Tennessee Farmers Cooperative FoundationGrowing Leaders 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 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 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 has your involvement in agricultural youth organizations fostered your ability to lead the agricultural industry in the future? 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.
