ࡱ> bd_`a%` bjbjٕ E....~~~zOzOzO8OP\ȑ.SZ4ZZZ7^,cehÐŐŐŐŐŐŐ$hb~j]|7^jj..ZZoooj^.8Z~ZÐojÐoocf~Z"S @^xzO-k^< 0ȑJkJ,J~jjojjjjjmjjjȑjjjj39d9......    APPLICATION FOR CONTINUING COLLEGE STUDENTS  Bill Dickey Scholarship Association 1140 East Washington Street, Suite 103 Phoenix, AZ 85034 Phone: (602) 258-7851 Fax: (602) 258-3412 HYPERLINK "http://www.nmjgsa.org/bdsa_scholarships.htm"www.billdickeyscholarship.org  HYPERLINK "mailto:andrea@bdscholar.org?subject=New%20Student%20Scholarship%20Application" andrea@bdscholar.org Bill Dickey Scholarship Association APPLICATION GUIDELINES (Detach this page and keep it for your records) The Bill Dickey Scholarship Association Continuing Education Scholarships are intended only for those students who have received one year scholarships during the previous year(s). With the exception of scholarships that are awarded concurrently with partner organizations including, but not limited to, the Jackie Robinson Foundation and The PGA of America, scholarships are awarded for one year periods. Awardees must reapply each year for continuing education monies. The primary criteria used to select scholarship candidates include scholarship, a cumulative G.P.A. of 2.5 or higher, participation in golf, college and community service activities, demonstrated financial need employment, extracurricular activities and other responsibilities will be considered. The essay question response (Application page 2) must be typewritten and double-spaced on white 8 x 11 inch paper. Be sure to include your full name and social security number atop each page. Attach additional pages to application only as necessary. Make certain that responses and page numbers are clearly notated and that your full name and social security number appear atop each additional page. The DEADLINE for application materials is Monday, April 21, 2008 at 5:00 PM MST. All Applicants will be notified in writing regarding final selection committee decisions. Scholarship award checks will be written in the names of both the student recipient and the institution. IMPORTANT REMINDER: Incomplete and/or late applications will not be considered. To be complete, applications must: Be signed and dated Include official college transcript (raised seal) Contain essay question response Include one photo HEAD SHOT (3 x 5) on photo quality paper MAIL APPLICATION TO: Bill Dickey Scholarship Association Attention: Scholarship Committee 1140 East Washington Street, Suite 103 Phoenix, AZ 85034 Bill Dickey Scholarship Application (Please type) Name: FORMTEXT      Social Security #: FORMTEXT      Last, First, MiddleMailing Address: FORMTEXT      City: FORMTEXT      State: FORMTEXT      Zip: FORMTEXT      Home Phone: FORMTEXT      Cell Phone: FORMTEXT      Email Address: FORMTEXT      Sex: FORMCHECKBOX  M  FORMCHECKBOX  FDate of Birth: FORMTEXT      Place of Birth (City, State): FORMTEXT      ETHNICITY FORMCHECKBOX African American FORMCHECKBOX Hispanic/Chicano FORMCHECKBOX Asian/Pacific Islander FORMCHECKBOX American Indian/Alaskan Native FORMCHECKBOX Other (please specify): FORMTEXT      Current College/University: FORMTEXT      Phone: FORMTEXT      Address: FORMTEXT      City: FORMTEXT      State: FORMTEXT      Zip: FORMTEXT      College/University that you will attend: FORMTEXT      Phone: FORMTEXT      Address: FORMTEXT      City: FORMTEXT      State: FORMTEXT      Zip: FORMTEXT      Major(s): FORMTEXT      Are you employed? FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf yes, how many hours per week: FORMTEXT      Employer: FORMTEXT      Position: FORMTEXT      Job Responsibilities: FORMTEXT      FINANCIAL INFORMATIONHave you completed the FAFSA Application and Assessment? FORMCHECKBOX  Yes  FORMCHECKBOX  NoHave you, or will you, apply for a United States Pell Grant? FORMCHECKBOX  Yes  FORMCHECKBOX  NoTotal Expenses: (approximate  per year)Tuition: FORMTEXT      Room & Board: FORMTEXT      Books: FORMTEXT      Family Contribution: FORMTEXT      Employment: FORMTEXT      Other source of Income: FORMTEXT      Amount: FORMTEXT      Are you a single parent? FORMCHECKBOX  Yes  FORMCHECKBOX  NoFather s Name: FORMTEXT      Mother s Name: FORMTEXT      Mailing Address: FORMTEXT      Mailing Address: FORMTEXT      City: FORMTEXT      State: FORMTEXT      Zip: FORMTEXT      City: FORMTEXT      State: FORMTEXT      Zip: FORMTEXT      Occupation: FORMTEXT      Occupation: FORMTEXT      Emergency Contact: FORMTEXT      Phone: FORMTEXT      Number of siblings in your home: FORMTEXT      Number of siblings attending college/university: FORMTEXT        List the significant Extracurricular Activities with which you have been involved. 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" """"2"4"6"@"B"D"N"P"d"f"h"r"t"v""""""""""""ݣݍݣwݣaݣ+j+<hXhaCJOJQJUaJ+j;hXhaCJOJQJUaJ+j-;hXhaCJOJQJUaJhXhaCJaJ0jhXhaCJOJQJUaJmHnHu+j:hXhaCJOJQJUaJhXhaCJOJQJaJ%jhXhaCJOJQJUaJ"D"N"v"x""""""##.#V#X#p##Ff@ $IfgdB $$Ifa$gdB $$Ifa$gdB""""""""#######.#0#D#F#H#R#T#V#p#r#########ֽֽ֮֮֮֮sֽ֮֮]ֽ֮UhaCJaJ+jDhXhaCJOJQJUaJ+jChXhaCJOJQJUaJha+j)=hXhaCJOJQJUaJhXhaCJaJhXhaCJOJQJaJ0jhXhaCJOJQJUaJmHnHu%jhXhaCJOJQJUaJ+j<hXhaCJOJQJUaJ ####D8/ $IfgdB $$Ifa$gdBkdD$$IfTlr>,4+  t0o+44 laytTOIT############ $$$$$$ $D$^$b$d$x$z$|$垖ـ|qq^H^+jGhXhaCJOJQJUaJ%jhXhaCJOJQJUaJhXhaCJaJha+j FhJihaCJOJQJUaJhaCJaJhXhaCJOJQJaJ*jhaCJOJQJUaJmHnHu+jEhJihaCJOJQJUaJhaCJOJQJaJjhaCJOJQJUaJhJihaCJaJ##$ $b$$$B6 $$Ifa$gdBkdF$$IfTl\j6M"+ t0o+44 laytTOIT $IfgdB $$Ifa$gdB|$$$$$$%%%%%%%%%&%(%0%Z%%%%%%&X&źŤŠ~n\nOnOnOhwCJaJmHnHu"hPyhw5CJaJmHnHuhPyhwCJaJmHnHuhaCJaJ"jhwCJUaJmHnHuhwCJaJha+j6HhXhaCJOJQJUaJhXhaCJaJhXhaCJOJQJaJ%jhXhaCJOJQJUaJ0jhXhaCJOJQJUaJmHnHu$%%%% %"%$%KCCCCC$a$gdakdH$$IfTl\ %+ [ t0o+44 laytTOIT $$Ifa$gdB$%&%(%*%,%.%0%%Z&\&n&g[ $$Ifa$gd% xkdI$$IfTs    &w&  0    64 sap ytBT $$Ifa$gdB $d`a$gdD$$a$gda X&Z&\&&&&&&&&&&&&''''&'('*','@'B'P'R'T'h'̗̗̿̿̿g̗̿O̗̿.jeMhh% OJQJUmHnHu.j'Lhh% OJQJUmHnHu.jKhh% OJQJUmHnHuhh% OJQJmHnHu.j;Khh% OJQJUmHnHuh% OJQJmHnHu"jh% OJQJUmHnHuh% h% mHnHuhwhPyhwCJaJmHnHun&&&&&'('d[R $IfgdB $Ifgd% kdsJ$$IfTs    F &N +0    6    4 sayt6QT $$Ifa$gdB('*'R'z''pg^R $$Ifa$gdB $IfgdB $Ifgd% kdL$$IfTs    F &N +0    6    4 sayt6QTh'j'x'z'|'''''''''''''''''(  4ֹƝֹֹmֹkSƝֹ.j{Phh% OJQJUmHnHuU.jPhh% OJQJUmHnHu.jOhh% OJQJUmHnHuh% .jQNhh% OJQJUmHnHuh% OJQJmHnHuhh% OJQJmHnHu"jh% OJQJUmHnHu.jMhh% OJQJUmHnHu''''pg^R $$Ifa$gdB $IfgdB $Ifgd% kdN$$IfTs    F &N +0    6    4 sayt6QTTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Are you playing on your College/University Golf Team? FORMCHECKBOX  Yes  FORMCHECKBOX  NoAre you a Bill Dickey Invitational (BDI) Alumnus? FORMCHECKBOX  Yes  FORMCHECKBOX  NoUSGA Handicap Index: FORMTEXT      Average Score: FORMTEXT      List Golfing Accomplishments (please use separate sheet if needed): FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Short Response (4 lines) To date, what has been the most meaningful moment of your college experience?  FORMTEXT       I hereby certify that the information provided in this application is complete and correct to the best of my knowledge. _______________________________________________ _____________________ Signature of Applicant Date Bill Dickey Scholarship Association Questionnaire (This form is to be submitted with the completed scholarship application) Applicant Name: REF Name \* MERGEFORMAT  Mailing Address: REF Mailing_Address \* MERGEFORMAT  City: REF City \* MERGEFORMAT  State: REF State \* MERGEFORMAT  Zip: REF Zip \* MERGEFORMAT  College receiving funds: FORMTEXT      Dept. receiving funds: FORMTEXT      Mailing Address: FORMTEXT      City: FORMTEXT      State: FORMTEXT      Zip: FORMTEXT      Will you attend college on a FULL RIDE SCHOLARSHIP? FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf so, what does your scholarship pay for? FORMCHECKBOX  Books/Supplies  FORMCHECKBOX  Room/BoardOther (please list): FORMTEXT      How will you utilize a Bill Dickey scholarship? FORMCHECKBOX  Books/Supplies  FORMCHECKBOX  Room/BoardOther (please list): FORMTEXT      Do we need to specify on the check how the funds are to be utilized?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIndicate what you would like us to list on the comment section on the check?  FORMTEXT           PAGE  PAGE 3  DATE \@ "M/d/yyyy" 2/26/2008 Essay Question Your response must be 500 words, typed and double spaced on white 8 X 11 paper. Be certain to include your full name and social security number atop each page. The essay must be enclosed with your completed application. The BDSA reserves the right to publish the essay(s) of scholarship recipients. Please address the following: How were you introduced to the game of golf? Why did you select the college/university that you are currently attending? What are your career aspirations and why? 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