Tim & Tom Gullikson

2014

Tim & Tom Gullikson

USTA/Midwest Section

Scholarship Application

2014

Rick Van Horn

USTA/Midwest Section

Scholarship Application

2014

Hooked on Tennis

USTA/Midwest Section

Scholarship Application

Tim & Tom Gullikson

USTA/Midwest Section

Scholarship

Photo by Russ Adams Production

Tim Gullikson

Tim Gullikson was named the ATP Newcomer of the Year in 1977. He went on to capture four singles titles in his professional career and reached the finals in 11 singles events. He had a career-best year-end world ranking of number 18 in 1978 and was ranked among the top 50 in the world in six of seven years between 1977 and 1983. Tim teamed with his brother Tom to form the winningest brother doubles combination in the open era winning ten doubles titles together. They reached the Wimbledon Men’s Doubles Semifinals in 1982 and the Men’s Doubles Final in 1983. They also reached the US Open Men’s Doubles Semifinals in 1982. In all, Tim won 16 doubles titles and reached the finals in 13 others. He won five over-35 titles in 1991 including Wimbledon. He also won 21 over-35 doubles titles. Tim served as Pete Sampras’ coach helping Sampras to a number one world ranking. Tim passed away in May of 1996 from brain cancer. He was posthumously inducted into the USTA/Midwest Section Hall of Fame in 1997.

Photograph by Russ Adams Production

Tom Gullikson

During his professional playing career, Tom Gullikson reached at least the third round of all four Grand Slam Championships, the doubles semifinals in three of the four Grand Slams, and he teamed with Manuela Maleeva to win the 1984 US Open Mixed Doubles Championship. Tom achieved a career high singles ranking of number 38 and a career high doubles ranking of number nine. He finished among the world’s top 75 in eight of nine years between 1977 and 1985. He won 12 career doubles titles and one career singles title. Tom was named the USTA Director of Coaching in 1997. He served as the men’s coach for the 1996 US Olympic Team in Atlanta where he coached Andre Agassi to a gold medal. In 1993 he was named the 36th US Davis Cup captain. He was named the United States Olympic Committee Elite Coach of the Year for Tennis in 1996. He also coached the men’s tennis team at Northern Illinois in 1974. He, too, was inducted into the USTA/Midwest Section Hall of Fame in 1997.

Photograph by Carol Newsom

Rick Van Horn

USTA/Midwest Section

Scholarship

Rick Van Horn

Rick Van Horn was a passionate USTA/Midwest Section volunteer. Rick came to the Indianapolis area to serve as the Director of the Indianapolis Tennis Center in April 1997, from Portland, Oregon, where he had been serving as the Director of Player Development for the USTA/Pacific Northwest.

Before moving to the USTA/Midwest Section, Rick had served in many volunteer roles for the USTA/Pacific Northwest. He was elected President of the USTA/Pacific Northwest and served in that capacity for five years from 1990-1994.

As a USTA national volunteer, Rick served on several committees including Nominating, Sectional Presidents, USTA Leagues, Junior Competition, Adult Recreation, Tennis Rules, and Adult Competition.

In the USTA/Midwest Section, he served as Chairman of the Junior Competition Committee from 2002 to 2007, and Chairman of the District Presidents' Committee in 2004 and 2005. He was Chairman of the Junior Davis Cup Committee from 2000 to 2001, and served on the Section Championship Committee in 1999.

At the local and District level, Rick was a founding member of the Indianapolis Community Tennis Association and served as its Treasurer for two years. He served a two-year term as President of the Central Indiana Tennis Association from 2005-2006.

Gullikson, Van Horn & Hooked on Tennis USTA/Midwest Section Scholarships-2014

Tim & Tom GulliksonScholarship

The Tim & Tom Gullikson USTA/Midwest Section Scholarship was established by the Midwest Youth Tennis & Education Foundation in January 1998 to recognize Tim & Tom Gullikson, and to reward young people with funding to advance their educational and tennis interests. Each year, a $2,500 Tim & Tom Gullikson USTA/Midwest Section Scholarship will be presented to one female and one male junior tennis player from the USTA/Midwest Section.

The Tim & Tom Gullikson USTA/Midwest Section Scholarship is designed to provide assistance to those who have demonstrated financial need and have shown ability, aptitude, and promise both as students and as tennis players.

Requirements

Each applicant must:

Be a resident of the USTA/Midwest Section;

Be a current USTA member;

Be a high school senior;

Plan to attend an accredited college or university;

Submit a completed application packet.

Rick Van Horn Scholarship

The Rick Van Horn USTA/Midwest Section Scholarship was established by the Midwest Youth Tennis & Education Foundation in 2008. Each year, a $500 Rick Van Horn USTA/Midwest Section Scholarship will be presented to one junior tennis player from the USTA/Midwest Section.

The scholarship is designed to provide assistance to those with a passion to work in the tennis industry, have demonstrated financial need, and have shown ability and aptitude as students and as tennis players.

Requirements

Each applicant must:

Be a resident of the USTA/Midwest Section;

Be a current USTA member;

Be a high school senior;

Plan to attend an accredited college or university;

Plan to work in the tennis industry after college;

Volunteer for tennis in the local community;

Submit a completed application packet.

Hooked on Tennis Scholarship

The Hooked on Tennis USTA/Midwest Section Scholarship was established by the Midwest Youth Tennis & Education Foundation in January 2011 in collaboration with a local tennis organization in Northern Illinois, and to reward young people with funding to advance their educational and tennis interests. Each year, a $1,000 Hooked on Tennis USTA/Midwest Section Scholarship will be presented to one female and one male junior tennis player from the USTA/Midwest Section.

The Hooked on Tennis USTA/Midwest Section Scholarship is designed to provide assistance to those who have demonstrated financial need and have shown ability, aptitude, and promise both as students and as tennis players.

Requirements

Each applicant must:

Be a resident of the USTA/Midwest Section;

Be a current USTA member;

Be a high school senior;

Plan to attend an accredited college or university;

Volunteer for tennis in the local community;

Submit a completed application packet.

Gullikson, Van Horn & Hooked on Tennis Scholarships

Please note: If the award of the Tim & Tom Gullikson USTA/Midwest Section Scholarship, Rick Van Horn USTA/Midwest Section Scholarship, or Hooked on Tennis USTA/Midwest Section Scholarshipto an applicant would result in the reduction of the amount of an academic or athletic scholarship(s) awarded to the applicant by a college or university, then the applicant is ineligible to receive this scholarship. Applicants must verify that the receipt of the Tim & Tom Gullikson, Rick Van Horn, or Hooked on Tennis USTA/Midwest Scholarship will not result in the reduction of any academic or athletic scholarship from their college or university.

Midwest Youth Tennis & Education Foundation

The Midwest Youth Tennis & Education Foundation is dedicated to supporting youth tennis programs and activities throughout the USTA/Midwest Section. As the charitable and philanthropic entity of the USTA/Midwest Section, its mission is to support youth by providing opportunities that develop life skills through tennis.

The Foundation places emphasis on programs and activities that provide youth with a positive, funand disciplined environment to learn the game of tennis. The Foundation supports community tennis programs for

youth of all ages, skills and backgrounds. Grant opportunities for individuals are also available.

The USTA/Midwest Section

The Indianapolis-based USTA/Midwest Section exceeds more than88,000 individual members and 1,000 organization members. It is the second largest section of the United States Tennis Association (USTA), the national governing body for tennis in the U.S. The USTA/Midwest Section is comprised of 13 Districts inthe following states: Illinois, Indiana, Michigan, Ohio and Wisconsin, as well as designated counties in West Virginia and Kentucky. The mission of the USTA is to develop and promote the growth of tennis. The mission of the USTA/Midwest Section is to promote, develop and service the game of tennis.

Selection Committee

A committee appointed by the President of the Midwest Youth Tennis & Education Foundation evaluates the applications for the Tim & Tom Gullikson, Rick Van Horn, and Hooked on Tennis Scholarships. This committee includes members of the Midwest Youth Tennis & Education Foundation Board of Directors, and will recommend the final candidates for approval by the entire Board. The selection will be made without regard to the applicant’s race, color, ethnic origin, religious belief or physical handicap.

The recipients of the scholarships are recognized annually via a video presentation at the USTA/Midwest Section Spring Meeting, and also contacted by the President of the Midwest Youth Tennis & Education Foundation. Each recipient of the Tim & Tom Gullikson, Rick Van Horn,and Hooked on Tennis Scholarship receive an award acknowledging the year in which the scholarship was received.

Application Deadline

All completed applications must be received in the Foundation office by March 1, 2014. Applications must be submitted on forms identified by the year in which the awards will be made.

Submit applications and requested documents to:

Midwest Youth Tennis & Education Foundation

1310 East 96th Street, Suite 100

Indianapolis, IN46240

2014 USTA/Midwest Section Scholarship Application

Please review the requirements of each scholarship (see instructions), and check the scholarships for which you are applying. You may apply for one, two or all three scholarships if you qualify; however, you will not be awarded more than one scholarship. Complete only one application. You must complete all sections of the application to be considered for any of the scholarships.

_____ Tim & Tom Gullikson USTA/Midwest Section Scholarship _____ *Rick Van Horn USTA/Midwest Section Scholarship

*requires applicant to pursue work in tennis industry

_____ Hooked on Tennis USTA/Midwest Section Scholarship

(Please type or print clearly)

Name of Applicant ______Male ______Female ______

Address ______

StreetCityStateZip

Telephone Number (______)______Date of Birth ______USTA # ______

Email Address ______*Van Horn applicants list desired tennis profession ______

Educational Background

High School

Guidance Counselor ______Telephone Number (______)______

Number of Credits Completed ______Graduation Date ______

Cumulative Grade Point Average (based on 4.00 maximum) ______Class Ranking ______

(Note: An official transcript must be mailed with your application)

College Entrance Scores

Scholastic Aptitude Test: ______AmericanCollege Test: ______

List any scholarships, honors, awards received while in high school: ______

______

Identify extracurricular activities and years in which you have participated: ______

______

List any varsity or club sports and years in which you have participated: ______

______

What college/university do you plan to attend? ______

When will you begin your full time studies? ______

What academic major will you pursue? ______

Have you applied for admission? YesNoHave you been accepted? YesNo

From whom/where did you obtain knowledge of the Tim & Tom Gullikson, Rick Van Horn, and Hooked on TennisUSTA/Midwest Section Scholarships?

______

Have you ever received support from the USTA, USTA/Midwest Section or Midwest Youth Tennis & Education Foundation? Yes No

If yes, through what program did you receive support? ______What year? ______

2014 USTA/Midwest Section Scholarship Application

Record of USTA Program Participation

Year / USTA Program / Site / Coach
______/ ______/ ______/ ______
______/ ______/ ______/ ______
______/ ______/ ______/ ______

Special Awards: ______

RankingsNationalSectionDistrict

First Year 16 Ranking______

Second Year 16 Ranking______

First Year 18 Ranking______

Second Year 18 Ranking______

USTA Membership Number: ______

Do you intend to play varsity tennis in college? _____Yes ______No

Financial Information

Estimated School Costs for the Academic Year:

Tuition $______Room/Board $______Fees $______Books $______

Anticipated Sources of Support:

Parents/Guardian $______Applicant’s Earnings $______

Financial Aid from CollegeType: ______$______

Other Scholarships/Other Sources of Financial Support (specify): ______$______

______$______

______$______

Approximate Family Annual Gross Income:$______

Family Information

Name of Parent(s)/Guardian: ______

Applicant lives with (check all that apply):

Father Mother Stepfather Stepmother Other  ______

(name & relationship)

List others dependent on your parents or guardians for support:

NameAgeSchoolGrade

1. ______

2. ______

3. ______

ADDITIONAL REMARKS regarding applicant’s family situation or financial need:

______

______

______

______

Please Attach the Following to the Grant Application:

• Essay describing how your involvement in tennis has impacted your life and defining what a college education means to you
• Applicant's official high school transcript
• Endorsements from coach/pro, faculty, and person of applicant’s choice in sealed envelopes
• Parents’ Federal income tax returns for most recent filed tax year (Form 1040, 1040A or 1040EZ).

I declare that the information reported on this form and this application packet, to the best of my knowledge and belief, is true, correct and complete.

Applicant’s Signature ______Date ______

FOR SELECTION COMMITTEE USE ONLYDate received: ______

Approve______Disapprove ______Rank ______

Comments ______

2014 USTA/Midwest Section Scholarship Application

Faculty Endorsement

(Please type or print clearly)

Name of Applicant ______

The above student is applying for the Tim & Tom Gullikson USTA/Midwest Section Scholarship, Rick Van Horn USTA/Midwest Section Scholarship, and/or Hooked on Tennis USTA/Midwest Section Scholarship.

• One $2,500 Tim & Tom Gullikson USTA/Midwest Section Scholarship will be presented to a female recipient and one will be presented to a male recipient. High school seniors who plan to attend accredited colleges or universities, who are current members of the USTA, and are residents of the USTA/Midwest Section are urged to apply for the Gullikson Scholarship.
• One $500 Rick Van Horn USTA/Midwest Section Scholarship will be presented to a recipient. High school seniors who plan to attend accredited colleges or universities, who are current members of the USTA, residents of the USTA/Midwest Section, plan to work in the tennis industry after college, and volunteer in tennis in their local community are urged to apply for the Van Horn Scholarship.
• One $1,000 Hooked on Tennis USTA/Midwest Section Scholarship will be presented to a female recipient and one will be presented to a male recipient. High school seniors who plan to attend accredited colleges or universities, who are current members of the USTA, residents of the USTA/Midwest Section, and volunteer in tennis in their local community are urged to apply for the Hooked on Tennis Scholarship.

All of these scholarships are designed to provide assistance to those who have demonstrated financial need and have shown ability, aptitude, and promise as students and as tennis players.

Your candid evaluation of the applicant will be of assistance to the selection committee. Please complete both sides of this form, and if you wish, attach a letter on behalf of the applicant. This form should be signed and sealed in an envelope and then returned to the applicant.

Applicant: Please return this completed endorsement in a sealed envelope with the application.

This section should be completed by an individual familiar with the applicant’s performance.

Name of person completing this form: ______

Position/Title: ______

Name of School: ______Telephone Number (______)______

Address ______

StreetCityStateZip

How long have you known the applicant? ______

What is your connection to the applicant? ______

The following factors are estimates of the candidate’s potential for success. Please rate the candidate’s ability in each area in which you have personal knowledge. (A number 1 rating represents the most favorable; a number 7 represents the least favorable).

1234567

ArticulateInarticulate

Excellent writerPoor writer

Self-starterNeeds to be motivated

Very logicalIllogical

Very reasonableUnreasonable

Strives for excellenceSettles for less than the best

Please rate your recommendation of the candidate for a USTA/Midwest Section Scholarship by checking one of the following:

I strongly recommend

I recommend

I do not recommend

Please discuss any strengths or weaknesses you think may affect the candidate’s performance in college and/or commitment to pursuing a career.(Please type)

Signed ______Date ______

Thank you for your cooperation and effort in completing this evaluation form. Please return the form directly to the applicant in a sealed envelope. The applicant must return this form to the Midwest Youth Tennis & Education Foundation to arrive by March 1.

2014 USTA/Midwest Section Scholarship Application

Tennis Coach/Pro’s Endorsement

(Please type or print clearly)

Name of Applicant ______

The above student is applying for the Tim & Tom Gullikson USTA/Midwest Section Scholarship, Rick Van Horn USTA/Midwest Section Scholarship, and/or Hooked on Tennis USTA/Midwest Section Scholarship.

• One $2,500 Tim & Tom Gullikson USTA/Midwest Section Scholarship will be presented to a female recipient and one will be presented to a male recipient. High school seniors who plan to attend accredited colleges or universities, who are current members of the USTA, and are residents of the USTA/Midwest Section are urged to apply for the Gullikson Scholarship.
• One $500 Rick Van Horn USTA/Midwest Section Scholarship will be presented to a recipient. High school seniors who plan to attend accredited colleges or universities, who are current members of the USTA, residents of the USTA/Midwest Section, plan to work in the tennis industry after college, and volunteer in tennis in their local community are urged to apply for the Van Horn Scholarship.
• One $1,000 Hooked on Tennis USTA/Midwest Section Scholarship will be presented to a female recipient and one will be presented to a male recipient. High school seniors who plan to attend accredited colleges or universities, who are current members of the USTA, residents of the USTA/Midwest Section, and volunteer in tennis in their local community are urged to apply for the Hooked on Tennis Scholarship.

All of these scholarships are designed to provide assistance to those who have demonstrated financial need and have shown ability, aptitude, and promise as students and as tennis players.