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USTA/MS CAMP SCHOLARSHIP APPLICATION/RECOMMENDATION FORM

USTA/MS CAMP SCHOLARSHIP APPLICATION/RECOMMENDATION FORM

Applicant's Name________________________________________________________________

Address:__________________________City:___________________State:_____Zip:_________

Home Phone:(____)_________________DOB:_____________Age:____USTA#:____________

Parent or guardian's name:______________________________Work #:(____)_______________

Program applicant has or is presently participating in:___________________________________

E-mail:__________________________________ Fax:__________________________________

Recommender's name:________________________Phone #:(____)_________________________

**** Please complete all of the following before submitting the application. ****

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Have one letter of recommendation written by an individual who is familiar with the child's character and tennis interest. Have the child write a letter of interest, including their tennis goals for the summer.

Is the child currently a member of the USTA? Yes ( ) No ( )

** If not, please enroll by phone or the web!

Call 1-800-990-8782 or go to www.usta.com

Does the child currently hold a USTA/MS District ranking? Yes ( ) No ( )

Has the child ever received a USTA/MS Camp Scholarship? Yes ( ) No ( )

Without financial assistance, would the child be able to attend a tennis camp? Yes ( ) No ( )

Would the child be able to stay overnight at a camp where housing is available? Yes ( ) No ( )

Would the child have transportation and be able to commute daily to a camp

located within a 45-minute drive of the child's home? Yes ( ) No ( )

______________________________________________________________________________

Please indicate area/location/district where child would be interested in receiving the scholarship.

Area___________Location_____________AMD___CPD___DD___EPD___NJD___PATD___

Please return to: USTA/MS Camp Scholarships

1288 Valley Forge Road, Suite 74, P.O. Box 987, Valley Forge, PA 19482

610-935-5000 x 239 fax 610-935-5484

Deadline: April 29, 2005

 

 
 
 
 
 
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