2026 Novo Nordisk Donnelly Scholarship Application

ELIGIBILITY & PRIORITY

This scholarship is named in honor of Tracey Donnelly Maltby and Diane Donnelly Stone, who, along with their late father, Bud Donnelly, all played Division 1 collegiate tennis while living with Type 1 Diabetes. Two National ($15,000) and Ten Regional ($7,500) awards are available to high school students and those currently enrolled in college who have excelled in academics and tennis, have strong leadership and community involvement, and have been affected by diabetes.

To apply for the Donnelly Scholarship, you MUST have diabetes.

The deadline to submit your application is March 15, 2026 at 11:59PM ET.

If you have questions, please contact us via scholarships@usta.com.

PERSONAL INFORMATION

First Name:

Last Name:

Preferred Name (Optional):

Date of Birth

Are you under 18?

Gender

Race/Ethnicity

Email Address

Please make sure to use an email that will be active and you will have access in the next 5 years.

Phone Number

Street Address 1:

Street Address 2:

City:

State:

Zip Code:

PARENT INFORMATION

Parent/Guardian Full Name

Parent/Guardian Email Address

Parent/Guardian Phone Number

Page 3

TENNIS CONNECTION

This section helps us understand your connection to the USTA Foundation’s National Junior Tennis & Learning (NJTL) network and other tennis programs. If you are unsure whether your program was part of an NJTL, just choose “I’m not sure.”

Have you participated in or are you currently working or volunteering at a USTA Foundation NJTL Chapter?

Yes, and I know my chapter name Yes, but I am not sure of the chapter name I am not sure No

NJTL Chapter Name

Please type the name of the facility, program, or coach you’re most familiar with. Our team will match this to the correct NJTL chapter.

If you’re unsure whether your tennis experience was through an NJTL program, please tell us what facility/park/school you played at and who your coach was.

Where did you play tennis?

How many years in total have you participated in tennis through NJTL or other organized tennis programs?

Have you participated in junior tennis tournaments?

YesNo

What were your best results?

Do you or did you ever have a USTA junior ranking?

YesNo

Current or Past District Ranking:

Current or Past Section Ranking:

Current or Past UTR:

Coach Name or Program Contact Name (Please provide the name/ of a coach or program leader who can confirm your participation)

Coach or Program Contact Email Address

How has your tennis involvement shaped your goals for college and beyond?

EDUCATION INFORMATION

Are you currently attending high school or college?

High School College/University

High School

High School Name

High School Address (Street, City, State, Zip Code)

Guidance Counselor Full Name

Guidance Counselor Email

High School Graduation Date

Month/Year, i.e. 06/2025

Unweighted GPA (4.0 Scale)

Weighted GPA (if applicable)

SAT/ACT (Optional)

School activites, clubs, or sport involvement (200 words or less)

Community or volunteer involvement (200 words or less)

Awards, honors, or recognitions (200 words or less)

What subject, skill, or area of learning excites you the most and why? (100 words or less)

COLLEGE/ UNIVERSITY

Name of College/University you Attend

College/ University Address (Street, City, State, Zip Code)

Year in College

If other, please specify

Expected Graduation Date

College/University Counselor Full Name

College/University Counselor Email Address

College/University Counselor Phone Number

Current GPA

Major(s) or Area(s) of Study

Academic Honors

College tennis or club tennis honors and best results

Community service in college/university

FINANCIAL INFORMATION (High School)

This information helps us understand your financial context to make equitable decisions. Your responses will be kept confidential and only shared with the scholarship review team. If you don’t have exact figures, please provide your best estimate.

What was your Parent(s)/Guardian(s) total adjusted gross income (AGI) for the most recent tax year?

$

How many people live in your household, including yourself?

Howany people in your household, including yourself, will be enrolled in college during the 2026-2027 academic year? (optional but recommended) (Count siblings or household members enrolled in any higher education program, including two -year, four -year and trade school colleges.)

What financial barriers do you anticipate as you begin your college journey, and how would this scholarship make a difference for you and your family?

FINANCIAL INFORMATION (College/University)

This information helps us understand your financial context to make equitable decisions. Your responses will be kept confidential and only shared with the scholarship review team. If you don’t have exact figures, please provide your best estimate.

Which statement best describes your current financial situation?

I am financially dependent on my parent(s)/guardian(s)I am financially independent and primarily support myself Other

Please explain

Provide the total Adjusted Gross Income (AGI) based on the situation you selected above: Dependent: Use AGAI from your parent(s)/guardian(s) most recent tax return

Independent: Use AGI from your own most recent tax return

$

Household size

Dependent: Include everyone in your parents’ household Independent: Include yourself and anyone you financially support (such as a spouse or children)

ESSAY

Please tell us how tennis and diabetes have impacted your life. (Maximum 2000 characters)

Customer Care Help Center

ATTACHMENTS

Upload your most recent high school transcript (unofficial is accepted). The transcript must include your name and cumulative GPA.

Recommendation Letters - At least one recommendation is required.

Required Letter (One): This letter may be written by a teacher, counselor, coach, or mentor who knows you well..

Optional Second Letter (One):This optional second letter should provide more insights about you from both academic and character perspectives.

Resume (Optional)—Upload your resume if you have one. This can include school activities, tennis involvement, volunteer work, jobs, or leadership roles.

Customer Care Help Center

CONSENT & CERTIFICIATIONS

I certify that all information provided in this application is true and accurate to the best of my knowledge.

Yes, I agree

I understand that if awarded, my scholarship will be paid directly to my college or university to be applied toward tuition and related college expenses, and may affect the overall financial aid package that I receive from my college/university.

Yes, I agree

I understand that additional paperwork, such as waivers, financial forms, and releases, may be required before my scholarship can be finalized and awarded.

Yes, I agree

ELECTRONIC SIGNATURE

Applicant Electronic Signature (Please write your name)

Todays Date

Parent Guardian Electronic Signature (Please write your name)

Todays Date

2026 Novo Nordisk Donnelly Scholarship Application

Page 3

Page 5