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Luckey Fund Application

Founded by the ACC Members for the ACC Employees in 2010, the Charles Luckey Scholarship Fund grants scholarship money to help those reach higher education goals.

Who is eligible to apply for the Luckey Fund Scholarship?

Full-time ACC employees
Dependents of full-time ACC employees
Part-time ACC employees who work an average of 15 hours per week

All employees must be employed with the club for 6 months in order to apply.

Below is the application to apply for the Luckey Fund Scholarship. Each student applicant is required to submit a completed application, along with the following:

A single-page, typed essay expressing motivation for continuing education, including reason for applying for scholarship funds.
An official copy of the applicant’s high school transcript is required for applicants who will be beginning college for the first time. If the applicant is currently enrolled at a college or university, an official copy of the applicant’s college transcript will be required.
A letter of recommendation, submitted by the applicant’s supervisor at ACC.

Personal Information

First Name *

Last Name *

Date of Birth *

Phone *

Email *

Permanent Address

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

High School Attended *

Graduation Date *

Are you an Atlanta Country Club Employee?

Yes

If yes:

Hire Date

Department

If no:

Name of Employee You Are Related To

Relationship to Employee

School Information

What is the name of the school you are attending (or planning to attend)? *

School Address Line 1 *

School Address Line 2

City *

State *

ZIP Code *

Are you or will you be a full-time student? To qualify as a full-time student, you must be enrolled in at least 12 credit hours per semester. *

Yes

How much is your tuition per semester? *

Extracurricular Activities

Activity

# of Years

Leadership Position

Awards & Recognition

Activity

# of Years

Leadership Position

Awards & Recognition

Activity

# of Years

Leadership Position

Awards & Recognition

Activity

# of Years

Leadership Position

Awards & Recognition

Activity

# of Years

Leadership Position

Awards & Recognition

Community Service

Project

Description

Leadership Position

Total Hours

Project

Description

Leadership Position

Total Hours

Project

Description

Leadership Position

Total Hours

Project

Description

Leadership Position

Total Hours

Project

Description

Leadership Position

Total Hours

Work Experience

Using only the space below, please list your paid work experience during the past four years, beginning with your most recent position.

Employer

Start Date

End Date

Hours/Week

Nature of Work

Employer

Start Date

End Date

Hours/Week

Nature of Work

Employer

Start Date

End Date

Hours/Week

Nature of Work

Employer

Start Date

End Date

Hours/Week

Nature of Work

Employer

Start Date

End Date

Hours/Week

Nature of Work

Financial Support

Please use the space below to list all financial resources available for your education assistance.
Ex. family support, grants, scholarships, student loans, etc.

Please specify amount requested for your first semester: *

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ESSAY
Please submit a written essay, preferably typed, of no more than one page expressing motivation for continuing education and the reason that you are applying for this scholarship.

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TRANSCRIPT
An official copy of the applicant’s high school transcript is required for applicants who will be beginning college for the first time. If the applicant is currently enrolled at a college or university, an official copy of the applicant’s college transcript will be required.

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LETTER OF RECOMMENDATION
Please upload a letter of recommendation from your supervisor at ACC (for ACC Employee applicants) or your relative's supervisor at ACC (for dependents of ACC Employees).

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Certification

I hereby affirm that any information provided on this form is accurate to the best of my knowledge.

Applicant's Digital Signature *

Date: *

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