NWLA Community Tennis Association High School Tennis Player Financial Assistance Application

High School Tennis Player Financial Assistance Application
The Northwest Louisiana Community Tennis Association (NWLACTA) will offer financial assistance on a "as need basis" to High School Tennis Players.

Minimum Criteria for Selection
- Full-time student enrolled in a Caddo or Bossier Parish High School.
  - NOTE: Natchitoches Parish will also be considered with Coach Willie Paz approval
- Current member of the USTA (free membership).
- Cumulative GPA of 2.5 or higher.
- Proof of household income may be requested
- Active tennis player who has:
  - Benn on a highschool team for at least 1 year, or
  - Played in a Junior Team Tennis, NJTL team or program for two years
- The NWLACTA Committee uses the following criteria in its selection:
  - Financial Need
  - Grade Point Average
  - Extracurricular activities
  - Tennis participation
  - Letter of Recommendation/Confirmation of need
All sections of the application must be completed and requested documents attached. The NWLACTA Scholarship Committee will review applications and notify all applicants by email about their decision.

This can be a reimbursement of tennis expenses already incurred in current school year high school student is participating in tennis.

This application and assistance will be kept confidential.

If you have questions about the application, please email northwestlouisianacta@gmail.com
I. Personal Data:
Student's Full Name*

PrefixStudent First NameMiddle NameStudent Last NameSuffix
Student's USTA Membership Number*
Birthdate of Student:*

MonthDayYear
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Parent/Guardian Name*

First NameLast Name
E-mail:*
Primary Email
Employer & Occupation
If the student lives with someone other than above, please list information

First NameLast Name
Email
example@example.com
Relationship to the student:
Gender

FemaleMale
Ethnic Background (Check all that apply):

African American/BlackAmerican Indian or Alaskan Native, Hawaiian or Other Pacific IslanderAsian/Pacific IslanderCaucasian/WhiteHispanic or LatinoOther
II. High School Information
High School *
Current Grade Level*
List any High School Clubs/ Organizations (offices held)/ sports, community and/or volunteer activities (optional)
Upload the student's most current high school report card.*

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IV. Tennis History & Request for Financial Assistance
List and/or describe reason for financial assistance request.*
(ie., cost of lessons, clinics, tennis fees, events, related activities, equipment. Include details and specifics on expenses. Send proof of purchases if you are requesting to be reimbursed for an expense already incurred for this tennis season.)
Total Dollar Amount Requested*
If requesting reimbursement, upload proof of payment of expenses incurred.*

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What is the total amount you have spent for Tennis this current school year?*

Select Years of Student's Tennis Participation*

	10+ years	5-9 years	1-4 years	Less than 1 year	None
Junior Tournaments
Junior Team Tennis
High School Team
NJTL (National Junior Tennis & Learning Chapter)

Name of Student's Primary Tennis Program; Coach; Coach's Email & Cell*
VII. Letter of Recommendation

Please attach letter from the school counselor or other administration confirming financial need.
Upload a letter from student's school counselor or other school administrator that confirms financial assistance is needed.*

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Legal Guardian's E-Signature
By signing in the space below, you are certifying that all information is correct and that you are the person completing this application. Please print for your records and retain as verification of your application.
Signature*

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The Northwest Louisiana Community Tennis Association (NWLACTA) is committed to equal opportunity. The NWLACTA does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
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High School Tennis Player Financial Assistance Application

I. Personal Data:

II. High School Information

IV. Tennis History & Request for Financial Assistance

VII. Letter of Recommendation

Legal Guardian's E-Signature