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Tim & USTA/Midwest Section Scholarship

Photo by Russ Adams Production

Tim Gullikson

Photo by Russ Adams Production

Photo by Russ Adams Production Tom Gullikson Tom Gullikson

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 ’ 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 Championships, the doubles semifinals in three of the four Grand Slams, and he teamed with 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 to a gold medal. In 1993 he was named the 36th US captain. He was named the United States Olympic Committee Elite Coach of the Year for 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

Tim & Tom Gullikson USTA/Midwest Section Scholarship - 2005

Tim & Tom Gullikson youth of all ages, skills and backgrounds. Grant USTA/Midwest Section Scholarship opportunities for individuals are also available. The Tim & Tom Gullikson USTA/Midwest Section Scholarship was established by the Midwest Youth The USTA/Midwest Section Tennis Foundation in January 1998 to recognize Tim & The Indianapolis-based USTA/Midwest Section boasts Tom Gullikson and to reward young people with more than 75,000 individual members and 800 funding to advance their educational and tennis organization members. It is the second largest section of interests. Each year, a $2,500 Tim & Tom Gullikson the United States Tennis Association (USTA), the USTA/Midwest Section Scholarship will be presented national governing body for tennis in the U.S. The to one female and one male junior tennis player from USTA/Midwest Section is comprised of 14 districts in the USTA/Midwest Section. five states: Illinois, Indiana, Michigan, Ohio and Wisconsin, as well as several counties in West Virginia The Tim & Tom Gullikson USTA/Midwest Section and Kentucky. The mission of the USTA and the Scholarship is designed to provide assistance to those USTA/Midwest Section is to develop and promote the who have demonstrated financial need and have shown growth of tennis. ability, aptitude, and promise both as students and as tennis players. Selection Committee A committee appointed by the President of the Midwest Requirements Youth Tennis Foundation evaluates the applications for Each applicant must: the Tim & Tom Gullikson USTA/Midwest Section ¾ Be a resident of the USTA/Midwest Section; Scholarships. This Committee includes members of the ¾ Be a current USTA member; Midwest Youth Tennis Foundation Board of Directors ¾ Be a high school senior; and will recommend the final candidates for approval by ¾ Plan to attend an accredited college or university; the entire Board. ¾ Submit a completed application packet. The selection will be made without regard to the Please note: If the award of the Tim & Tom applicant’s race, color, ethnic origin, religious belief or Gullikson USTA/Midwest Section Scholarship to an physical handicap. applicant would result in the reduction of the amount of an academic or athletic scholarship(s) The recipients of the scholarships are recognized awarded to the applicant by a college or university, annually at the USTA/Midwest Section Spring Meeting. then the applicant is ineligible to receive this The President of the Midwest Youth Tennis Foundation scholarship. Applicants must verify that the receipt will make the presentation. Each recipient of the Tim & of the Tim & Tom Gullikson USTA/Midwest Tom Gullikson USTA/Midwest Section Scholarship Scholarship will not result in the reduction of any receives an award acknowledging the year in which the academic or athletic scholarship from their college scholarship was received. The recipients’ names are also or university. added to a permanent plaque that will be prominently displayed in the USTA/Midwest Section Tennis Hall of The Midwest Youth Tennis Foundation Fame. The Midwest Youth Tennis Foundation, Inc. is dedicated to supporting youth tennis programs and Application Deadline: activities throughout the USTA/Midwest All completed applications must be received by Section. As the charitable and philanthropic entity of February 1, 2005. Applications must be the USTA/Midwest Section, its mission is to support submitted on forms identified by the year in which youth by providing opportunities that develop life skills through tennis. the awards will be made.

MYTF places emphasis on programs and activities that Submit applications and requested documents to: provide youth with a positive, fun and disciplined Midwest Youth Tennis Foundation environment to learn the game of tennis. The 8720 Castle Creek Parkway, Suite 329 Foundation supports community tennis programs for Indianapolis, IN 4625

Tim & Tom Gullikson USTA/Midwest Section Scholarship - 2005 Application

(Please type)

Name of Applicant ______Social Security Number ______

Address ______Street City State Zip

Telephone Number (______)______Date of Birth ______USTA # ______

Email Address ______Male ______Female ______

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: ______American College 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 † No Have you been accepted? † Yes † No

From whom/where did you obtain knowledge of the Tim & Tom Gullikson USTA/Midwest Section Scholarship?

______

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

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

Tim & Tom Gullikson USTA/Midwest Section Scholarship - 2005 Record of USTA Program Participation

Year USTA Program Site Coach

______

______

______

Special Awards: ______

Rankings National Section District

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 College Type: ______$______

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:

Name Age School Grade

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 • 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 ONLY Date received: ______

Approve ______Disapprove ______Rank ______

Comments ______

The Tim & Tom Gullikson USTA/Midwest Section Scholarship - 2005 Faculty Endorsement

(Please type)

Name of Applicant ______

The above student is applying for the Tim & Tom Gullikson USTA/Midwest Section Scholarship. In the name of the Tim & Tom Gullikson USTA/Midwest Section Scholarship, the Midwest Youth Tennis Foundation will present two $2,500 scholarships each academic year. One $2,500 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 United States Tennis Association, and are residents of the USTA/Midwest Section are urged to apply for the award. 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 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 or 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 ______Street City State Zip

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).

1 2 3 4 5 6 7

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 Tim & Tom Gullikson 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 Foundation by February 1.

Tim & Tom Gullikson USTA/Midwest Section Scholarship - 2005 Tennis Coach/Pro’s Endorsement

(Please type)

Name of Applicant ______

The above student is applying for the Tim & Tom Gullikson USTA/Midwest Section Scholarship. In the name of the Tim & Tom Gullikson USTA/Midwest Section Scholarship, the Midwest Youth Tennis Foundation will present two $2,500 scholarships each academic year. One $2,500 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 United States Tennis Association, and are residents of the USTA/Midwest Section are urged to apply for the award. 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 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 or 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 the applicant’s coach/pro.

Name of person completing this form: ______

Position/Title: ______

Name of School: ______Telephone Number (______)______

Address ______Street City State Zip

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).

1 2 3 4 5 6 7

Team player † † † † † † † Individualistic

Strong leadership † † † † † † † Poor leadership

Self-starter † † † † † † † Needs to be motivated

Good sportsmanship † † † † † † † Poor sportsmanship

Dedicated † † † † † † † Noncommitted

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

Please rate your recommendation of the candidate for a Tim & Tom Gullikson 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 Foundation by February 1.

Tim & Tom Gullikson USTA/Midwest Section Scholarship - 2005 Endorsement of Applicant’s Choice

(Please type)

Name of Applicant ______

The above student is applying for the Tim & Tom Gullikson USTA/Midwest Section Scholarship. In the name of the Tim & Tom Gullikson USTA/Midwest Section Scholarship, the Midwest Youth Tennis Foundation will present two $2,500 scholarships each academic year. One $2,500 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 United States Tennis Association, and are residents of the USTA/Midwest Section are urged to apply for the award. 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 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 or 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 of the applicant’s choice.

Name of person completing this form: ______

Position/Title: ______

Name of School: ______Telephone Number (______)______

Address ______Street City State Zip

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).

1 2 3 4 5 6 7

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 Tim & Tom Gullikson 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 Foundation by February 1.

Tim & Tom Gullikson USTA/Midwest Section Scholarship - 2005

Return your completed application to:

Tim & Tom Gullikson USTA/Midwest Section Scholarship Midwest Youth Tennis Foundation 8720 Castle Creek Parkway, Suite 329 Indianapolis, IN 46250

If you have any questions or need any additional information, please contact the executive director of the Midwest Youth Tennis Foundation at: (317) 577-5127 or Fax: (317) 577-5131

Photo by Carol Newsom

Tom Gullikson Photo by Russ Adams Production

Tim Gullikson

Photo by Russ Adams Production

USTA/Midwest Section 8720 Castle Creek Parkway Suite 329 Indianapolis, IN 46250 (317) 577-5127 Fax: (317) 577-5131 www.midwest.usta.com