Application for Admission

Please fill out the information boxes below and submit. Upon receipt of your application, you will be sent an invoice for the US$75.00 application fee (taxes included). Please pay promptly.

* indicates required field.

I wish to attend the Core Golf Junior Academy for:*

A full year with residence
A full year without residence
One semester with residence
One semester without residence

Check one of the following:*

I will be attending high-school
I am a post-graduate

Applicant Information

Last Name:* First Name:* Date of Birth (MM/DD/YY):* Gender:* Street Address:* City:* State/Province:*

Country:* Zip/Postal Code:* Telephone:* Fax: Email:* Country of Citizenship:*

Family Information

Parent/Guardian #1:* Email Address:* Phone:* Cell Phone: Street Address:* City, State/Province, Zip/Postal Code:*

Parent/Guardian #2: Email Address: Phone: Cell Phone: Street Address: City, State/Province, Zip/Postal Code:

If parents are separated or divorced:

Who has legal custody of applicant?

With whom does the applicant reside?

General Information

What are your short term and long term academic goals? *
What are your short term and long term golf goals? *
Why are you applying to Core Golf Junior Academy and what do you hope to gain from your experience? *
Briefly explain why you would be a good candidate for Core Golf Junior Academy.*

Last grade completed:

Date that last grade was completed: