Golf Course Turfgrass Management Program Application

1. Contact Information:

First Name  

Middle Name

Last Name  

Street/RR/Box  

City  

State/Province  

Zip or Postal Code  

Country

Your E-Mail Address  

By checking this box I agree to allow Penn State to use this email address to communicate with me about this program.

Home Telephone Number  

Work Telephone Number

2. High School Attended:

School Name

Street/RR/Box

City

State/Province

Zip or Postal Code

Year Graduated

Final Grade Point Average (GPA) Indicate your GPA (4.0 scale) or % ranking if appropriate.

Number of Students in Class Indicate how many students were in your graduating class.

Your Rank in Class Indicate your rank in your graduating class.

3. College, Junior College, or other institute of higher learning attended (if applicable):

If you attended more than one institution, please include information in a separate email to turf@psu.edu.

Name

Street/RR/Box

City

State/Province

Zip or Postal Code

Dates Attended

Major/Degree

Final Grade Point Average (GPA)

4. Employment:

Indicate below where you have been employed. List most recent employment first. You should inform your current and previous employers that we will be contacting them soon to request more information.

Employer 1 This should be your most recent employment.

Place of Employment

Supervisor's Name

Dates of Employment

Your Title/Position

Business Address

City

State/Province

Zip or Postal Code

Business Telephone Include area code.

Supervisor's Email Address

Employer 2

Place of Employment

Supervisor's Name

Dates of Employment

Your Title/Position

Current Business Address of this Supervisor

City

State/Province

Zip or Postal Code

Business Telephone Include area code.

Supervisor's Email Address

Employer 3

Place of Employment

Supervisor's Name

Dates of Employment

Your Title/Position

Current Business Address of this Supervisor

City

State/Province

Zip or Postal Code

Business Telephone Include area code.

Supervisor's Email Address

5. Additional References (if applicable):

Please list other additional turfgrass industry references below with complete addresses. These references should be different than those listed above.

Reference 1

Name

Title/Position

Company Name

Business Address

City

State/Province

Zip or Postal Code

Business Telephone Include area code

Supervisor's Email Address

Reference 2

Name

Title/Position

Company Name

Business Address

City

State/Province

Zip or Postal Code

Business Telephone Include area code

Supervisor's Email Address

6. Ethnic Background

Federal law requires that institutions of higher education gather the following information regarding the ethnicity and race of their students and employees. Your individual information will be kept strictly confidential. The law only requires institutions to report aggregate totals for each category.

1. Is your ethnicity Hispanic/Latino (Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin)?

Yes, Hispanic/Latino
No, not Hispanic/Latino
Prefer not to answer

2. What is your race (select one or more):

White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Prefer not to answer

7. 1-2 Page Narrative (required):

Explain why you would like to enroll in the Golf Course Turfgrass Management Program.

Narrative