HTMF Scholarship Application

Welcome to the

Herrick-Thomas Memorial Foundation

Scholarship Application
Thank you for applying for a junior tennis scholarship.

Providing juniors with opportunities to learn tennis is the Foundation’s mission. Understanding that there may be certain financial obstacles to receiving professional instruction, we award scholarships towards tennis lessons at The Racket Club of Crystal Lake Park District.

The decision as to who will be chosen for scholarships will be made by the Memorial Foundation’s independent selection committee comprised of individuals highly experienced in tennis and education. Your completed application is due by March 31. If you have any questions regarding the application, please contact Conni at 847-658-5688, extension 2015.

On behalf of the Herrick – Thomas Memorial Foundation Board of Directors, I wish you the best in this year’s scholarship application process.

Yours Truly,

Rob Laue

President

Herrick – Thomas Memorial Foundation Criteria for Scholarship Selection

Note: Scholarship selection is made by an independent selection committee based on the criteria below. All criteria are considered, but not all may be weighted equally.
1. Age: 10 to 16 years old.
2. Tennis Experience: Has participated in at least one season of tennis instruction or team play.
3. Location: Lives within 30 miles of The Racket Club.
4. Gender: Any.
5. Financial Need: Players with a demonstrated financial need will be given special consideration in the selection process, such as possible inability to participate in lessons without assistance of a scholarship.
6. Sportsmanship: Demonstrated good sportsmanship; recommended by club pros and or other instructors; perception among peers.
7. Scholastic: B or better grade average in school.
8. Commitment to Tennis: Applicant’s primary or potentially primary sport; commitment to school tennis team; demonstrated desire to improve; strong work ethic.
9. Commitment to The Racket Club: Exclusive commitment to The Racket Club’s programs; good ambassador of the club.
10. Attitude: Positive; respectful; honest; trustworthy; competitive; good-natured; responsible.
11. Parental Support: Parents willing to bring student to lessons, tournaments, events, etc.; parents demonstrate good sportsmanship; parents are cooperative.
12. Recommendations: Recommendations from tennis pros, high school coaches, park district staff, school teachers and parents will be considered.

Applicant's Name*

First NameMiddle Initial Last Name
Age*
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Apt/Suite #

CityState

Postal / Zip CodeCountry
Parent's Name*

First NameMiddle Initial Last Name
School Attending*
School Name
Years of Tennis Playing Experience*
Years of Tennis Instruction*
Name(s) of Past Instructor(s)*
List Instructor(s)
Name(s) of Tournament(s) Played in Last Two Years*
List Tournament(s)

Total Gross Household Income (Confidential)*

Under $50,000$50,001 to $100,000$100,001 to $150,000$150,000 to $200,00$200,000 to $250,000Over $250,000
Number of Children in Household*
School Grade Point Average*

GPAScale (4.0 = A, 5.0 = A, etc.)
Extracurricular Activities and Positions Held Other than Tennis*
What sets you apart from all the others?
Work Experience or Responsibilities at Home*
How do you help out?
Honors and Awards Received*
Why Do You Wish to Participate in the Herrick-Thomas Memorial Foundation Scholarship Program?*
What does tennis mean to you? What are your tennis goals?

Please provide two references familiar with applicant's character, sportsmanship, physical ability, and commitment to tennis.
Reference #1 Name*

First NameLast Name
Reference #1 E-mail*
Reference #1 Relationship*
How do you know them?
Reference #1 Years Known*
Reference #2 Name*

First NameLast Name
Reference #2 E-mail*
example@example.com
Reference #2 Relationship*
How do you know them?
Reference #2 Years Known*
Letter(s) of Recommendation May Be Attached (But Are Not Required)

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If a scholarship is awarded, the recipient will be expected to:
- Be a good ambassador of The Racket Club.
- Exhibit good sportsmanship.
- Avoid violating laws and school rules.
- Take lessons or drills exclusively at The Racket Club.
- Maintain school grades of at least a C average and provide report cards upon request.
- Work hard at developing their tennis game.
Also, awardees will be honored in Foundation and Racket Club publications and publicity materials. Please provide a photo of the applicant to be used in said materials.
Attach Headshot Photo*

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PARENT: All information submitted in this form is accurate and I agree to abide by the expectations listed above. If my child is awarded a scholarship, I give my permission to allow The Racket Club to publish my child’s name as a winner and I will support my child’s participation.
Signature*

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