2023 CVA Member-Owner Scholarship Question Title * 1. Please Enter Your Contact Information Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Question Title * 2. Applicants Age Question Title * 3. Are you a dependent of a CVA member-owner? Yes No Question Title * 4. Full name of CVA member-owner Question Title * 5. CVA member-owner patron ID# Question Title * 6. Name of high school attended Question Title * 7. Name of FFA chapter (if applicable) Question Title * 8. Name of school attending fall 2023 Question Title * 9. Are you pursuing an agriculturally related career? Yes No Question Title * 10. What major are you pursuing? Question Title * 11. Describe your career and college goals. Please include academic areas of interest and why these areas appeal to you Question Title * 12. List major school and community activities including offices held in organizations Question Title * 13. Why do you feel you are a good candidate to receive this scholarship? How will you represent your school and community? Question Title * 14. How is the cooperative important to you, your family, or your family's operation? Question Title * 15. Upload Essay Question Title * 16. Upload Photo Done