<p> Wisconsin Tennis Association (WTA) District Tennis Professional Stipend Application</p><p>The objective of the Tennis Professional Stipend Program is to provide Wisconsin District Tennis Teaching Professionals with an opportunity to enhance their careers by defraying the cost associated with continuing education. The WTA values their professionals and recognizes the importance of training and continuing education. Applicants must be USPTA and/or USPTR Certified professionals teaching full or part-time in the Wisconsin District. Applicants should first contact their employer regarding reimbursement for continuing education. The stipend will not exceed $250.00. The stipend should be used to cover the cost of the continuing education fee and materials. There is no yearly deadline, but applicants must apply with the WI District at least 30 days before the event/program deadline. Applications will be reviewed carefully and preference will be given to those professionals who contribute to the community, WTA and/or run USTA Tennis programs.</p><p>Professional’s Name:______Work Address: ______City: ______State: ______Zip: ______Home Phone: (____)______Work Phone (_____)______Email:______Soc. Security #______USTA Membership #:______expires: ______/______/______Where do you currently teach?______Is this a full-time position? Yes � No � Will your employer be paying for a portion of this conference/continuing education? Yes � No � If so, how much will your employer contribute? $______How much is your contribution? $______What is the registration/application fee cost? $______Total cost of event program? $______Total amount requested from WTA: $______Do you currently coach/teach WI District/Midwest Section ranked players? Yes � If yes, who are these players?______Do you currently teach and promote USTA Tennis Programs? Yes � No � I currently coach/teach/promote the following USTA Tennis Programs: USTA Tennis NJTL � USTA Jr. Team Tennis �USTA School Tennis � Level Play events � USTA League Tennis � USTA Sanctioned tournament(s) �� ______other Contributions in local community and/or WI District (attach another sheet if necessary): ______</p><p>Please email completed application and supporting material to:</p><p>Linda Freedman, Marketing Coordinator [email protected] 414-352-9728 fax: 262-250-1393</p>