Application for Financial Assistance Confidential

Application for Financial Assistance

Financial Aid is available on a limited basis and is awarded solely on need.
This information is confidential in nature. USTA Georgia thanks you for adhering to this policy.
Date*

MonthDayYear
Date
Have you applied for financial assistance to the Southern Tennis Foundation?*
For more information on the Southern Tennis Foundation, including the financial assistance application, please click here:
Player Information
Name*

First NameLast Name
Email*
example@example.com
USTA Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Amount of Financial Assistance Requested:*

$100$200$250$300
Family Information
Father's Name*

First NameLast Name
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Name of Present Employer:*
Mother's Name*

First NameLast Name
Name of Present Employer*
Annual Family Income(please check one)*

Under $25,000$25,000-$50,000$50,000-$75,000$75,000-$99,000More than $99,000
Do you own or rent your home?*
Number of children in family including applicant?*
Does the player receive financial assistance from any other source? (Example would be a local Community Tennis Association) If yes, please explain.*
Coach's Information

(If Applicable)
Do you have a full-time coach?

YesNo

Collapse Stopper
Reason(s) to request financial assistance:*
Current Player Standings:
Georgia*
Southern*
USTA National*
Please attach tournament schedule for current year.*

Browse Files

Cancelof
Please attach a copy of your most recent federal tax return.

Browse Files

Cancelof
If you would rather mail a hard copy of your most recent tax forms, please use the address found below.

USTA Georgia
Attn: Eva Marie McCravy
116 Marble Mill Road
Marietta, Ga 30060
Fax# 404-255-5403
Players receiving financial assistance must be willing to participate in State or Sectional Team events if asked. Players are required to provide receipts from travel expenses incurred totaling the amount that was awarded.
Please attach a copy of your receipts from your most recent travel expenses here.*

Browse Files

Cancelof
Parent's Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Application for Financial Assistance