News

Full Name*

Email*

Phone*

Street Address*

City*

State*
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VerginiaWisconsinWyoming

Zip Code*

Parent/Guardian Name*

Parent/Guardian Phone Number*

Parent/Guardian Street Address*

Parent/Guardian City*

Parent/Guardian State*
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Parent/Guardian Zip Code*

What qualifies as a member?

To be eligible for membership in the company, individuals must be engaged in the production of agricultural products for the market in commercial quantities. This includes agricultural producers, lessees, tenants, lessors, landlords of agricultural producing property, or cooperative associations of such producers. Additionally, annual purchases from the cooperative must meet or exceed $7,500.00.

Questions about membership?

Email: credit@valleywidecoop.com

Call: (208) 297-1561

Do you have a parent or grandparent who is a member of Valley Wide Cooperative?:*
Yes, ParentYes, GrandparentYes, Parent and GrandparentNo

If your member account is through a business, please list the business/company name below

Member Account Number*

Do you have a parent or grandparent who is an employee of Valley Wide Cooperative, or are you yourself employed with us?*
Yes, ParentYes, GrandparentYes, Parent and GrandparentNoSelf

Employee Number*

High School Name*

High School City*

High School State*
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

High School Zipcode*

Signed Academic Status Verification Form*

Upload Signed Academic Status Verification Form. If we don’t receive your Signed Academic Status Verification Form with your application, you will be disqualified.

5MB Max. Accepted filetypes: pdf|docx|doc|jpg|jpeg|heic

4-H & FFA

Have you participated in 4-H & FFA?*
Yes 4-HYes FFAYes BothNo

Have you held an officer position?*
YesNo

Have you received any awards for 4-H or FFA? Feel free to add any relevant activities or notes below.*

Extra-Curricular Activities*

Please describe any leadership, volunteer or extracurricular related programs or projects in which you have been involved in high school, community or elsewhere.

Signed Transcript*

Upload transcript with your counselors signature. If we don’t receive your transcript with your application, you will be disqualified.

5MB Max. Accepted filetypes: pdf|docx|doc

GPA*

Prospective Major*

What is your major?

Future Goals*

How does that relate to your future goals? What factors will you consider when choosing a major?

College Choice*

Which college, university, trade school, or similar program are you enrolled?

Why did you choose this school?*

Student ID #*

Essay Questions*

Please upload a separate document containing your essay responses for all 3 questions below. 250 words or less for each question.

5MB Max. Accepted filetypes: pdf|docx|doc.

Question 1*

In your opinion, what do you consider to be the most challenging issue(s) that your country faces as it relates to your home town, community, or way of life?

Question 2*

Who were/are the most influential people in your life and in what way did they influence you?

Question 3*

Please describe your parents, grandparents, or your family's involvement in Valley Wide Cooperative.

To the best of my knowledge, the material contained in this application is true and complete.*
Agree

If I am selected as a recipient of this scholarship, I give my consent to Valley Wide Cooperative to disclose my name for use in press releases and other communication materials promoting Valley Wide Cooperative, any of its subsidiaries or divisions, and its scholarship program.*
I grant consent

Upload Senior Picture

Please upload your senior picture if you have one available.

5MB Max. Accepted filetypes: jpg|jpeg|png|heic

Event Date*

Organization's Name*

Address*

City*

State*
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VerginiaWisconsinWyoming

Zip*

Contact Person*

Phone*

Email*

$ amount or item(s) for donation*

Have we donated in the past?*
YesNo

Describe your organization*

Do you have an account with Valley Wide?*
YesNo

If yes, what is your account number? If no, put N/A*

Were you referred by a Co-op employee?*
YesNo

If yes, what is the employees name? If no, put N/A*

Upload file

Please submit any additional documents that you would like to include with this request.

5MB Max. Accepted filetypes: jpg|jpeg|png|pdf|doc|docx

I certify that the information entered above is true and correct to the best of my knowledge*
Agree