SWTF Mark & Melinda Pachtner Scholarship

Southwest Tennis Foundation Funding
Mark & Melinda Pachtner Scholarship
Available to youth in need of financial support to aid in their development as a tennis player

Amount - Up to $500

Guidelines: (including but not limited to the following)
- Low income Families
- Diversity (underserved populations)
- Competitive players needing help with tournament travel expenses, entry fees, etc.
- Youth needing help to attend trainings or tennis camps to further their development.
Applications must include household income
Contact Info
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Funding Information
Please describe type of funding needed with breakdown of expenses.
Program Name if applicable)
Average household income
USTA Region
USTA Organization/Individual Membership Number
Amount of funds applying for?
Ethnicity of Individual Applying (Check all that apply)

CaucasianAfrican AmericanHispanic/LatinoAmerican Indian/EskimoAsian/Pacific IslanderOther

Funding Use Narrative
How will the funds be used?
Other funding received:

Southwest SectionRegional Assoc.USTA NationalOther Financial Support
How much additional funding received?
Ex: $1,000

Additional Details
Mailing Address for Check (if different from above):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please note that checks will be sent upon:
- Verification of USTA Individual/Organization Membership
- Individual is in good standing and may not have suspension points or other penalties imposed by any tournament committee or other administrative body
- Agreement to follow up with a written statement and pictures of how funding impacted Individuals life after funding is used.
Signature Agreement

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Southwest Tennis Foundation Funding