Click here do download the Scholarship Form

The deadline for submitting all materials is 6/1/16.

STUDENTS NAME:_______________________________________________________

ADDRESS:_____________________________________________________________
CITY:______________________       STATE:___________     ZIP CODE:___________
E-Mail ADDRESS:_______________________________________________________
DATE OF BIRTH:______________________     PHONE #:______________________

HIGH SCHOOL:__________________________  PHONE #:____________________
GUIDANCE COUNSELOR’S NAME:______________________________________
GOLF COACH’S NAME:_________________________________________________
PARENT’S OR GUARDIAN’S NAME:_____________________________________

Description of Golf Achievements:  (Provide attachment if necessary)
__________________________________________________________________

Description of Academic Achievements:  (Provide attachment if necessary)
__________________________________________________________________

Please attach a written recommendation from your golf coach,
PGA Professional or golf course owner who are members of the TCGA and mail to:
Doug Courtright
207 South Page Avenue
Endicott, NY   13760
607-785-3598
[email protected]