Scholarship Member Share Application

Read and follow these instructions fully before submitting your application.

Applications will be accepted starting October 1, 2024

1. Please fill out the information below accurately, completely, and carefully.
2. This is a $100 scholarship. A member share purchase is $200. Therefore, you must pay the $100 toward your member share if you receive the scholarship. The scholarship will be awarded when payment is received, and that will complete the member share payment.
3. While we do not require specific proof of financial need, filling out and submitting this scholarship application indicates that a full member share purchase is a significant financial hardship for you at this time.
4. The application deadline is Thursday, October 31, 2024.
5. If you are awarded one of the $100 toward your $200 member share purchase, you will be notified by the end of November 2024.

Scholarship Information

This scholarship covers half the cost ($100) of a member share purchase ($200). If selected, you must pay the first $100 towards your share. The Rooted Carrot Co-op Market Scholarship Fund will then pay $100 toward your share, thereby making it a full share. You are not a full member-owner of the Rooted Carrot Co-op Market until you have purchased the full share. Full shareholders can vote in board elections and receive Community Partner discounts.

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First Name *

Last Name *

Home Address *

City *

State *

Zip/Postal Code *

Email *

Phone *

II. Co-op Questions - In a few sentences, tell us why you are applying for financial assistance toward a Rooted Carrot Co-op Market member share. Since we do not require proof of financial need, the information you provide in this section is critical for scholarship selection *

1 Tell Us how you first learned about the Co-op (choose all that apply.) *

• Friend/Neighbor/Family Member/Acquaintance
• Co-op booth or at an event
• Social Media
• Article in Newspaper/Story on Television
• I did my own research
• Other

2. Briefly tell us why you want a cooperative grocery store in the Cedar Valley. *

3. In a few sentences, tell us why you are applying for financial assistance toward a Rooted Carrot Co-op Market member share. Since we do not require proof of financial need, the information you provide in this section is critical for scholarship selection. *

3. Do you have any additional information you wish to add? If so, please provide it in the space below: (optional)

III. Application e-signature *

By signing (typing your legal name) this application, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

• I have read & agree to the terms.

Application Signature (type your full name) *

Today's Date *

Submit my Rooted Carrot Co-op Market Scholarship Appication