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U.S. Junior Tours Student Application
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Instructions: All information in green boxes is required. Other information is appreciated. Once completed, please click the "Submit" button at the bottom of this form.

Required Personal Information

Last Name:          First Name:     Middle Name:    

Street Address:  

City:         State/Province  Zip Code:

Country of Residence        Birth Date (MM/DD/YYYY):  

Home Telephone Number (including area code):             

E-mail:     Gender:

Personal Information

Preferred Name or Nickname:

FAX Number: (optional)       Cell Phone Number

Required Contact Information for One Parent or Legal Guardian

Parent or Guardian's First and Last Name:          

Parent or Guardian's Daytime Phone Number:                    

Required Contact Information for Parent or Legal Guardian

Parent or Guardian's Cell Phone Number:

Parent or Guardian's  E-mail:

 
Please Check Desired Program(s) (required) Dates
1. St. Andrews, Scotland English Language Immersion and Golf Program July 20 – August 15, 2010
2. St. Andrews, Scotland Birthplace of Golf Program June 15 – June 24, 2010
3. St. Andrews, Scotland Birthplace of Golf Program July 27 – August 5, 2010
4. St. Andrews, Scotland Links Trust Boys Open Tournament July 29 – August 7, 2010
5. St. Andrews, Scotland Links Trust Junior Ladies Open Tournament July 29 – August 7, 2010

Required Academic Information

Name of Middle/High School:   

School Street Address:   

City:                          State/Province:                    

Country:                          Highest Grade Completed:          

Anticipated High School Graduation Year:

Please List Your Academic Goals
Golf Resume (required)

Number of years playing:                    

Frequency of Practice:     

Golf Strengths

Golf Weaknesses

Please List Your Golf Goals

Golf Resume (optional)

Name of School Golf Coach (if applicable):

Coach's Email:

Coach's Phone Number (including area code):

Name of Teaching Professionals or Additional Coaches:

Email:

Phone Number (including area code):

Practice Facility/Club to which you belong:

City:      State/Province:  Handicap index:

Tournament Experience (optional)
**Tournament experience is not required to participate**
List up to five in chronological order beginning with the most recent at the top
Level Name of Event Month Year Scores
(79+72+76=227)		 Finish/Field
(4th of 80 = 4/80)

Please list other co-curricular (not limited to athletics) activities in which you participate

Required Contact Information for References

The final requirement for this application is that you provide the names and contact information for two people that can recommend you for participation in U.S. Junior Tours. These people must be adults and must not be related to you. Also, legal guardians of applicants may not me used as references. Please get each person's permission before listing them here.

Name of Reference #1:                    

Reference #1 relationship to you:                    

Daytime Telephone Number for Reference #1:                    

Name of Reference #2:                    

Reference #2 relationship to you:                    

Daytime Telephone Number for Reference #2:                    

By clicking the "Submit" button below, I certify that the above information is current and correct, I have discussed the application with my parents/guardian, and that I wish to participate in a U.S. Junior Tours Golf Experience.

The information collected on this form is confidential and is neither shared nor marketed.

 

USJT Golf Travel • U.S. Junior Tours • (877) 740-1321 • 1 River Place Drive Suite 103, La Crosse, WI 54601-8527