PLATINUM RED GOLD WHITE BLUE BRONZE YELLOW SILVER




















SCHOLARSHIP

College Educational Scholarship Application

PERSONAL INFORMATION
First Name:
Last Name:
Date of Birth:
Email Address:
Phone:
Physical Address:
City:
State:
Zip:
County of Residence:
 
EDUCATIONAL INFORMATION
School Name:
School Address:
School City:
School State:
School Zip:
Guidance Counselor:
Counselor Phone:
Date of Graduation:
Cumulative GPA:
ACT/SAT Score:
 
ACADEMIC INFORMATION
Honors courses taken:
Please enumerate with one line per course. Examples:
1. Honors Geometry – 10th
2. Honors Chemistry – 11th

Advanced Placement courses taken:
Please enumerate with one line per course. Examples:
1. AP English II – 10th
2. AP American History – 11th

Dual Credit courses taken:
Please enumerate with one line per course. Examples:
1. DC Algebra – 11th
2. DC English Composition-12th

List membership in academic honor societies and length of membership
while in high school.
Please enumerate with 1 item per line. Examples:
1. Beta Club – 9th – 12th
2. Mu Alpha Theta – 10th – 12th
3. National Honor Society – 11th – 12th

List leadership positions held (if any) in any academic honor organizations.
Leadership is considered President, VP, Secretary, Treasurer, Reporter. Examples:
1. Beta Club – VP – 11th
2. Beta Club President – 12th
3. National Honor Society Treasurer – 10th

List all academic honors or awards you have received while in high school:
Please enumerate with 1 item per line. Examples:
1. English II Award – 10th
2. ACT 30+ Club – 10th – 12th
 
EXTRACURRICULAR ACTIVITIES
Identify extracurricular activities in which you have participated while
in high school:
Please enumerate as illustrated with 1 item per line. Examples:
1. Dance Team – 9th – 12th
2. Thespians – 10th
3. Annual Staff – 10th – 12th
4. Soccer Team – 9th – 10th
5. Band – 9th – 12th
6. Student Government – 10th – 12th

Identify any leadership positions you have held in extracurricular activities
identified above:
Please enumerate as illustrated with 1 item per line. Examples:
1. Dance or Cheer Team Captain – 12th
2. Annual Staff Editor – 12th
3. Class Secretary - 11th (doesn’t necessarily have to be a part of Student Government)
4. Spanish Club – Secretary – 10th

List non-academic honors or awards you have received while in high school:
Please enumerate as illustrated with 1 item per line. Examples:
1. Citizenship Award – 9th
2. Student of the Month – 10th, 12th
3. Most Improved Player – Softball – 10th
4. Homecoming Maid – 10th
5. Class Favorite – 11th

List any community service activities in which you participated while a
high school student:
Please enumerate as illustrated with 1 item per line. Examples:
1. TopSoccer – 12th
2. Mustard Seed volunteer – 11th
3. Candy Striper at UMMC – 11th

List any community service awards or honors received while in high school:
Please enumerate as illustrated with 1 item per line. Examples:
1. Blair Batson Children’s Hospital volunteer award for 2025 – 12th
 
TENNIS PARTICIPATION
Have you played varsity high school tennis?
How many years?
What school(s)?
How many years have you played tennis?
Please list any tournament participation.
 
PERSONAL STATEMENTS:
Please describe your college and career plans.
Please provide a personal statement of your past and present
involvement in the sport of tennis and any other information that you feel
may assist the JLTA Selection Committee in evaluating your application.
 
SIGNATURES:
I DECLARE THAT THE INFORMATION REPORTED ON THIS FORM, TO THE
BEST OF MY KNOWLEDGE AND BELIEF, IS TRUE, CORRECT, AND COMPLETE.

Applicant Signature (Type name):


Parent Signature (Type Name):


Parent Phone:


Parent Email:



© 2026 Jackson Ladies Tennis Association Powered by: Genin Media