MIAMI VALLEY TENNIS COACHES' ASSOCIATION
Current High School Senior - Scholarship Application
All High School Tennis Players who have competed on a HS Team for two or more years and were 
coached by a MVTCA member for all of these years.  Exceptions will be made for those players 
who moved to their current school for their senior year and any coaches who coached for their first 
year currently.  Postmark Deadline: May 1st.
Directions:
1) Fill out this application completely.
2) Give two teachers, current or past, a Reference Letter to fill out.  Make sure you give them a stamped
envelope addressed to the MVTCA address below.
3) Obtain a current transcript from you high school and submit it with this application.
4) Mail all 3 pages of the application and the transcript, deadline May 1st, to: MVTCA
c/o Scott Long
1485 Delynn Drive
Centerville, Oh 45459
Last Name (please print)   First Name   Middle Name
               
Address:  Number/Street   City   County
               
Home Phone Number Sex:   Date of Birth: HS Graduation Date
(         )           -          Female Male _____/_____/______  
               
High School Attending GPA
       
Extracurricular Activities in High School
Include school and community activities / involvements.  Please indicate the year(s) in which you participated.
Mo./Yr.  to Mo./Yr. Description of Activity        
               
               
               
               
               
               
               
               
               
Work Experience
Include Present and Previous Employment.
Mo./Yr.  to Mo./Yr. Description of Job and Responsibilities    
               
               
               
               
               
Post Secondary School(s) applied to or accepted into, in which Scholarship would be used
Name of School   City, State   4-yr College/University
  Community College
  Vo - Tech.
  Other: ________________
               
Name of School   City, State   4-yr College/University
  Community College
  Vo - Tech.
  Other: ________________
               
Name of School   City, State   4-yr College/University
  Community College
  Vo - Tech.
  Other: ________________
               
Major field of study to pursue:          
 
Student will: Live on campus Enrolled: Full-time
  Live off campus   Half-time or more
    Commute   Less than Half-time
Make a statement of your plans as they relate to your educational and career objectives and future goals.
Please type or print clearly.
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Please describe how you feel tennis has impacted your life in the past, present, and hopefully continue
in the future.  
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Please describe how a scholarship would help you and your family.
               
               
               
               
               
               
               
               
               
               
Certification
I have read and understand the enclosed information.  I affirm that the information I have provided
on this application form and any additional material that I submit is complete, accurate, and true to 
the best of my knowledge.  
               
Applicant's Signature Date