Application Deadline: Friday, November 29, 2024
Awards Announced: Monday, December 30, 2024
I. Contact Information
Fill out this section with work-related information about the primary contact for the application process.
First Name
Last Name
Street
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
Phone
Email
II. Cooperative Connection
Please list any memberships you hold in cooperatives or credit unions. If you hold a position at a cooperative, briefly describe that cooperative and your position there.
III. Grant Request
Grant Amount Requested
Intended Use of Grant
IV. Assessment Information (only if applicable)
Please identify the qualifying college, university, conference, or cooperative association that will host your scholarship project.
How will this educational experience advance your understanding of cooperatives and/or the cooperative sector?