Scholarship Application
 
All fields are required!

Applicant Demographics
First Name:     Middle Initial     Last Name     Prefix 
Address:     Address 2     Apartment
City:     State     Zip
Phone (with area code): Cell Phone (with area code):
Mar-Val Food Stores may need to contact you to provide information regarding your application. To receive notification via text message, check this box to indicate your acceptance. Standard text messaging rates may apply. Please enter Yes or No.  
Were you awarded a scholarship by Mar-Val Food Stores for the 2016 - 2017 academic year? Please enter Yes or No.   
Date of Birth  Please use this format: (mm/dd/yyyy)
Resume
Community Service Description
(unpaid activities not required school credit)
Total Hours of Community Service       Starting Month         Starting Year    
Ending Month         Ending Year         
Extracurricular Activities
(Include Number of Years Involved
and
Highest Position Held)
Honors or Awards
(Include Level of Achievement
and
Number of Years Achieved)
Employer Name
(Work/Intership History)
Position       Starting Month         Starting Year    
Ending Month          Ending Year         Average Hours Per Week    
College or University
Class Status in Fall 2017 
If you have not finalized your college choice, provide your first-choice school.
Institution State        Institution Name 
Enter the degree you are currently seeking. Do not enter any anticipated post-graduate degrees you intend to pursue at a later date.
Immediate Degree Sought        Major 
Intended Industry, (ex: Business, Grocery, Nursing) 
Anticipated Graduation Date     Please use this format: (mm/dd/yyyy)
Short Answer
In 350 words or less, describe your career goals. Be specific about your intended industry.
Your Career Goals
For Statistical Purposes
What is your Gender    What is your Race    
Annual Household Average Income Combined   
Number of Children in Household Currently Enrolled in College    




Captcha image

Can't read the image? Click here to refresh.