Eligibility Requirements
Name
*
First Name
Last Name
Email
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Date of Birth
Parent/Legal Guardian Name
*
College Attending
*
College Financial Office Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
2025 Member of NEPGA Junior TOUR?
*
Yes
No
Number of years on NEPGA Junior TOUR
*
List years on NEPGA Junior TOUR
Format: 2017, 2018, 2019, 2020, etc...
High School Information
*
Name of High School
High School's Mailing Address
City
State / Province
Postal / Zip Code
Cumulative High School GPA
*
*Must include final 2021 High School Transcript
Please list any National, State, or County Scholastic Honors received: (National Honor Society, Who's Who, All American Academic Athlete, Etc.)
Please list any extracurricular high school activities, including all awards, positions of leadership as well as memberships to various organizations.
Please list all community service activities here. (Please put description of overall involvement)
Essay Question: Why do you believe you should be awarded this scholarship?
*
Please upload a copy of your High School transcript
*
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Please upload a copy of your college/university acceptance letter.
*
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Please upload at least 1 letter of recommendation.
*
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Please upload a headshot photograph or professional picture of yourself.
*
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Submit
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