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):

CRITERIA FOR SELECTION:

Please include a short essay (maximum 300 words) about your goals for the future. Tell us why you think this program would benefit you. The essay should include:

• 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.

Essay*

Please indicate which topics are of interest to you as possible career choices.
Choose all that apply.
EntrepreneurshipBusiness (corporate leadership, consulting, real estate)Science, technology, engineering and mathEnvironmental sciencesPolitics and government serviceLegal (attorney, law enforcement)Military and defenseAeronautics and aerospaceHealthcareAnimal careEducationSports (competition, medicine, business)Fine arts (painting, drawing, dance, music)Computer graphics, filmmaking, gamingWriting, marketing, advertisingFinance (banking, accounting, insurance)ManufacturingRetail operationsFarming and agricultureTransportation and logisticsNonprofit leadershipOther

FORWARD THE OPPORTUNITY:

Do you know another young lady who would benefit from attending the GFTG Mentorship program? If so, please fill out their name and email address below:
NAME:

EMAIL:

PHONE NUMBER: