Tennessee Farmers Cooperative FoundationDriven to Serve Scholarship Application Personal Information Name * First Name Last Name Middle Name Preferred Name Date of Birth * MM DD YYYY Hometown Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Academic Information High School Name * Graduation Year * Class Rank ( if available) GPA of Total Available GPA Points * Are you currently attending college? * Select an option Yes No If you are not currently attending, have you been accepted? * Select an option Yes No If you selected 'Yes' to the previous question, please fill this section out. If 'No', leave this section blank and go to next question. College / Trade School Name Student ID Number Major Classification Graduation Year GPA of Total Available GPA Points College / Trade School Name Student ID Number Major Classification Graduation Year GPA of Total Available GPA Points Briefly describe your educational goals and objectives. * Relation to Tennessee Farmers Cooperative Foundation, Inc. ("TFCF") and Tennessee Farmers Cooperative ("TFC") Indicate your answers to the following questions: (Yes, No, Unsure) 1. Someone in my family is an employee of TFC. * Select an option Yes No Unsure 2. Someone in my family is a member of one of the TFCF Scholarship Committees. * Select an option Yes No Unsure 3. In the past five (5) years, someone in my family was a TFC or local Co-op director, manager, or employee. * Select an option Yes No Unsure 4. Over the past two years, I have been employed by Tennessee Farmers Co-op or a local Cooperative. * Select an option Yes No Unsure Extracurricular Activities and Community Involvement If not applicable, please write 'N/A'. 1. Briefly describe your background in agriculture, an overview of your operation, and how you are currently involved in the industry, and any agricultural organizations. * 2. List your high school activities, clubs, and/or organizations (include any leadership roles held). * 3. List your college activities, clubs, and/or organizations (include any leadership roles held). * 4. List your community/church/other organizational activities, clubs, and/or organizations (including community service opportunities). * Employment / Internships Employment / Internship #1 Title Employer Primary Responsibilities Supervisor Name First Name Last Name Supervisor Phone (###) ### #### Supervisor Email Date Employed - Start MM DD YYYY Date Employed - End MM DD YYYY Employment / Internship #2 Title Employer Primary Responsibilities Supervisor Name First Name Last Name Supervisor Phone (###) ### #### Supervisor Email Date Employed - Start MM DD YYYY Date Employed - End MM DD YYYY Employment / Internship #3 Title Employer Primary Responsibilities Supervisor Name First Name Last Name Supervisor Phone (###) ### #### Supervisor Email Date Employed - Start MM DD YYYY Date Employed - End MM DD YYYY Briefly describe your work experience with Co-op, the duties/responsibilities you were tasked with, and what you learned. * Briefly describe your future professional career goals and aspirations. * *The following questions will not affect your eligibility or selection: Are you interested in a summer internship with the Co-op system? * Select an option Yes No Unsure Are you interested in a Co-op career upon graduation? * Select an option Yes No Unsure How did you hear about our scholarship? Supporting Documentation How do you exhibit (or have exhibited) Co-op’s FAITH values while working for our cooperative system? Acknowledgement * By submitting this application, you acknowledge that you understand the sponsorship process and agree to provide any additional information requested by Tennessee Farmers Cooperative Foundation. I agree. Electronic Signature * Please enter your first and last name. Today's Date * MM DD YYYY Thank you for submitting your application.
