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College Scholarship Application

Eligibility

Are you eligible to apply?

Applicants must check all three boxes to continue.

Applicant

Gender
Male
Female
Prefer Not to Say
Birthday
Month
Day
Year
Multi-line address
How long have you resided in Texas?
Less than 1 year
1–3 years
4–10 years
More than 10 years
Texas resident since birth
Which best describes your current status?
High School Student
College Student
Graduate Student
Veteran
Active-Duty Military
Career Changer
Other

Education Information

Applicant must be pursuing a career in the cybersecurity field, either through enrollment in an accredited post-secondary educational institution, a vocational training program, or a recognized certification program related to cybersecurity.

Please describe what sparked your interest in cybersecurity, where you currently are in your career journey, and how this scholarship will help you achieve your long-term goals. 300 - 500 Words.

What specific role(s) are you interested in pursuing? Select all that apply

Examples: internships, conferences, research, certifications, etc.

Please describe any financial barriers that make it difficult for you to pursue your education, certifications, or cybersecurity career goals. 150 - 300 Words.

How will receiving this scholarship help you achieve your educational and professional goals over the next 1–3 years? 250 - 500 Words.

References

Please have a teacher, professor, supervisor, mentor, or military leader fill out the reference form below. This form is mandatory, and your application will be considered incomplete without it. Personal references from friends or family members will not be accepted.

Reference Form https://www.cybrseccareers.org/student-reference-form


References may be contacted at the discretion of CYBR.SEC.Careers. Applicants are responsible for ensuring references respond in a timely manner.

File Uploads

Upload an unofficial transcript (high school or college).

Upload your FAFSA Student Aid Report (SAR), if available. If you did not complete a FAFSA, please upload a document with a brief statement explaining why.

Upload one of the following:

  • Acceptance letter

  • Enrollment verification

  • Current class schedule

  • Student portal enrollment screenshot

Upload any documents that strengthen your application, including:

  • Veteran documentation (DD214)

  • Certification information

  • Awards or recognitions

  • Letters of recommendation

How did you hear about CYBR.SEC.Careers?
CYBR.SEC.CON Newsletter/ CYBR.SEC.Media
Social Media
Teacher/Professor/Campus/Mentor
LinkedIn
Reserves of America
Other
Would you be interested in participating in any of the following CYBR.SEC.Careers programs?

Certification Statement

I certify that the information provided in this application is true and accurate. I understand that CYBR.SEC.Careers may request documentation to verify citizenship, residency, enrollment, military status, or other eligibility requirements before an award is finalized.

Scholarship Program Terms and Conditions

By applying for the Taylor Austin Broussard Memorial Scholarship ("Scholarship"), the applicant ("Applicant") agrees to the following terms and conditions:


Documentation


Applicant must be able to provide valid and verifiable documentation supporting all information provided in the application, including but not limited to:


  • Proof of U.S. citizenship

  • Proof of Texas residency

  • Proof of age

  • Proof of financial need

  • Official academic transcripts (GPA)

  • Proof of enrollment or acceptance into an eligible university, college, or training program

  • Documentation verifying the applicant's legal name and identity when necessary to facilitate scholarship disbursement

​

Award Disbursement


Direct Payment

  • Scholarship funds will be paid directly to the educational institution, certification provider, or approved vendor. Funds will not be distributed directly to recipients unless otherwise approved by CYBR.SEC.Careers.


Acceptance of Award

  • Awards must be accepted in writing at the time of notification before the stated deadline. Failure to formally accept the scholarship within the specified timeframe shall result in forfeiture and reallocation of the award.

  • Scholarships cannot be deferred. If the Applicant wishes to receive a scholarship at a later date, they must reapply during the appropriate award cycle.

  • Applicants authorize CYBR.SEC.Careers to verify enrollment, academic standing, and eligibility information with educational institutions when necessary to administer the scholarship program.


General Provisions:


Disqualification and Revocation

  • The Scholarship Committee reserves the right to disqualify or revoke the award if:

    • Any information provided by the Applicant is found to be false, misleading, or incomplete;

    • The Applicant fails to maintain good academic standing;

    • The Applicant fails to meet ongoing eligibility requirements as determined by the Committee;

    • The Applicant violates the terms outlined herein.

 

Publicity Release             

Scholarship recipients agree to allow CYBR.SEC.Careers to use their name, photograph, educational institution, area of study, and scholarship story in marketing materials, annual reports, donor communications, social media, and other promotional materials unless otherwise prohibited by law.

 

Use of Name and Likeness

By accepting the award, the Applicant grants the Scholarship Committee and its partners the right to use the Applicant’s name, photograph, and likeness for promotional and marketing purposes without additional compensation, unless prohibited by law.


Outcomes Reporting

Recipients agree to provide reasonable follow-up information regarding educational progress, certifications earned, internships, employment outcomes, and other career milestones for up to three years following receipt of funding.


Continued Eligibility and Use of Funds

  • Scholarship recipients are expected to remain enrolled in, accepted to, or actively participating in the educational, training, or certification program identified in their application.

  • If a recipient withdraws from the approved program, fails to enroll, cancels participation, or otherwise becomes ineligible before awarded funds are utilized, CYBR.SEC.Careers reserves the right to revoke the award and reallocate unused funds to another applicant.

  • Recipients must promptly notify CYBR.SEC.Careers of any changes that may affect their eligibility or ability to utilize awarded funds.

 

Non-Transferability

The scholarship award is non-transferable and may only be used by the Applicant for the approved educational or training program specified at the time of application.


Release of Liability

  • CYBR.SEC.Careers shall not be liable for any losses, expenses, or obligations incurred by the Applicant in anticipation of receiving an award.

  • Recipients are responsible for determining and complying with any tax obligations associated with receipt of scholarship funds. CYBR.SEC.Careers does not provide tax advice.


Privacy and Data Use

Information submitted through this application will be used solely for scholarship administration, award selection, reporting, and program evaluation purposes. Applicant information will not be sold or shared outside of CYBR.SEC.Careers and its authorized scholarship review partners except as required by law or as outlined in these Terms and Conditions.


Selection Process

Scholarship awards are determined through a competitive review process. Submission of an application does not guarantee funding. The Scholarship Committee reserves the right to determine the number and amount of awards granted in each funding cycle.


Final Authority

All decisions made by the Scholarship Committee regarding eligibility, selection, and award distribution are final and binding.


Changes to Terms

The Scholarship Committee reserves the right to modify or cancel any portion of the Scholarship program and these Terms and Conditions at its sole discretion, without prior notice, where permitted by law.

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