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 ocials 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 oer(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 certies 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 Certication
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
Oce 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