Tim & Tom Gullikson USTA/Midwest Section

Scholarship

Photo by Russ Adams Production

Tim Gullikson

Photo by Russ Adams Production

Tom Gullikson

Photo by Russ Adams Production

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 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

Tim & Tom Gullikson USTA/Midwest Section Scholarship -2006 Tim & Tom Gullikson USTA/Midwest Section Scholarship 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.

Please note: If the award of the Tim & Tom Gullikson USTA/Midwest Section Scholarship to 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 USTA/Midwest Scholarship will not result in the reduction of any academic or athletic scholarship from their college or university. The Midwest Youth Tennis & Education Foundation The Midwest Youth Tennis & Education Foundation, Inc. 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. MYTEF places emphasis on programs and activities that provide youth with a positive, fun and 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 than 75,000 individual members and 800 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 14 districts in five states: Illinois, Indiana, Michigan, Ohio and Wisconsin, as well as several counties in West Virginia and Kentucky. The mission of the USTA and the USTA/Midwest Section is to develop and promote the growth 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 USTA/Midwest Section 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 at the USTA/Midwest Section Spring Meeting. The President of the Midwest Youth Tennis & Education Foundation will make the presentation. Each recipient of the Tim & Tom Gullikson USTA/Midwest Section Scholarship receives an award acknowledging the year in which the scholarship was received. The recipients’ names are also added to a permanent plaque that will be prominently displayed in the USTA/Midwest Section Tennis Hall of Fame. Application Deadline: All completed applications must be received by March 1, 2006. 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 8720 Castle Creek Parkway, Suite 329

Indianapolis, IN 46250

Tim & Tom Gullikson USTA/Midwest Section Scholarship -2006

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, USTA/Midwest Section or Midwest Youth Tennis & Education Foundation? Yes No If yes, through what program did you receive support? ___________________________________________ What year? __________________

Tim & Tom Gullikson USTA/Midwest Section Scholarship -2006 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 -2006 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 & Education 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 & Education Foundation by March 1.

Tim & Tom Gullikson USTA/Midwest Section Scholarship -2006 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 & Education 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 & Education Foundation by March 1.

Tim & Tom Gullikson USTA/Midwest Section Scholarship -2006 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 & Education 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 & Education Foundation by March 1.

Tim & Tom Gullikson USTA/Midwest Section Scholarship 2006

Return your completed application to:

Tim & Tom Gullikson USTA/Midwest Section Scholarship Midwest Youth Tennis & Education Foundation

8720 Castle Creek Parkway, Suite 329 Indianapolis, IN 46250

If you have any questions or need any additional information, please contact the Midwest Youth Tennis & Education Foundation at 317-577-5127 or via fax at 317-577-5131.

Photo by Russ Adams Production

Tim Gullikson

Photo by Carol Newsom

Tom 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