Facility Profile Name of Facility Address Address City/Town State/Province - None - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ZIP/Postal Code Name of PGA Supervisor PGA Classification Facility Type (Check one) Private Semi-Private Public Resort Daily Fee Municipal Other Number of Holes at Facility Annual Rounds Played Internship Work Period Desired (Check Periods that Apply) Summer(May-Aug) Summer/Fall(May - Nov) Spring/Summer(Jan - Aug) Other (Please Specify) Summer Internship Responsibilities - Percentage (%) of time spent in each area Golf Shop Teaching Club Repair Starter Bag Room Golf Carts Driving Range Course Advisor Tournaments Other (please list) Other Responsibilities Include Summer/Fall Internship Responsibilities - Percentage (%) of time spent in each area Golf Shop Teaching Club Repair Starter Bag Room Golf Carts Driving Range Course Advisor Tournaments Other (please list) Other Responsibilities Include Spring/Summer Internship Responsibilities- Percentage (%) of time spent in each area Golf Shop Teaching Club Repair Starter Bag Room Golf Carts Driving Range Course Advisor Tournaments Other (please list) Other Responsibilities Include TournamentsWhat types of weekly or annual tournaments are held at your facility? (Select all that apply.) Select All that Apply Women's League/Day Junior League/Day Professional Tour Events Men’s League/Day Member Events Outings Amateur Tour Events Couples Events Other (List) Compensation Rate of Pay $/hour OR Salary/week $/week Hours Worked Per Week (40 hours/week required) Are there other forms of compensation from the facility? Yes No If yes, please select all additional forms of compensation that apply Teaching Tournaments Club Repair Gratuity Merchandise Sales Other (list) Other Compensation Housing Information Is Housing Provided? Yes No If yes, please describe the housing arrangements If no, will the facility assist with housing arrangements? Yes No Other Are the students allowed to play and practice at the facility? Yes No Are the students allowed time off to take the Playing Ability Test, if needed? Yes No Are the students allowed time off to take the PGA of America 3.0/3.1 Exams, if needed? Yes No Facility Contact Title Date Phone Email Leave this field blank
