Step 1 of 4 0% Co-op Membership and High School InformationThe Cloverland Cares scholarship is applicable to schools in Cloverland’s Eastern Upper Peninsula service territory. To support co-op careers, utility tech programs are also eligible. Please check the school you are planning to attend:* Lake Superior State University Bay Mills Community College Les Cheneaux Culinary School Great Lakes Boat Building School Utility tech program: Northern Michigan University Utility tech program: Alpena Community College Utility tech program: Lansing Community College Student/Applicant Name* First Last Parent or Legal Guardian Name* First Last *If applicant is under the age of 18 Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* Cloverland Account Number* Name on Account* Service Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code High School Name* *Only required if the applicant is in high school. If the applicant is out of school, please put n/a. High School Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code *Only applicable if the applicant is in high school. High School Graduation Date* Cumulative GPA* Principal’s Name* *Only applicable if the applicant is currently in high school. If out of high school, please put n/a. To support career paths like we have at Cloverland Electric Cooperative, the Cloverland Cares scholarship opportunity is specifically for those students planning to attend: Lake Superior State UniversityBay Mills Community CollegeLes Cheneaux Culinary SchoolElectric utility tech programs at Northern Michigan University, Alpena Community College, and Lansing Community CollegePlease name the school you will attend as a full-time student:* Intended field of study* Mailing Address of School* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code School Involvement and School AchievementsList and describe academic awards/honors and year(s)*List and discuss extra-curricular activities and year(s) of participation*Community Service and Work ExperienceList and discuss community service*List and describe work experience (include name of employer and dates of employment)*Personal StatementBriefly discuss your future educational and career goals (250 words maximum)* Essay Choose one of the following questions: Tell us how this scholarship would provide financial support for your educational opportunity. Electric cooperatives operate based on seven cooperative principles (please refer to our Your Cooperative page). Which of the principles do you think is most important and why? How has Cloverland personally impacted you and/or your family? Requirements: 500 to 750 words.Please attach your essay.*Max. file size: 100 MB.Documentation Attach the following documents: High School Transcript One signed letter of recommendation from a non-family member such as a supervisor, teacher, coach, or principal. Note: A high-quality digital photo will be requested from the three winners for print publication in Cloverland Connections magazine and social media Attach the required documents.* Drop files here or Select files Max. file size: 100 MB. Signature and AgreementStudent/Applicant & Parent/Guardian* We understand that incomplete applications will not be considered. We hereby verify the above information to be true and complete. We understand that by typing our full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by us as if we had signed our signature. Student Electronic Signature (Full Name)* Parent/Guardian Electronic Signature (Full Name)* Only required if the applicant is under the age of 18. If the applicant is over the age of 18, please put n/a.
