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NSGA Murray Purcell Bursary Program
NOVA SCOTIA GOLF
ASSOCIATION
BURSARY PROGRAM
APPLICATION FORM
Year ................................. Applicant's name in full …………………………………………………………
Golf club affiliation ………………………………………………………………
NSGA card number …………………………………………………………….…
Home address ………………………………………………………………………
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High school attended ………………………………………………………………
Academic: Attach official transcript of marks
Golf History /Achievements:
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Community Involvement:
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Name of CANADIAN University or College that you wish to attend
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Briefly describe nature and length of program as well
as degree or diploma to be awarded
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Attach two letters of reference
This application must be addressed to: Bursary Selection
Committee
Nova Scotia Golf Association
4-24 Simmonds Drive,
Dartmouth, NS,
B3B 1R3 Applications must be in the hands of the selection committee
no later than the 1st. day of July
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