Application Form - Scholarship Grant

2020-21 Kohn-Hutter Scholarship Application Form
For Lutheran students attending the University of Texas - Austin for the 2019-20 Academic year. Application Deadline: June 26th, 2020
I. Personal Data:
Full Name *

First Name Middle Name Last Name Suffix
Social Security Number or UT EID: *
Mobile No. : *

Area Code Phone Number
E-mail : *
Where the confirmation will be send to
Home Address : *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Academic rank for 2020-21 school year: *

First Year Sophomore Junior Senior Graduate student
Degree sought:
Lutheran Congregation Information:
Name of Congregation: *
Congregation Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Pastor's Name *
Household Income Information
Occupation of Parent 1:
Employer of Parent 1:
Salary of Parent 1:
Employer Phone # of Parent 1:
Occupation of Parent 2:
Employer of Parent 2:
Salary of Parent 2:
Employer Phone # of Parent 2:
Number of dependents in household: *
Please briefly describe your financial need. Make sure to include your estimated annual college expenses, the percentage of college cost for which your parent(s) will be responsible, the percentage of college cost for which you will be responsible, as well as anticipated additional scholarship/loan funds you will receive: *

0/400
Short Essays
Describe your vocational goals and what you hope to accomplish in the next ten years: *

0/400
List any honors or achievements you have received along with the year you received them: *

0/400
List any high school, college, or civic activities/organizations in which you have been involved.: *

0/400
Certification/Recommendation Letters:
Submit a letter from your home congregation certifying you are a member of a Lutheran church. *
To complete your application:

Request TWO letters of recommendation from two individuals (an educator, coach, club/organization sponsor, etc.) to be sent to lcm.utaustin@gmail.com by the application deadline.

Subject heading: Recommendation letter for (Your Name)
Applicant's E-Signature
You must provide UT academic summary (free of charge, and we are checking in on the process of acquiring a summary during this time of social distancing), or if you're an incoming freshman, an official, original high school transcript mailed or delivered to us by April 30th 2018.

AUTHORIZATION: By my E-Signature (typed full name), I certify to the best of my knowledge that the information contained in this application is correct and complete. I agree that JP Morgan Chase Bank, Trustee, has permission to verify the information contained herein. I also acknowledge that scholarships will be granted by a Committee of the Trustee to Lutheran students attending The University of Texas at Austin.
E-Signature: *
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2020-21 Kohn-Hutter Scholarship Application Form

I. Personal Data:

Lutheran Congregation Information:

Household Income Information

Short Essays

Certification/Recommendation Letters:

Applicant's E-Signature