GEM Scholarship Application | Gold Coast Junior Golf Foundation, Inc. (GCJGF)

Gold Coast Junior Golf Foundation
GEM 529 Educational Plan Application:

If you are interested in applying for our GEM 529 Scholarship, please fill out the following application form completely.

Step 1 of 5

Parent's Name*

First Last

Child's Name*

(member)

First Last

Division Played*

Number of Events Played*

(will be verified by BlueGolf Report)

Select your plan:*

Florida Pre-Paid 529 Plan

Florida 529 Savings Plan

Other 529 Savings Plan

Account Number*

Name of the Institution Providing the 529 Plan*

Institution Mailing Address*

Street Address City State ZIP Code

Institution Phone*

Name of the 529 Account Owner*

First Last

Mailing Address of Account Owner*

Street Address City State ZIP Code

Home Phone*

Cell Phone

Name of the Beneficiary*

First Last

Beneficiary Address*

Street Address City State ZIP Code

Home Phone

Cell Phone*

Email*

Certification*

I hereby certify that the information above is factual and true.*

Signature*

Date*