Black Hills Tennis Association

Junior Tennis Scholarship

The scholarship will provide funds for full or partial payment for tennis lessons for motivated young people who reside in or near Rapid City. The scholarship will provide support for two lessons per week for eight weeks in December and January at the Tennis Center of the Black Hills.

Print out and Send Applications to: Black Hills Tennis Association PO Box 7723 Rapid City, SD 57709

All Inquiries to: Seth Keene 721-3131 Keene19@rap.midco.net or Janet Burgoyne 721-8601 Janet@rushmore.com

The Scholarship recipients will be selected according to merit and/or with regard to financial need. The recipient will be between grades 5-12 (inclusive) and will have submitted the application by the published deadline. The Scholarship Committee will select the recipients by evaluating each eligible applicant’s self-description and supporting description, tennis activities, qualities of leadership, and/or financial need.

Applicants Name: _____________________________________________________

Email: ___________________________________________

Address: ________________________________________________ Phone: ___________________________

Birth Date: __________________________ Grade: ___________

II. This section to be filled out by Junior Applicant

Brief Description of skill level:

______________________________________________________________________________________________________________

Describe past tennis experience and participation:

______________________________________________________________________________________________________________

Include a short narrative describing you goals concerning tennis. Include any thoughts you may have about the potential use you might make of the knowledge and skills gained through tennis lessons:

______________________________________________________________________________________________________________

III. The following section is to be filled out by a teacher or coach of the applicant.

Name of teacher or coach __________________________________________________

How long have you known the applicant and in what capacity?

______________________________________________________________________________________________________________

Describe how you think the applicant may benefit from a tennis scholarship:

______________________________________________________________________________________________________________

Include any other comments or observations that you think might be relevant:

______________________________________________________________________________________________________________

IV. The following section is to be filled out by a parent or guardian of the applicant.

Describe the applicant’s relation to the sport of tennis:

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Describe how you think the applicant may benefit from a tennis scholarship:

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Include any other comments or observations that you think might be relevant:

______________________________________________________________________________________________________________

V. The following section is to be filled out by applicant in consultation with parent or guardian.

The majority of the scholarship awards will be for partial support (50%). If you are awarded a partial scholarship, how do you envision supporting the other 50%?

1. _____ Accept a possible offer from Tennis Center of the Black Hills to help
at the Tennis Center in exchange for the remaining 50% support.

2. _____ Pay for the other 50% ourselves.

Relevant comments pertaining to the above (if any):

______________________________________________________________________________________________________________

VI. The information provided to us in the section will be kept strictly confidential. You may wish to detach this page and handle it separately from the rest of the application.

Family Information:

Father’s Name: ______________________________ Occupation: __________________________________

Name of Father’s Present Employer _________________________________________

Mother’s Name: _____________________________ Occupation: __________________________________

Name of Mother’s Present Employer ________________________________________

Names and ages of applicant’s Brothers/Sisters:

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

How many of applicant’s brothers/sisters are in college now? _______________________________

Other special family conditions:

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Annual Family Gross Income (Please Circle One)

Under $15,000 $25,000-$40,000 $50,000-$70,000

$15,000-$25,000 $40,000-$50,000 More than $70,000

Send Applications to: Black Hills Tennis Association PO Box 7723 Rapid City, SD 57709