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Current College Students
NDGA Current College Student Scholarship
Dear Current College Student Scholarship Applicant:
Thank you for your interest in the $1,000.00 scholarship application made available through the North Dakota Grocers Association (NDGA). This application is for the category of “Current College Student.” Eligibility is limited to those who either work for an NDGA member or who has an immediate family member who works for an NDGA member. Associate Vendor member employees’ children are eligible. Past recipients of NDGA “College Student Scholarships” are not eligible. Applicants should be aware that failure to follow explicit directions on the application could place your chances of receiving a scholarship in jeopardy. Any application received without all supporting documentation will be forwarded on to those who grade the applications and lack of documentation will be considered when determining the total point values for each applicant.
All applications must be complete:
All applications MUST be completed online at,
www.ndgrocers.com
, and sent with all supporting documents.
Mailed to NDGA Bronson Scholarship, 3155 Bluestem Dr. #378, West Fargo, North Dakota 58078.
3. Or Email application and documents to
[email protected]
.
Applications must be received in the NDGA office by March 17th, 2023. Scholarship winners will be announced by April 3, 2023. All applications will be notified by email. Thanks for applying and best of luck!
Applicant
Complete this application online and attach two letters of recommendation from college professors or advisers. Enclose a one page typed essay on how your work (paid or volunteer) and/ or your extra curricular activities (in or out of school) have impacted your life, your future goals, and studies.
Expected Date of College Graduation
(Required)
MM slash DD slash YYYY
Cumulative GPA
(Required)
Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev.
Prefix
First
Middle
Last
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
(Required)
Phone
(Required)
Check the Box of the Person Who Works for the NDGA Dues Paying Business
(Required)
My Father
My Mother
My Stepfather
My Stepmother
Myself
Name of NDGA Dues Paying Business Employee Works For
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Employee Full Name
(Required)
First
Middle
Last
Employee Started Working for the NDGA Business
(Required)
MM slash DD slash YYYY
Address of Employee
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Provide any special recognition you have received for outstanding school work such as honors, prizes, or scholarships?
(Required)
Certification and Permission to use “Recipient Information” to Announce Scholarship Winners
In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in termination of any scholarship granted. I agree that if I am offered and accept an award from the North Dakota Grocers Association, the Association may use my name, the name of my community, the name and address of my school, the amount of the award, and the name of the post-secondary institution. I will attend (my “recipient Information”) in press releases, public announcements, and other fundraising or promotional materials in all media (including the internet.)
Applicant Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
Please describe in your own words any jobs you have held or work you have performed during the past three years, either for your family at home, part-time jobs, or for outside employers:
(Required)
List below all colleges or institutions of higher education you have attended since high school
(Required)
Name of higher educational institution
City, State, & ZIP
Attendance dates
Add
Remove
What course of study are you currently taking?
(Required)
Letters of Recommendation & Essay Upload
(Required)
Drop files here or
Select files
Max. file size: 100 MB.
Email
This field is for validation purposes and should be left unchanged.