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SCHOLARSHIP

College Educational Scholarship Application

PERSONAL INFORMATION
First Name:
Last Name:
Date of Birth:
Email Address:
Phone:
Physical Address:
City:
State:
Zip:
County of Residence:
 
EDUCATIONAL INFORMATION
School Name:
School Address:
School City:
School State:
School Zip:
Guidance Counselor:
Counselor Phone:
Date of Graduation:
Cumulative GPA:
ACT/SAT Score:
 
ACADEMIC INFORMATION
Honors courses taken:
Advanced Placement courses taken:
List membership in academic honor societies and length of membership
while in high school. (i.e. Beta Club - 4 years):
List all academic honors or awards you have received while in high school:
 
EXTRACURRICULAR ACTIVITIES
Identify extracurricular activities in which you have participated while
in high school:
List non-academic honors or awards you have received while in high school:
List any community service activities in which you participated while a
high school student:
List any community service awards or honors received while in high school:
 
TENNIS PARTICIPATION
Have you played varsity high school tennis?
How many years?
What school(s)?
How many years have you played tennis?
Please list any tournament participation.
 
PERSONAL STATEMENTS:
Please describe your college and career plans.
Please provide a personal statement of your past and present
involvement in the sport of tennis and any other information that you feel
may assist the JLTA Selection Committee in evaluating your application.
 
SIGNATURES:
I DECLARE THAT THE INFORMATION REPORTED ON THIS FORM, TO THE
BEST OF MY KNOWLEDGE AND BELIEF, IS TRUE, CORRECT, AND COMPLETE.

Applicant Signature (Type name):


Parent Signature (Type Name):


Parent Phone:


Parent Email:



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