Scholarship Application

Please fill out the scholarship application below to be eligible for the 2024 Farmers Cooperative scholarship program. All applications must be submitted by January 15, 2024. If you have any questions, please email marketing@farmersco-operative.com..

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Email:

Phone Number:

High School:

School Address:

School City:

School State:

School Zip Code:

Parent(s)/Guardian(s) Names:

Farmers Cooperative Member?:

Yes No

Relation to Farmers Cooperative Member:

Farmers Cooperative Member Account Number:

Is your parent an employee at Farmers Cooperative?:

Yes No

If so, please list their name:

College Major:

College Attending:

Local Newspaper/Press:

Class Rank:

GPA:

ACT Score:

Briefly describe your college and career goals:

Tell us why you believe you are a good candidate to receive this scholarship, and how will you represent your community and high school?:

Tell us why Farmers Cooperative is important to you, your family, and/or your family’s operation:

Upload a professional head shot photo (jpeg) to be utilized in publications if awarded:

Please select a file

Please do not upload files containing personal identifiable information (PII). This includes but is not limited to SSN, credit card number, driver's license number, or taxpayer ID.

Upload an essay (500 words or less) about the role cooperatives play in agriculture and the community:

Please select a file

Please do not upload files containing personal identifiable information (PII). This includes but is not limited to SSN, credit card number, driver's license number, or taxpayer ID.

Farmers Cooperative has my consent to use my photo for marketing purposes.:

Yes

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