ON LINE Legacy Scholarship Award Application Website Proudly Sponsored By: Peaks & Prairies Golf Course Superintendents Association Legacy Award Application Booklet Download a PDF if preferred General The Peaks & Prairies GCSA Legacy Award competition offers educational aid to the children of Peaks & Prairies GCSA members. The Peaks & Prairies Golf Course Superintendents Association, at their discretion, administers the awards and determines the dollar amounts each year. The Peaks & Prairies GCSA Scholarship Committee will review applications. All decisions of the committee will be final. Scholarship recipients will be announced during the Peaks & Prairies GCSA Fall Meeting & Trade Show, and the scholarship check with a letter of acknowledgement will be mailed by December 15. All scholarship award checks will be made payable to the applicant. Eligibility One or more of the applicant’s parents must be a Peaks & Prairies GCSA member and currently active for at least 12 months in one of the following classifications: AA, A – Golf Course Superintendent, B- Golf Course Superintendent, C- Assistant Golf Course Superintendent, D-Allied, F-Associate or G-Honorary Life. The competition is open to natural or adoptive offspring of Peaks & Prairies GCSA members. Children of deceased members are also eligible if the member was currently active at the time of his or her death. The student must be enrolled full-time at an accredited institution of higher learning, or in the case of high school seniors, must be accepted at such an institution for the next academic year. Graduating high school seniors must submit a letter of acceptance. as well. Past winners are eligible to apply the following year. Although any number of students from the same family may apply, only one student per family will be eligible to receive an award. Criteria for Selection Applicants will be evaluated based on academic achievement, extracurricular and community involvement, leadership and outside employment. The student’s composition of an original 500-word essay on their future plans and any topic relating to the golf course industry. The essay must be original and not previously submitted to Peaks & Prairies GCSA. Financial need is not a factor in the selection. In the event that the Scholarship Committee feels that there are no qualified applicants during any given year, the award may be withheld during that year. How to apply Students must complete and submit the application form and supply the following by the September 20 deadline: Application must be typed, and dated. Transcripts from all high schools and/or colleges attended (which ever is most recent institution). Typed original essay. Graduating high school seniors must submit proof of collegiate acceptance. Completed application form and required documents must be received in the Peaks & Prairies GCSA office no later than September 20. Peaks & Prairies GCSA, P.O. Box 5003, Missoula, MT 59806 Tele: (406) 273-0791 ppgcsa@ppgcsa.orgwww.ppgcsa.org The Peaks & Prairies GCSA Legacy Award Applicant’s Statement Section 1Name* First Last Date MM slash DD slash YYYY Permanent Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneEmail Address Cell PhoneSection 2 – Member Relative InformationName of Member First Last Date MM slash DD slash YYYY Relationship to Applicant Status of Relative Living Deceased Email Address Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country ListMember #Current ClassificationMember SinceSection 3Name of Institution Date Attended From MM slash DD slash YYYY Location Grade Point Scale Date of (anticipated) graduation or certificate completion MM slash DD slash YYYY Add A Second Institution? Yes No Name of Institution Location Date Attended From MM slash DD slash YYYY Grade Point Scale Date of graduation or certificate completion* MM slash DD slash YYYY Add A Third Institution? Yes No Name of Institution Date Attended From MM slash DD slash YYYY Location Grade Point Scale Date of graduation or certificate completion* MM slash DD slash YYYY * Actual or expectedAre you now attending college? Yes No If so, have you been accepted for the fall semester? Yes No Which School? What is/will be your major? Do you qualify for instate tuition? Yes No Your approximate annual tuition?List any academic distinctions and honors you have received during high school or college:List school or college activities in which you have participated. Please note any honors or distinctions you have received:List your activities outside of school or school or college (clubs, organizations, community, etc.):List any offices held in school or community organizations:List employment you have held since entering high school:Type of workEmployerEmployed from - to List any other scholarships awardedScholarshipSponsorDateAmount Section 4 EssayPlease include a 500 word original essay about your future plans and any topic relating to the golf course industry. The essay must be original and not previously submitted to Peaks & Prairies GCSA. Peaks & Prairies GCSA reserves the right to reprint the essay in The Perfect Lie newsletter.*Certification I certify that the above information is true and correct to the best of my knowledge.Name* First Last Date* MM slash DD slash YYYY Δ
