2015
Tim & Tom Gullikson
USTA/Midwest Section
Scholarship Application
2015
Rick Van Horn
USTA/Midwest Section
Scholarship Application
2015
Hooked on Tennis
USTA/Midwest Section
Scholarship Application
2015
Richard Bradley Memorial
USTA/Midwest Section
Scholarship Application
Tim & Tom Gullikson
USTA/Midwest Section
Scholarship
Photo by Russ Adams Production
Tim Gullikson
Photo by Russ Adams Production
Photo by Russ Adams Production
Tom
Gullikson
Tom
Gullikson
Tim Gullikson
Tim Gullikson was named the ATP Newcomer of the Year in
1977. He went on to capture four singles titles in his
professional career and reached the finals in 11 singles events.
He had a career-best year-end world ranking of number 18 in
1978 and was ranked among the top 50 in the world in six of
seven years between 1977 and 1983. Tim teamed with his
brother Tom to form the winningest brother doubles
combination in the open era winning ten doubles titles together.
They reached the Wimbledon Men’s Doubles Semifinals in
1982 and the Men’s Doubles Final in 1983. They also reached
the US Open Men’s Doubles Semifinals in 1982. In all, Tim
won 16 doubles titles and reached the finals in 13 others. He
won five over-35 titles in 1991 including Wimbledon. He also
won 21 over-35 doubles titles. Tim served as Pete Sampras’
coach helping Sampras to a number one world ranking. Tim
passed away in May of 1996 from brain cancer. He was
posthumously inducted into the USTA/Midwest Section Hall of
Fame in 1997.
Photograph by Russ Adams Production
Tom Gullikson
During his professional playing career, Tom Gullikson reached at least
the third round of all four Grand Slam Championships, the doubles
semifinals in three of the four Grand Slams, and he teamed with
Manuela Maleeva to win the 1984 US Open Mixed Doubles
Championship. Tom achieved a career high singles ranking of number
38 and a career high doubles ranking of number nine. He finished
among the world’s top 75 in eight of nine years between 1977 and
1985. He won 12 career doubles titles and one career singles title. Tom
was named the USTA Director of Coaching in 1997. He served as the
men’s coach for the 1996 US Olympic Team in Atlanta where he
coached Andre Agassi to a gold medal. In 1993 he was named the 36th
US Davis Cup captain. He was named the United States Olympic
Committee Elite Coach of the Year for Tennis in 1996. He also coached
the men’s tennis team at Northern Illinois in 1974. He, too, was
inducted into the USTA/Midwest Section Hall of Fame in 1997.
Photograph by Carol Newsom
Rick Van Horn
USTA/Midwest Section
Scholarship
Rick Van Horn
Rick Van Horn was a passionate USTA/Midwest Section volunteer. Rick came to the Indianapolis area to
serve as the Director of the Indianapolis Tennis Center in April 1997, from Portland, Oregon, where he had
been serving as the Director of Player Development for the USTA/Pacific Northwest.
Before moving to the USTA/Midwest Section, Rick had served in many volunteer roles for the
USTA/Pacific Northwest. He was elected President of the USTA/Pacific Northwest and served in that
capacity for five years from 1990-1994.
As a USTA national volunteer, Rick served on several committees including Nominating, Sectional
Presidents, USTA Leagues, Junior Competition, Adult Recreation, Tennis Rules, and Adult Competition.
In the USTA/Midwest Section, he served as Chairman of the Junior Competition Committee from 2002 to
2007, and Chairman of the District Presidents' Committee in 2004 and 2005. He was Chairman of the Junior
Davis Cup Committee from 2000 to 2001, and served on the Section Championship Committee in 1999.
At the local and District level, Rick was a founding member of the Indianapolis Community Tennis
Association and served as its Treasurer for two years. He served a two-year term as President of the Central
Indiana Tennis Association from 2005-2006.
Richard Bradley Memorial
USTA/Midwest Section
Scholarship
Richard Bradley
Richard Bradley’s volunteer service began at the grassroots level in his community and extended through
different levels at the USTA with an emphasis on promoting and growing junior tennis. Bradley believed
that tennis could have a powerful impact in local communities and in the lives of children.
At the USTA level, Bradley volunteered for the USTA/Midwest Section for 13 years, serving as chairperson
of the Section’s Junior Competition Committee and Multicultural Participation Committee. He later served
on the USTA/Midwest Section Board of Directors for four years, and was eventually elected as a Delegateat-Large on the Executive Committee.
At the local level, Bradley was very active in the Chicago District Tennis Association, serving in volunteer
and leadership roles for approximately 20 years, which included time on the Chicago District Board of
Directors. He was elected President of the Chicago Prairie Tennis Club in the early 1980s serving for several
years.
Bradley was elected President of the American Tennis Association in 1994 and served for approximately six
years. He also was President of the Midwestern Tennis Association (MID-TAC), the Midwest Section of the
American Tennis Association, for approximately eight years.
Through his involvement with the Greater Chicago Community Tennis Association, Bradley became a
mentor to former professional tennis player Katrina Adams during her junior career growing up in Chicago.
Gullikson, Van Horn, Hooked on Tennis and Richard Bradley
Memorial USTA/Midwest Section Scholarships - 2015
Tim & Tom Gullikson Scholarship
The Tim & Tom Gullikson USTA/Midwest Section
Scholarship was established by the Midwest Youth
Tennis & Education Foundation in January 1998 to
recognize Tim & Tom Gullikson, and to reward young
people with funding to advance their educational and
tennis interests. Each year, a $2,500 Tim & Tom
Gullikson USTA/Midwest Section Scholarship will be
presented to one female and one male junior tennis
player from the USTA/Midwest Section.
The Tim & Tom Gullikson USTA/Midwest Section
Scholarship is designed to provide assistance to those
who have demonstrated financial need and have shown
ability, aptitude, and promise both as students and as
tennis players.
Requirements
Each applicant must:
 Be a resident of the USTA/Midwest Section;
 Be a current USTA member;
 Be a high school senior;
 Plan to attend an accredited college or university;
 Submit a completed application packet.
Rick Van Horn Scholarship
The Rick Van Horn USTA/Midwest Section
Scholarship was established by the Midwest Youth
Tennis & Education Foundation in 2008. Each year, a
$500 Rick Van Horn USTA/Midwest Section
Scholarship will be presented to one junior tennis
player from the USTA/Midwest Section.
The Hooked on Tennis USTA/Midwest Section
Scholarship is designed to provide assistance to those
who have demonstrated financial need and have shown
ability, aptitude, and promise both as students and as
tennis players.
Requirements
Each applicant must:
 Be a resident of the USTA/Midwest Section;
 Be a current USTA member;
 Be a high school senior;
 Plan to attend an accredited college or university;
 Volunteer for tennis in the local community;
 Submit a completed application packet.
Richard Bradley Memorial Scholarship
The Richard Bradley Memorial USTA/Midwest Section
Scholarship was established by the Midwest Youth
Tennis & Education Foundation in partnership with
former tennis professional Katrina Adams in 2014. Each
year, a $2,500 Richard Bradley Memorial
USTA/Midwest Section Scholarship will be presented to
one junior tennis player from the USTA/Midwest
Section.
The scholarship is designed to provide assistance to
those with a passion to work in the tennis industry, have
demonstrated financial need, and have shown ability and
aptitude as students and as tennis players.
Requirements
The scholarship is designed to provide assistance to
those with a passion to work in the tennis industry,
have demonstrated financial need, and have shown
ability and aptitude as students and as tennis players.
Requirements
Each applicant must:
 Be a resident of the USTA/Midwest Section;
 Be a current USTA member;
 Be a high school senior;
 Plan to attend an accredited college or university;
 Plan to work in the tennis industry after college;
 Volunteer for tennis in the local community;
 Submit a completed application packet.
Hooked on Tennis Scholarship
The Hooked on Tennis USTA/Midwest Section
Scholarship was established by the Midwest Youth
Tennis & Education Foundation in January 2011 in
collaboration with a local tennis organization in
Northern Illinois, and to reward young people with
funding to advance their educational and tennis
interests. Each year, a $1,000 Hooked on Tennis
USTA/Midwest Section Scholarship will be presented
to one female and one male junior tennis player from
the USTA/Midwest Section.
Each applicant must:
 Be a resident of the USTA/Midwest Section;
 Be a current USTA member;
 Be an African American high school senior;
 Be an A or B academic student;
 Plan to attend an accredited college or university;
 Play tennis at one of the following levels (USTA,
Midwest, District or locally on high school team)
and/or participate in program such as JTT or NJTL;
 Volunteer for tennis in the local community;
 Submit a completed application packet.
Gullikson, Van Horn, Hooked on Tennis &
Bradley Memorial Scholarships
Please note: If the award of the Tim & Tom
Gullikson USTA/Midwest Section Scholarship, Rick
Van Horn USTA/Midwest Section Scholarship,
Hooked on Tennis, or Richard Bradley Memorial
USTA/Midwest Section Scholarship to an applicant
would result in the reduction of the amount of an
academic or athletic scholarship(s) awarded to the
applicant by a college or university, then the
applicant is ineligible to receive this scholarship.
Applicants must verify that the receipt of the Tim &
Tom Gullikson, Rick Van Horn, Hooked on Tennis,
or Richard Bradley Memorial USTA/Midwest
Scholarship will not result in the reduction of any
academic or athletic scholarship from their college
or university.
Midwest Youth Tennis & Education Foundation
The Midwest Youth Tennis & Education Foundation is
dedicated to supporting youth tennis programs and
activities throughout the USTA/Midwest Section. As
the charitable and philanthropic entity of the
USTA/Midwest Section, its mission is to support youth
by providing opportunities that develop life skills
through tennis.
The Midwest Youth Tennis & Education Foundation
places emphasis on programs and activities that
provide youth with a positive, fun and disciplined
environment to learn the game of tennis. The
Foundation supports community tennis programs for
youth of all ages, skills and backgrounds. Grant
opportunities for individuals are also available.
The USTA/Midwest Section
The Indianapolis-based USTA/Midwest Section
exceeds more than 82,000 individual members and
1,000 organization members. It is the second largest
section of the United States Tennis Association
(USTA), the national governing body for tennis in the
U.S. The USTA/Midwest Section is comprised of 13
Districts in the following states: Illinois, Indiana,
Michigan, Ohio and Wisconsin, as well as designated
counties in West Virginia and Kentucky. The mission
of the USTA is to develop and promote the growth of
tennis. The mission of the USTA/Midwest Section is
to promote, develop and service the game of tennis.
Selection Committee
A committee appointed by the President of the Midwest
Youth Tennis & Education Foundation evaluates the
applications for the Tim & Tom Gullikson, Rick Van
Horn, Hooked on Tennis, and Richard Bradley Memorial
Scholarships. This committee includes members of the
Midwest Youth Tennis & Education Foundation Board
of Directors, and will recommend the final candidates for
approval by the entire Board. The selection will be made
without regard to the applicant’s race, color, ethnic
origin, religious belief or physical handicap.
The recipients of the scholarships are recognized
annually via a video presentation at the USTA/Midwest
Section Spring Meeting, and also contacted by the
President of the Midwest Youth Tennis & Education
Foundation. Each recipient of the Tim & Tom Gullikson,
Rick Van Horn, Hooked on Tennis, and Richard Bradley
Memorial Scholarship receive a certificate
acknowledging the year in which the scholarship was
received.
Application Deadline
All completed applications must be received in the
Midwest Youth Tennis & Education Foundation
office by March 1, 2015. Applications must be
submitted on forms identified by the year in which
the awards will be made.
Submit applications and requested documents to:
Midwest Youth Tennis & Education Foundation
1310 East 96th Street, Suite 100
Indianapolis, IN 46240
2015 USTA/Midwest Section Scholarship Application
Please review the requirements of each scholarship (see instructions), and check the scholarships for which you are applying. You
may apply for one, two, three or all four scholarships if you qualify; however, you will not be awarded more than one scholarship.
Complete only one application. You must complete all sections of the application to be considered for any of the scholarships.
_____ Tim & Tom Gullikson USTA/Midwest Section Scholarship
_____ *Rick Van Horn USTA/Midwest Section Scholarship
*requires applicant to pursue work in tennis industry
____ Hooked on Tennis USTA/Midwest Section Scholarship
____ Richard Bradley Memorial USTA/Midwest Section Scholarship
(Please type or print clearly)
Name of Applicant _________________________________________________ __
Male ___________ Female ____________
Address ______________________________________________________________________________________________________________
Street
City
State
Zip
Telephone Number (____________)________________________
Date of Birth ______________________ USTA # ___________________
Email Address _________________________________________ *Van Horn applicants list desired tennis profession _____________________
Educational Background
High School
Guidance Counselor __________________________________
Telephone Number (__________)_________________________
Number of Credits Completed ___________________________
Graduation Date ______________________________________
Cumulative Grade Point Average (based on 4.00 maximum) _______ Class Ranking ________________________________________
(Note: An official transcript must be mailed with your application)
College Entrance Scores
Scholastic Aptitude Test: _____________________________
American College Test: _________________________________
List any scholarships, honors, awards received while in high school: ______________________________________________________________
_____________________________________________________________________________________________________________________
Identify extracurricular activities and years in which you have participated: _________________________________________________________
_____________________________________________________________________________________________________________________
List any varsity or club sports and years in which you have participated: ___________________________________________________________
_____________________________________________________________________________________________________________________
What college/university do you plan to attend? ________________________________________________________________________________
When will you begin your full time studies? __________________________________________________________________________________
What academic major will you pursue? ______________________________________________________________________________________
Have you applied for admission?
 Yes  No
Have you been accepted?
 Yes  No
From whom/where did you obtain knowledge of the Tim & Tom Gullikson, Rick Van Horn, and Hooked on Tennis USTA/Midwest Section
Scholarships?
_____________________________________________________________________________________________________________________
Have you ever received support from the USTA, USTA/Midwest Section or Midwest Youth Tennis & Education Foundation?
If yes, through what program did you receive support? ___________________________________________
 Yes  No
What year? __________________
2015 USTA/Midwest Section Scholarship Application
Record of USTA Program Participation
Year
USTA Program
Site
Coach
_______________
______________________________
______________________________
______________________________
_______________
______________________________
______________________________
______________________________
_______________
______________________________
______________________________
______________________________
Special Awards: _______________________________________________________________________________________________________
Rankings
National
Section
District
First Year 16 Ranking
_______
________
_______
Second Year 16 Ranking
_______
________
_______
First Year 18 Ranking
_______
________
_______
Second Year 18 Ranking
_______
________
_______
USTA Membership Number: __________________________________
Do you intend to play varsity tennis in college? _____Yes ______No
Financial Information
Estimated School Costs for the Academic Year:
Tuition $_________________
Room/Board $__________________
Fees $__________________
Books $__________________
Anticipated Sources of Support:
Applicant’s Earnings $_________________
Parents/Guardian $_________________
Financial Aid from College
Type: ____________________________________________________________
$_________________
Other Scholarships/Other Sources of Financial Support (specify): ______________________________________
$_________________
______________________________________
$_________________
______________________________________
$_________________
Approximate Family Annual Gross Income:
$_________________
Family Information
Name of Parent(s)/Guardian: _________________________________________________________________________________________
Applicant lives with (check all that apply):
Father 
Mother

Stepfather 
Stepmother

Other 
______________________________
(name & relationship)
List others dependent on your parents or guardians for support:
Name
Age
School
Grade
1. ___________________________________________________________________________________________________________________
2. __________________________________________________________________________________________________________________
3. __________________________________________________________________________________________________________________
ADDITIONAL REMARKS regarding applicant’s family situation or financial need:
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Please Attach the Following to the Grant Application:




Essay describing how your involvement in tennis has impacted your life and defining
what a college education means to you
Applicant's official high school transcript
Endorsements from coach/pro, faculty, and person of applicant’s choice in sealed
envelopes
Parents’ Federal income tax returns for most recent filed tax year (Form 1040, 1040A or
1040EZ).
I declare that the information reported on this form and this application packet, to the best of my
knowledge and belief, is true, correct and complete.
Applicant’s Signature ____________________________________________ Date ________
FOR SELECTION COMMITTEE USE ONLY
Date received: ___________________
Approve ___________________
Disapprove ______________________
Rank _______________________
Comments ____________________________________________________________________________________________________________
2015 USTA/Midwest Section Scholarship Application
Faculty Endorsement
(Please type or print clearly)
Name of Applicant _____________________________________________________________________________________________________
The above student is applying for the Tim & Tom Gullikson USTA/Midwest Section Scholarship, Rick Van Horn USTA/Midwest
Section Scholarship, Hooked on Tennis USTA/Midwest Section Scholarship, and/or Richard Bradley Memorial USTA/Midwest
Section Scholarship.

One $2,500 Tim & Tom Gullikson USTA/Midwest Section Scholarship will be presented to a female recipient and one will
be presented to a male recipient. High school seniors who plan to attend accredited colleges or universities, who are
current members of the USTA, and are residents of the USTA/Midwest Section are urged to apply for the Gullikson
Scholarship.

One $500 Rick Van Horn USTA/Midwest Section Scholarship will be presented to a recipient. High school seniors who
plan to attend accredited colleges or universities, who are current members of the USTA, residents of the USTA/Midwest
Section, plan to work in the tennis industry after college, and volunteer in tennis in their local community are urged to
apply for the Van Horn Scholarship.

One $1,000 Hooked on Tennis USTA/Midwest Section Scholarship will be presented to a female recipient and one will be
presented to a male recipient. High school seniors who plan to attend accredited colleges or universities, who are current
members of the USTA, residents of the USTA/Midwest Section, and volunteer in tennis in their local community are urged
to apply for the Hooked on Tennis Scholarship.

One $2,500 Richard Bradley Memorial USTA/Midwest Section Scholarship will be presented to a recipient. African
American high school seniors who plan to attend accredited colleges or universities, who are current members of the
USTA, residents of the USTA/Midwest Section, are an A or B academic student, play tennis at USTA, Midwest District or
locally on high school team and/or participate in a program such as JTT or NJTL, and volunteer in tennis in their local
community are urged to apply for the Van Horn Scholarship.
All of these scholarships are designed to provide assistance to those who have demonstrated financial need and have shown
ability, aptitude, and promise as students and as tennis players.
Your candid evaluation of the applicant will be of assistance to the selection committee. Please complete both sides of this form,
and if you wish, attach a letter on behalf of the applicant. This form should be signed and sealed in an envelope and then returned
to the applicant.
Applicant: Please return this completed endorsement in a sealed envelope with the application.
This section should be completed by an individual familiar with the applicant’s performance.
Name of person completing this form: ______________________________________________________________________________________
Position/Title: __________________________________________________________________________________________________________
Name of School: ____________________________________________
Telephone Number (____________)_______________________
Address ______________________________________________________________________________________________________________
Street
City
State
Zip
How long have you known the applicant? ____________________________________________________________________________________
What is your connection to the applicant? ___________________________________________________________________________________
The following factors are estimates of the candidate’s potential for success. Please rate the candidate’s ability in each area in which you have
personal knowledge. (A number 1 rating represents the most favorable; a number 7 represents the least favorable).
1
2
3
4
5
6
7
Articulate







Inarticulate
Excellent writer







Poor writer
Self-starter







Needs to be motivated
Very logical







Illogical
Very reasonable







Unreasonable
Strives for excellence







Settles for less than the best
Please rate your recommendation of the candidate for a USTA/Midwest Section Scholarship by checking one of the following:
I strongly recommend

I recommend

I do not recommend

Please discuss any strengths or weaknesses you think may affect the candidate’s performance in college and/or commitment to
pursuing a career. (Please type)
Signed __________________________________________________________________
Date ____________________
Thank you for your cooperation and effort in completing this evaluation form. Please return the form directly to the applicant in a
sealed envelope. The applicant must return this form to the Midwest Youth Tennis & Education Foundation to arrive by March 1.
2015 USTA/Midwest Section Scholarship Application
Tennis Coach/Pro’s Endorsement
(Please type or print clearly)
Name of Applicant _____________________________________________________________________________________________________
The above student is applying for the Tim & Tom Gullikson USTA/Midwest Section Scholarship, Rick Van Horn USTA/Midwest
Section Scholarship, Hooked on Tennis USTA/Midwest Section Scholarship, and/or Richard Bradley Memorial USTA/Midwest
Section Scholarship.

One $2,500 Tim & Tom Gullikson USTA/Midwest Section Scholarship will be presented to a female recipient and one will
be presented to a male recipient. High school seniors who plan to attend accredited colleges or universities, who are
current members of the USTA, and are residents of the USTA/Midwest Section are urged to apply for the Gullikson
Scholarship.

One $500 Rick Van Horn USTA/Midwest Section Scholarship will be presented to a recipient. High school seniors who
plan to attend accredited colleges or universities, who are current members of the USTA, residents of the USTA/Midwest
Section, plan to work in the tennis industry after college, and volunteer in tennis in their local community are urged to
apply for the Van Horn Scholarship.

One $1,000 Hooked on Tennis USTA/Midwest Section Scholarship will be presented to a female recipient and one will be
presented to a male recipient. High school seniors who plan to attend accredited colleges or universities, who are current
members of the USTA, residents of the USTA/Midwest Section, and volunteer in tennis in their local community are urged
to apply for the Hooked on Tennis Scholarship.

One $2,500 Richard Bradley Memorial USTA/Midwest Section Scholarship will be presented to a recipient. African
American high school seniors who plan to attend accredited colleges or universities, who are current members of the
USTA, residents of the USTA/Midwest Section, are an A or B academic student, play tennis at USTA, Midwest District or
locally on high school team and/or participate in a program such as JTT or NJTL, and volunteer in tennis in their local
community are urged to apply for the Van Horn Scholarship.
All of these scholarships are designed to provide assistance to those who have demonstrated financial need and have shown
ability, aptitude, and promise as students and as tennis players.
Your candid evaluation of the applicant will be of assistance to the selection committee. Please complete both sides of this form,
and if you wish, attach a letter on behalf of the applicant. This form should be signed and sealed in an envelope and then returned
to the applicant.
Applicant: Please return this completed endorsement in a sealed envelope with the application.
This section should be completed by the applicant’s coach/pro.
Name of person completing this form: ______________________________________________________________________________________
Position/Title: __________________________________________________________________________________________________________
Name of School: ____________________________________________
Telephone Number (____________)_______________________
Address ______________________________________________________________________________________________________________
Street
City
State
Zip
How long have you known the applicant? ____________________________________________________________________________________
What is your connection to the applicant? ___________________________________________________________________________________
The following factors are estimates of the candidate’s potential for success. Please rate the candidate’s ability in each area in which you have
personal knowledge. (A number 1 rating represents the most favorable; a number 7 represents the least favorable).
1
2
3
4
5
6
7
Team player







Individualistic
Strong leadership







Poor leadership
Self-starter







Needs to be motivated
Good sportsmanship







Poor sportsmanship
Dedicated







Noncommitted
Strives for excellence







Settles for less than the best
Please rate your recommendation of the candidate for a USTA/Midwest Section Scholarship by checking one of the following:
I strongly recommend

I recommend

I do not recommend

Please discuss any strengths or weaknesses you think may affect the candidate’s performance in college and/or commitment to
pursuing a career. (Please type)
Signed __________________________________________________________________
Date ____________________
Thank you for your cooperation and effort in completing this evaluation form. Please return the form directly to the applicant in a
sealed envelope. The applicant must return this form to the Midwest Youth Tennis & Education Foundation to arrive by March 1.
2015 USTA/Midwest Section Scholarship Application
Endorsement of Applicant’s Choice
(Please type or print clearly)
Name of Applicant _____________________________________________________________________________________________________
The above student is applying for the Tim & Tom Gullikson USTA/Midwest Section Scholarship, Rick Van Horn USTA/Midwest
Section Scholarship, Hooked on Tennis USTA/Midwest Section Scholarship, and/or Richard Bradley Memorial USTA/Midwest
Section Scholarship.

One $2,500 Tim & Tom Gullikson USTA/Midwest Section Scholarship will be presented to a female recipient and one will
be presented to a male recipient. High school seniors who plan to attend accredited colleges or universities, who are
current members of the USTA, and are residents of the USTA/Midwest Section are urged to apply for the Gullikson
Scholarship.

One $500 Rick Van Horn USTA/Midwest Section Scholarship will be presented to a recipient. High school seniors who
plan to attend accredited colleges or universities, who are current members of the USTA, residents of the USTA/Midwest
Section, plan to work in the tennis industry after college, and volunteer in tennis in their local community are urged to
apply for the Van Horn Scholarship.

One $1,000 Hooked on Tennis USTA/Midwest Section Scholarship will be presented to a female recipient and one will be
presented to a male recipient. High school seniors who plan to attend accredited colleges or universities, who are current
members of the USTA, residents of the USTA/Midwest Section, and volunteer in tennis in their local community are urged
to apply for the Hooked on Tennis Scholarship.

One $2,500 Richard Bradley Memorial USTA/Midwest Section Scholarship will be presented to a recipient. African
American high school seniors who plan to attend accredited colleges or universities, who are current members of the
USTA, residents of the USTA/Midwest Section, are an A or B academic student, play tennis at USTA, Midwest District or
locally on high school team and/or participate in a program such as JTT or NJTL, and volunteer in tennis in their local
community are urged to apply for the Van Horn Scholarship.
All of these scholarships are designed to provide assistance to those who have demonstrated financial need and have shown
ability, aptitude, and promise as students and as tennis players.
Your candid evaluation of the applicant will be of assistance to the selection committee. Please complete both sides of this form,
and if you wish, attach a letter on behalf of the applicant. This form should be signed and sealed in an envelope and then returned
to the applicant.
Applicant: Please return this completed endorsement in a sealed envelope with the application.
This section should be completed by an individual of the applicant’s choice.
Name of person completing this form: ______________________________________________________________________________________
Position/Title: _________________________________________________________________________________________________________
Name of School: ____________________________________________
Telephone Number (____________)_______________________
Address ______________________________________________________________________________________________________________
Street
City
State
Zip
How long have you known the applicant? ____________________________________________________________________________________
What is your connection to the applicant? ___________________________________________________________________________________
The following factors are estimates of the candidate’s potential for success. Please rate the candidate’s ability in each area in which you have
personal knowledge. (A number 1 rating represents the most favorable; a number 7 represents the least favorable).
1
2
3
4
5
6
7
Articulate







Inarticulate
Excellent writer
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Poor writer
Self-starter
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Needs to be motivated
Very logical
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Illogical
Very reasonable
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Unreasonable
Strives for excellence
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Settles for less than the best
Please rate your recommendation of the candidate for a USTA/Midwest Section Scholarship by checking one of the following:
I strongly recommend

I recommend
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I do not recommend
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Please discuss any strengths or weaknesses you think may affect the candidate’s performance in college and/or commitment to
pursuing a career. (Please type)
Signed __________________________________________________________________
Date ____________________
Thank you for your cooperation and effort in completing this evaluation form. Please return the form directly to the applicant in a
sealed envelope. The applicant must return this form to the Midwest Youth Tennis & Education Foundation to arrive by March 1.
2015 USTA/Midwest Section Scholarship Application
Return your completed application to:
2015 USTA/Midwest Section Scholarship Application
Midwest Youth Tennis & Education Foundation
1310 East 96th Street, Suite 100
Indianapolis, IN 46240
If you have any questions or need any additional information, please contact the Midwest Youth
Tennis & Education Foundation at 317-577-5127 or via fax at 317-577-5131.