of Brothers/Sisters at home
In College
Do any other dependents live with your parents? Please Specify
Do you file an independent tax return with the Internal Revenue Service?
If so, do you claim any dependents besides yourself?
If so how many?
Parents Estimated Income
Self/Spouse Income
Please Indicate by percentage the actual funds you have available for college expenses from the following sources: % self/Spouse % Parents. % Other Scholarships % Other(specify)
Please list other scholarships or grants you expect to review, including amounts and status:
Have you held a part-time job(s) while attending school or during summer?
Job Title blanks Hours per week/length of employment blank
Job Title blanks Hours per week/length of employment blank
Are you presently employed? Do you plan to work this fall?
Do you contribute to household expenses? If so, what percentage?
Year of High School Graduation
Do you have any information concerning your financial or home situation which might be pertinent to this application for scholarship aid?
Reason for seeking a college education
Career plans/Goals
While attending college, will be living:
Address while at college (if known)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Participant School Form
Name of current High School:
Please Check One:
Anticipated Graduation Date:

MonthDayYear
Date
Class Rank
List any Honors (H) or Advanced Placement (AP) classes you are currently taking:
Have you participated at in First Tee Programming?:
If yes, what year(s) and please describe your experience in First Tee Programming.
Do you play on your high school golf team?
Years playing golf
ACT and SAT Tests
List the highest scores for each section of the SATs you have taken. You must submit a copy of your test
SAT|Math
SAT| Evidence-Based Reading & Writing
Date SAT Taken

MonthDayYear
Date
List your ACT composite Score:
Date ACT Taken

MonthDayYear
Date
Do you plan on retaking any of these test?
Future SAT Test Date:

MonthDayYear
Date
Future ACT Test Date

MonthDayYear
Date
College Information
List any college to which you have applied and been accepted:
If you have already decided, please list the college you plan to attend:
Do you plan to play on your college golf team?
If yes, have you received a college golf scholarship?
Please select the college scholarships you expect to apply for and receive:
Please list all monetary awards, grants, and scholarships (athletic, golf, community, etc.) you have already received, including the total amount of each, whether they are one-time or recurring, and the awarding institution:
If you know your major or course study, please indicate:
Please describe your current career aspirations:
School & Community Activities Chart

Please complete the chart below

Rows	Dates (from-to)	Hours Per Week	Total Hours	Responsibilities and accomplishments
Extracurricular and school Activities
Community and Volunteer Service
Awards and Recognition
Work for Pay

CLICK HERE FOR REFERENCE FORM
You may use the provided reference form above if you choose. All other letters of recommendation may be uploaded here

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High School Transcript

Please upload your official high school transcript and copies of your official test scores
File Upload

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ACT/SAT Scores

Please upload copies of your official ACT/SAT test scores
File Upload

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Federal Student Aid Form (FAFSA) OR a copy of parents/guardians most recent 1040 (All information in this scholarship will be kept confidential
File Upload

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Please upload any additional or relevant documents here.

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Applicant Certification

I certify that the above information of this application is true and correct to the best of my knowledge. I further certify that if I knowingly have provided false information in an effort to receive financial assistance, my application will be rejected and I will be disqualified from seeking any scholarships through the ASGA scholarship program. I have read and understand all materials for this program. I agree to furnish any additional information requested of me including, but not limited to, academic and/or athletic pictures, updated transcripts and/or official test scores in a timely manner. Electronic Signature: Under federal law, the parties may execute this document electronically – equaling to the same degree as a handwritten signature – by using the following process to create an electronic symbol signifying intent. The party must fill in their name and date below, signifying your agreement.
Applicant Signature:
Todays Date

MonthDayYear
Date
Partent(s)/Guardian(s) Signature:
Todays Date

MonthDayYear
Date
Should be Empty:

General Information Form

Participant School Form

ACT and SAT Tests

College Information

School & Community Activities Chart

High School Transcript

ACT/SAT Scores

Federal Student Aid Form (FAFSA) OR a copy of parents/guardians most recent 1040 (All information in this scholarship will be kept confidential

Applicant Certification