The Constance K. Rife ScholarshipInformation and Application for Scholarship Applicants

INFORMATION FOR SCHOLARSHIP APPLICANTS

The Constance K. Rife Scholarship is being granted by Mark Baumann andSimply Golf. Established in 2009, the objective of the Rife Scholarship is toprovide a scholarship to a female high school senior who is an active member ofa Nebraska School Activities Association recognized high school golf team, andis qualified for admission to a school, college, or university for full-timeacademic or technical courses.

One (1) scholarship in the amount of $1,000.00 will be awarded.

SCHOLARSHIP CRITERIA

1. Applicants must be female.2. Applicants must be high school seniors accepted to attend a full-time course of

study at an accredited school, college or university in the United States.3. Applicants must have been an active member of a Nebraska high school golf

team their senior year4. Applicants must have a minimum GPA of 3.0 (on a 4.0 scale).

APPLICATION CRITERIA

1. Completed and Signed Constance K. Rife Scholarship Application form.2. One (1) letter of recommendation from a teacher or school counselor3. A letter of verification from the applicant's high school golf coach confirming

the applicant's membership on the golf team and level of participation.4. Verification of applicant's grade point average from the school office.

DEADLINE

The completed application and all supporting documents must be postmarked byWednesday, May 1, 2013. All application documents must be submittedin a single envelope and mailed to:

Mark Baumann, PGAc/o Simply Golf1323 Fairway CircleBlue Springs, MO 64014

The scholarship will be awarded Monday May 13, 2013. All scholarshipapplicants will be notified at that time.

The Constance K. Rife Scholarship2013 Application Form

The completed application and all supporting documents must be postmarked byWednesday, May 1, 2013.

Please complete the application utilizing the space allocated for each response. Once you have completedthe application then print the completed application and for mailing.

I. APPLICANT INFORMATION

Name _________________________________ Date of Birth ______/_____/_______

Home Address ________________________________________________________

City __________________________________ State __________Zip_____________

Home Phone _______________________ E-mail Address _____________________

Name of High School ___________________________________________________

Cumulative Grade Point Average _____ as of ____/____/_____ based on a 4.0 scale

High School graduation date: Month __________________ Year_______________

II. FAMILY INFORMATION

Parent or Guardian Name _______________________________________________

Parent or Guardian's Home Address _______________________________________

City __________________________________ State _________Zip______________

Parent's Phone ____________________ E-mail Address ______________________

III. EDUCATIONAL PLANS AFTER GRADUATION

Indicate the school, college, or university you are planning to attend. If applications arestill pending, indicate schools to which you have applied.

School/College/University City/State

Intended Major

IV. ORGANIZATIONS & LEADERSHIP POSITIONS

List and describe any school organizations in which you have been involved in duringthe past two (2) years. Detail any offices or leadership positions you have held duringthe same period.

Year(s) Name of Organization Description of involvement/leadership positions

Describe a leadership experience either at school or in the community in which youmade a difference. (space available for approximately 150 words)

V. COMMUNITY SERVICE

List and describe the volunteer service activities in which you have participated withoutpay in your community for the past two (2) years. Community volunteer service could bea student's volunteerism in programs or projects that serve the broader community. Forexample, such projects as the American Red Cross, Habitat for Humanity, nursinghomes and hospitals, and other nonprofit community-based institutions.

Year(s) Name of Association Brief description of what it is you did

VI. EXTRACURRICULAR ACTIVITIES & HONORS

Please list school activities in which you have taken part. If you have received anyspecial honors, awards, or recognition while in high school please detail them here.

ACTIVITIES

HONORS

VII. CAREER INTERESTS / GOALS & OBJECTIVES

Describe your career goals and why you have selected the schools(s) college(s) and/oruniversity(s) to which you have applied. (space is available for approximately 200words)

VIII. GOLF BACKGROUND

Briefly describe your personal and high school golf experience, including any titles,awards, personal bests, or individual goals you achieved. (space is available forapproximately 200 words)

IX. ESSAY

Describe three (3) exemplary qualities gained through your golf experiences, and howyou plan to use them in your education, community, and career. (space available forapproximately 750 words)

X. CERTIFICATION AND AUTHORIZATION STATEMENT

I hereby apply for the Constance K. Rife Scholarship and certify that the informationprovided in this application is complete and accurate to the best of my knowledge. Ihereby give consent to Mark H. Baumann, Inc., doing business as Simply Golf, itsagents, employees, or designees to contact and verify my information contained in thisapplication and attachments by contact with any individual, government, educationalinstitution, or other entity. Falsification of any information will cause disqualification fromthe scholarship program and/or return of expended funds. This application becomes thesole property of Simply Golf. If selected as a recipient, I authorize release of my nameand/or likeness to Simply Golf to be used for publicity purposes.

Signature of Parent or Guardian _____________________________ date _________

Signature of Applicant _____________________________________ date _________

How did you find out about this scholarship?

High School Golf Coach

High School Counselor

Friend

Company Website

Scholarship Quest

Facebook

XI. APPLICATION CHECKLIST

This application becomes complete and valid only when you have submitted:1. Signed and Completed Application form2. Letter of recommendation3. Letter of verification4. Verification of grade point average5. Essay

The completed application and all supporting documents must be postmarked byWednesday, May 1, 2013 to be considered. All application documents must besubmitted in a single envelope and mailed to:

Mark Baumann, PGAc/o Simply Golf1323 Fairway CircleBlue Springs, MO 64014