Scholarship Application 2018-03-09T23:21:53+00:00

2018/2019 NEW STUDENT SCHOLARSHIP APPLICATION

Your completed application must include the following:

  • Application form completed online below

  • Official transcript (raised seal)  must be mailed to: The Bill Dickey Scholarship Association ATTN: Scholarship Committee 1241 E. Washington St., Suite 101, Phoenix, AZ 85304

  • Essay question (uploaded below as .doc or .pdf) – Download Essay Topic and Guidelines

  • One photo head shot in high resolution (at least 1200 pixels wide and uploaded below as .jpg, .gif, .png or .pdf)

  • Two personal reference forms (uploaded below as .doc or .pdf) – Download Personal Reference Form

STUDENT INFORMATION

FIRST NAME *
MIDDLE NAME *
LAST NAME *
SOCIAL SECURITY # (LAST 4 DIGITS) *
ADDRESS *
CITY *
STATE *
ZIP *
EMAIL ADDRESS *
PHONE NUMBER *
MOBILE PHONE *
DATE OF BIRTH *
PLACE OF BIRTH (City, State) *
ARE YOU MALE OR FEMALE? *
ETHNICITY *
African AmericanHispanic/ChicanoAsian/Pacific IslanderAmerican Indian/Alaskan NativeOther (please specify in next field)
IF YOU SELECTED OTHER ETHNICITY, PLEASE SPECIFY
GPA *
SIZE OF GRADUATING CLASS *
CLASS RANK *
SAT SCORE (if applicable)
ACT SCORE (if applicable)
CURRENT HIGH SCHOOL *
HIGH SCHOOL PHONE NUMBER *
HIGH SCHOOL ADDRESS *
HIGH SCHOOL CITY *
HIGH SCHOOL STATE *
HIGH SCHOOL ZIP *
COLLEGE YOU WILL ATTEND *
COLLEGE PHONE NUMBER *
COLLEGE ADDRESS *
COLLEGE CITY *
COLLEGE STATE *
COLLEGE ZIP *
INTENDED MAJOR *
STUDENT ID (if you have one)
WILL YOU ATTEND COLLEGE ON A SCHOLARSHIP? *
yesno
IF YES, WHAT DOES YOUR SCHOLARSHIP COVER? (BOOKS, TUITION, ROOM AND BOARD, OTHER) *
HOW WILL YOU UTILIZE THE BDSA SCHOLARSHIP?(BOOKS, TUITION, ROOM AND BOARD, OTHER) *
DO WE NEED TO SPECIFY ON THE CHECK HOW THE FUNDS ARE TO BE UTILIZED? *
yesno
ATTENTION TO WHOM WHEN SENDING CHECK?
CHECK COMMENT DETAIL (if applicable)
ARE YOU EMPLOYED? *
IF SO, HOW MANY HOURS PER WEEK?
EMPLOYER NAME
POSITION
JOB RESPONSIBILITIES
HOW DID YOU LEARN ABOUT THE BDSA SCHOLARSHIP? *

FINANCIAL INFORMATION

HAVE YOU COMPLETED THE FAFSA APPLICATION AND ASSESSMENT? *
yesno
HAVE YOU OR WILL YOU APPLY FOR A UNITED STATE PELL GRANT? *
yesno

APPROXIMATE EXPENSES PER YEAR

TUITION *
ROOM & BOARD *
BOOKS *
HOW MUCH WILL YOUR FAMILY CONTRIBUTE? *
HOW MUCH WILL YOUR EMPLOYMENT CONTRIBUTE? *
OTHER SOURCE OF INCOME *
TOTAL AMOUNT (EXPENSES MINUS INCOME/CONTRIBUTIONS) *
ARE YOU A SINGLE PARENT? *
yesno
MOTHER'S NAME *
MOTHER'S OCCUPATION *
ADDRESS *
CITY *
STATE *
ZIP *
FATHER'S NAME *
FATHER'S OCCUPATION *
ADDRESS *
CITY *
STATE *
ZIP *
EMERGENCY CONTACT *
EMERGENCY CONTACT PHONE NUMBER *
NUMBER OF CHILDREN IN HOME *
NUMBER OF CHILDREN IN COLLEGE/UNIVERSITY *

LEADERSHIP

ACTIVITY 1
ACTIVITY 1 YEARS PARTICIPATED (9th-12th)
ACTIVITY 1 LEADERSHIP POSITION
ACTIVITY 1 HOURS/WEEK
ACTIVITY 2
ACTIVITY 2 YEARS PARTICIPATED (9th-12th)
ACTIVITY 2 LEADERSHIP POSITION
ACTIVITY 2 HOURS/WEEK
ACTIVITY 3
ACTIVITY 3 YEARS PARTICIPATED (9th-12th)
ACTIVITY 3 LEADERSHIP POSITION
ACTIVITY 3 HOURS/WEEK
ACTIVITY 4
ACTIVITY 4 YEARS PARTICIPATED (9th-12th)
ACTIVITY 4 LEADERSHIP POSITION
ACTIVITY 4 HOURS/WEEK
ACTIVITY 5
ACTIVITY 5 YEARS PARTICIPATED (9th-12th)
ACTIVITY 5 LEADERSHIP POSITION
ACTIVITY 5 HOURS/WEEK
ARE YOU ON YOUR HIGH SCHOOL GOLF TEAM? *
yesno
WILL YOU PLAY ON YOUR COLLEGE/UNIVERSITY GOLF TEAM? *
yesno
IF NO, WOULD YOU LIKE TO BE RECRUITED? *
yesno
ARE YOU A BILL DICKEY INVITATIONAL (BDI) ALUMNUS? *
yesno
USGA HANDICAP INDEX *
AVERAGE SCORE *

LIST GOLFING ACCOMPLISHMENTS

LIST GOLF PROGRAMS IN WHICH YOU ARE ACTIVE

PLEASE ANSWER THE FOLLOWING SHORT QUESTIONS

Identify: What social media platforms do you frequently use?

Explain: Why do you use the specific social media platforms?

Describe: What types of information would you find helpful posted on our social media platforms? [Twitter, Facebook, Instagram, Linkedin and others]

Frequency: How often should we post information on our social media platforms?

List Your Plan: Once you graduate from college as a BDSA scholar, describe what you will do to give back and propel Bill Dickey’s legacy?

ALL UPLOADED FILES MUST BE SMALLER THAN 3MB EACH

PERSONAL ESSAY (doc or pdf) - View topic and guidelines >>

PERSONAL REFERENCE NUMBER ONE (doc or pdf) - Download personal reference form >>

PERSONAL REFERENCE NUMBER TWO (doc or pdf) - Download personal reference form >>

HEADSHOT MINIMUM 1200 PIXELS WIDE (gif or png or jpg or pdf)