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Missouri City Community Tennis Association

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Scholarship Application

Missouri City Community Tennis Association

Grant Application

Basic Information

Applicant name: _______________________________________________

Address: _______________________________

City: __________________State: Texas Zip Code: __________ Phone: ______________

Birth date: _______________ ___ Gender: Male ___ Female _

Does applicant have a disability? If yes, please explain: _____________________________________________________

E-Mail:__________________________________________________________

Tennis Participation

Place a check next to all programs in which the applicant is involved:

National Junior Tennis League __ ____ Junior Team Tennis _____

ZATs __ ____ Championship level _ ____ Superchamp level _ _____

Current section ranking (if applicable): _________

Name of months of MCCTA Tournaments applicant played (3 minimum): ___________________________________________________________________________

Name of other Texas Tennis Tournament applicant played ___________________________.

Name of coach/junior program: _________________________________________________

Address: ___________________________________________________________________

City: ________________________ State: Texas Phone: _____________________________

E-mail:_____________________________________________________________________

Family Information

(Please fill out all sections that apply to applicant in regards to where he or she currently resides)

Name of father or male guardian: ______________ __________________________

E-mail:

Place of employment: _____________________________ _____________________

Occupation: _______________ _________________

Name of mother or female guardian: ____________ __________________________

E-mail:

Place of employment: ______________________________ _____________________

Occupation: _______________ __________________

Is either parent or guardian disabled? _______ If so, please explain: ________________________________________________________________________________________________________________________________________________

Financial Information

Approximate annual family income: $_________ _______

**Please furnish a copy of the parents’/guardians’ latest tax return.

This information will be kept in strict confidence and used only for the purposes of evaluation for the MCCTA Grant.

Additional Information

Has the applicant previously received any grant assistance from the Texas Section?

Yes No If so, which grant? _____ ____________________

Grant amount: ______ _

References

Please attach two letters of reference with the grant application:

Reference #1 Name: _____________________________ Phone: ______________________

Relationship to student: _____ E-mail: _____________________

Reference #2 Name: _____________________________ Phone: ______________________

Relationship to student: _____ E-mail: _____________________

I certify the information provided in this application is accurate and true.

________________________________________ Date: _______________

Signature of parent or guardian

________________________________________ Date: _______________

Signature of parent or guardian

Please attach travel receipts for one month of tennis tournament travel.

 

 
 
 
 
 
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