There is a $1,000 scholarship available at
Glen Ellen Village Market

Enrollment will run from
3-1 thru 5-31

Just fill out the form below and submit it.

Winners will be contacted on or before
July 1st 2020.
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):
Genes Fine Foods 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 Glen Ellen Village Market for the 2019 - 2020 academic year? Please enter Yes or No.   
Date of Birth  Please use this format: (mm/dd/yyyy)
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
Highest Position Held)
Honors or Awards
(Include Level of Achievement
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 2020
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