Northeast Arkansas Tennis Association Scholarship Application
The information provided on this form will be used by the Northeast Arkansas Tennis Association (NEATA) Board Members to select recipients for scholarships. All information supplied will be treated as confidential. Complete this entire application in order for your application to be considered for need-based scholarships. Scholarships are available on a first-come, first served basis. Please submit one submission per applicant.
Scholarship Overview
Applications will be reviewed at NEATA quarterly board meetings. If a scholarship is granted, an NEATA board member will notify the recipient or parent/guardian with the scholarship details.
Choose which applies:
I'm the parent or guardian applying for a child
I'm applying for myself
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PARENT/GUARDIAN INFORMATION
Please complete the following section for the Parent/Guardian only:
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
CHILD INFORMATION
Please complete the following section for the child only:
Name
First Name
Last Name
Gender
Female
Male
Date of Birth
-
Month
-
Day
Year
Date
School
Does the child receive free meals at school?
Yes
No
Home School
Not enrolled yet
Current tennis skill level:
Beginner
Intermediate
Advanced
How often is the child able to commit to clinics or lessons?
Once (1) a week
Twice (2) a week
If you have a preferred Coach/Clinic to use the Scholarship through, please enter the name below:
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APPLICANT INFORMATION
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Current tennis skill level:
Beginner
Intermediate
Advanced
How often are you able to commit to clinics or lessons?
Once (1) a week
Twice (2) a week
If you have a preferred Coach/Clinic to use the Scholarship through, please enter the name below:
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HOUSEHOLD INFORMATION
Please complete the following section for the entire household:
How many people live in your household, including yourself?
What is your household annual income from all sources?
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Is there any additional information you would like for the NEATA Board Members to know?
Submit
Should be Empty: