John and Catherine Early Endowed Scholarship
100 W. Dean Keeton St. E3700
Austin, TX 78712-1712
512.475.6282 • finaid.utexas.edu
Applicant’s Name: (First, Middle, Last)
UT EID
On whose service do you base your eligibility for this scholarship?
Name of Veteran
Branch of Armed Services
Dates Served (month/year – month/year)
Discharge Status
What is this person’s relationship to you?
The John and Catherine Early Endowed Scholarship is intended for students who are the spouse, child, grandchild, or
great-grandchild of a disabled veteran of the United States Armed Services, with a service-connected disability. If no students
meet the initial criteria, consideration will be given to the spouse, child, grandchild, or great-grandchild of an honorably dis-
charged veteran of the United States Armed Services. Applicants must be undergraduate students and maintain a GPA of 2.8.
I certify the information I provided is complete and correct to the best of my knowledge. I authorize the university to release my relevant financial and
education record information to external entities deemed appropriate for the purposes of processing and administering scholarships and other financial aid.
I authorize the university to verify the information I have provided. I further understand that the ocials of the university will rely upon this information, and
that the submission of false information is grounds for rejection of my scholarship information and/or withdrawal of my scholarship oer(s). My permission
is given pursuant to the Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. §1232g; 34 CFR Part 99).
The following certies that my spouse, parent, grandparent or, great-grandparent is/was a disabled veteran of the United States Armed
Services with a service-connected disability OR that my spouse, parent, grandparent, or great-grandparent is/was an honorably dischared
veteran of the United States Armed Services.
Completing Your Scholarship Application
Freshman applicants: Complete the Scholarship Interest Form
in MyStatus by Dec. 1, then complete and submit
this certification by Feb. 1.
Transfer applicants and continuing UT Austin students:
Complete and submit the Continuing and Transfer Student
scholarship application by March 15, then complete and
submit this certification by April 1.
Submitting This Certication
To submit this form electronically, name your completed form
JCEARLY [Your Last Name] [Your First Name] [Your EID].
pdf and email as an attachment. You may also mail or fax your
completed certification:
Attention: John and Catherine Early Endowed Scholarship
Committee
Oce of Financial Aid
The University of Texas at Austin
100 West Dean Keeton Street, E3700
Austin, TX 78712-1712
Fax 512-475-6296
Applicant’s Signature Date
Briefly describe your relative’s service-connected disability, if
applicable
You may also submit a copy of your relative’s discharge
papers as additional supporting documentation, if easily
accessible.
click to sign
signature
click to edit