Hawaii State Women’s Golf Foundation

LILY K. YAO SCHOLARSHIP APPLICATION

Personal Data:     Full legal name: _______________________________________________________   
                                                                        Last                                                                         First                            Middle                                 

  Birthdate (mo/day/yr) _____/_____/_____     Birthplace: _______________________

  Resident of Hawaii :  ___Yes   ___No       

__________________________________      _______________________________
                  Mother’s name                                          Father’s name

E-Mail Address:     ____________________________________________

Permanent Address:  ___________________________________________________________________________________

                                                                                                                                                                                                                                __________________________________________________________________________________________________________
City                                                         State            Zip                      Area Code/Home Phone

Mailing Address:  Check if same as above___  Use address below until ___  /____ / ____
                                                                                                             mo      day        yr

_____________________________________________________________________________________________________
Address                                                               City                                State              Zip                            

  High School Background: ________________________________________   ____________     _______
                                           High School Attended                                     Graduation Date       GPA                 

                                                ___________________________________________   ___________________________
                                            High School Contact and Title                          Contact’s phone

Golf  Experience:          Years involved in golf ______     Current Handicap ______

                                                Were you in a junior golf program?  __Yes  __No   If yes, which one? _______

List 2 tournaments you competed in within the last year.  Include the name of the course played, its location, par for the course, your score(s) and how you finished.

1.        ____________________________________________________________________________

____________________________________________________________________________

2.        ____________________________________________________________________________

____________________________________________________________________________

Briefly tell us about 3 people who have played a significant part in your development as a golfer (list their names, when you met them and how they have influenced you. 
Use the back of page 1 for your reply.

College Information:  College you are (will be) attending : _______________________________________________

College’s mailing address:  _____________________________________________________

                                                                                                _____________________________________________________
                                                                               City                                                        State        Zip

Name of Director of Admissions:  ______________________________________________

Are you currently receiving any other financial assistance?  ________

If yes, please clarify:

Essay:   Explain your immediate and long term goals in golf, academics and career.  What must you do to accomplish these goals and which strengths do you have that will help you achieve them.  Use the back of this page to write your essay.

Please attach a current picture of yourself to this application.

Deadline to submit this application is December 1, 2007 .   Before applying for the LKY Scholarship, the applicant is responsible for informing and seeking the approval to do so from her coach, athletic director, counselor, registrar or any other individuals involved in the assignment of financial aid.

Applicant’s Signature                                                                                                    Date                           

Mail to:
Maud Chang
116 Ragsdale
HNL, HI  96817
questions email maudcliffchang@aol.com