NAME* EMAIL* PHONE NUMBER* HOME STREET ADDRESS* CITY* STATE* ZIP CODE* GRADE* DO YOU CURRENTLY PLAY GOLF* YesNo ORGANIZATION THAT RECOMMENDED YOU (if applicable): TEACHER OR PROFESSOR WHO RECOMMENDED YOU (if applicable):
State how you have demonstrated achievements in leadership or participated in community service. Give specific examples.
Your aspirations for the future, including educational and professional goals.
Why this program would be of value and what you would gain as a result.
Examples of your achievements or interest in entrepreneurship, if applicable.