Instructional Program Database Entry

The United States Golf Association Foundation
Resource Center for Individuals with Disabilities


	accessibility guides WHY MAKE YOUR COURSE ACCESSIBLE?ENTER YOUR COURSE OR FACILITY

Enter an Instructional Program
into the Database

A great way to improve one's golf game is in the company of golf instructors and other players. Through programs like the ones already in the Resource Center's program listing, individuals with disabilities may learn how to play, or improve at golf. If you are currently involved with a program, whether it be for a small number of participants a couple of weeks a year, or for hundreds of participants, year-round throughout your state, please enter your information below.

The information will be posted on this site, so that potential participants, donors or volunteers, media, other program directors or the Resource Center itself are all able to learn about, and perhaps share information about, your program.

Please enter all the information requested below:
* Asterisk denotes a response is optional.

ORGANIZATION NAME:

PROGRAM NAME:

ORGANIZATION NON-PROFIT (501-c-3) CODE:

Note: Organization 501-c-3 code is not required, but if you are a non-profit, please enter the code assigned to you by the IRS.

ORGANIZATION TYPE:

If other, please specify below:

CONTACT NAME:

CONTACT ADDRESS:

street

city

state

zip

TELEPHONE:

(

)

FAX:

(

)

E-MAIL ADDRESS:

WEB ADDRESS: http://

Program description (2000 characters maximum):

If there is a PGA member associated with the program, please enter member/s name/s:

If there is a LPGA member associated with this program, please enter member/s name/s:

If there is an USGTF member associated with this program, please enter member/s name/s:

If there is a therapist associated with this program, please enter therapist/s name/s and specialities (therapist's name, speciality):

How many individuals regularly participate in your program?

What is the average participant to instructor ratio for your meetings?

	total participants
	total instructors (can include non-professionals or volunteers)

Approximately what percentage of the participants demonstrate the following skill levels (percentages must equal 100%):

	%		Beginner - a person who has played little or no golf prior to entering the program who is starting to learn the fundamentals of each aspect of the game and has yet to go out onto the course.

	%		Intermediate - a person who has been involved with playing golf for a substantial amount of time, understands golf's fundamentals and is beginning to play on a course.

	%		Advanced - a person who has been involved with golf for a lengthy amount of time, is fully comfortable with golf's fundamentals and etiquette and plays on a course regularly. This person is a likely competitor in events.

Does this program reach out to a particular type of disability? If so, please check which disabilities the program encourages to enter into the program:

	amputees			arthritis
	developmental disabilities			hearing impaired
	mobility impaired			sight impaired
	spinal cord injured or seated golfer			stroke survivors
	survivors of brain injuries			other

On an annual basis, what months is your program in operation?

January	February	March
April	May	June
July	August	September
October	November	December

How many times per month does your program operate?

What is the average length of time per session?

hours

minutes

What are the age ranges involved in your program?

Ages starting from

years old

What is the cost of the program?

Is an additional membership fee required? If so, how much?

Are scholarships available for participants who are unable to pay program fee?

	Yes
	No

Does your program provide transportation for its participants? Please check all that apply.

	from a meeting location, to the program site

	from the program, to the participants' homes and/or meeting location

	outside of program hours, to and from golf facility

Does this program provide on-course playing opportunities during the program?

	Yes
	No

What golf facilities host your program?

Course Name	City	State

Does this program mandate a playing aptitude test before allowing participants to play on a course?

	Yes
	No

Does this program arrange for course access for participants following the completion of the program?

	Yes
	No

Does the program or host facility own adaptive equipment?
(check all that apply)

	single-rider golf car/golf-specific scooter
	If so, how many does your program have available:
	adaptive clubs
	gripping aids
	other (please describe below)

Please send the Resource Center any materials that describe or advertise your program, such as program brochures, newspaper/magazine articles, videos and/or success stories describing the impact your program has had on its participants.

By listing your information, you are allowing the Resource Center to post your program's information on this site. By posting your program's information, potential participants, donors, volunteers and/or media may contact you. A member of the Resource Center staff may contact you to ask you questions about the information you entered prior to entering your information on the site. Once you program's information has been posted, you will receive a confirmation email from the Resource Center.

If you are satisfied with your responses, please click here to submit your information to the resource center.

Thank you for helping the Resource Center in its mission to make the game of golf more accessible for individuals with disabilities.

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