2014 Junior Tennis Scholarship Application Introduction The Northern Tennis Foundation is the charitable arm of the USTA Northern Section. Its mission is to enhance the quality of life for present and future generations through the lifetime sport of tennis. A goal of the Foundation is to encourage children to pursue their goals and highest dreams by succeeding in school and becoming responsible citizens. Scholarships Offered The Foundation offers scholarships to youth age 10 – 17 that reside within the USTA Northern Section and have a financial hardship that prevents them from pursuing tennis related interests. Scholarships can be used for: tennis program fees, tournament expenses, equipment, court fees, or coaching services. We currently offer the following scholarships: Diverse Player Scholarship: This scholarship was created with input from the USTA Northern Diversity Council and supports the level one priority of Diversity within USTA Northern. It is available to young people of ethnically diverse heritage who have excelled academically and participated in an organized community tennis program. Serving Up Love Scholarship: This scholarship is made possible through the generous donations of our founding members. Applicants must demonstrate a commitment to education, their community, and have participated in an organized tennis program. Funding Awards Scholarship awards typically range from $250 - $1,000 and are based on financial need. Scholarship Selection Criteria Among those items to be considered: Financial need Community involvement Use of grant funds Tennis involvement, past success, and potential School achievement-Minimum 3.0 GPA or equivalent Sportsmanship on and off the court Application Process: Please complete the application form and attach: Letter of recommendation Tennis Coach's Endorsement Current report card Itemized list of anticipated 2014 tennis expenses Mail completed application and supporting materials in one envelope to the Northern Tennis Foundation. If you do not receive confirmation of receipt within two weeks, please contact Tony Stingley at stingley@northern.usta.com or 952-358-3289. Scholarship application deadlines: January 3 for January disbursement, April 18 for May disbursement, August 15 for September disbursement. 1 Application Form: Please type in the form fields and then print and sign your completed application. Note that all information provided is used solely by the scholarship review team and kept strictly confidential. Applicants will be considered for all scholarships that they are eligible for. Applicant Name: Age: USTA Member #: Birth Date: Gender: Male Female Race/Ethnicity: Street Address: City: State: Phone: 2013 Section Singles Ranking: Zip: Email: 2013 Section Doubles Ranking: Father’s Name: Mother’s Name: Present Employer: Present Employer: Occupation: Occupation: Phone: Phone: 2013 National Ranking: Total Household Income (Adjusted Gross Income from line 32 of most recent tax return): Total # of Persons in Household: Does the applicant currently have a part-time job? If yes, please explain. Yes No Scholarship Request (maximum award is $1,000): If awarded, how would these funds be used? Total Anticipated 2014 Tennis Expenses: Please attach an itemized list of anticipated expenses. Total expenses should be equal to or greater than scholarship request. Do you presently receive financial assistance for tennis from any other source? If yes, please explain. Yes No In 250 words or less, please tell us a little bit about your experience with tennis. When did you start playing? How often do you play? What are your tennis related goals? (Must be completed by the applicant). 2 Name of Tennis Coach (if applicable): Facility/Program where you currently play: Please attach two letters of reference. One letter must be from a coach or another person familiar with the applicant’s tennis potential. Neither letter should be from a family member. Grade Point Average: Please attach a current report card or transcript. School Name: Community Involvement/Volunteer Work: Honors/Achievements: Applicant Signature: Date: Parent/Guardian Signature: Date: By signing above, we certify that all of the information provided within this application is true and complete. Mail completed application and supporting materials in one envelope to: Northern Tennis Foundation Attn: Junior Tennis Scholarship 1001 W 98th Street, Suite 101 Bloomington, MN 55431 Incomplete applications cannot be considered and will be returned to the applicant. Before sending, please confirm that you have answered all questions, signed your application form, and attached the following: Letter of recommendation Tennis Coach's Endorsement Current report card Itemized list of anticipated 2014 tennis expenses If you have any questions about the application process, please contact Tony Stingley at stingley@northern.usta.com or 952-358-3289. 3 Tennis Coach's Endorsement ______________________________________________________________________ Name of Student:____________________________________________________________________ The above student is applying for an Northern Tennis Foundation Scholarship. This scholarship is to assist them with their tennis activities. Your evaluation will be of assistance to the Grants Award Committee. Please complete the attached endorsement or attach a letter on behalf of the applicant. This form should be signed, sealed with your signature over the envelope seal and returned to the applicant. The applicant's coach must complete this section. Name of Coach: ________________________________ Date: __________________________ Position/Title/Email Address: _____________________________________________________________________________________ Name of School/Program/Facility: _________________________________________________________ Address: _____________________________________________________________________________ How long and in what capacity have you known the applicant? ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Please comment on the applicants value to the team and sportsmanship. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Please rate your recommendation of the candidate for a Northern Tennis Foundation Scholarship by checking on of the following: ______ I strongly recommend _____ I recommend ____ I do not recommend _____ Date: ______________ Signed: ____________________________________________________ 4