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Member Share Scholarship Application

Member Share Scholarship Application

Please complete and submit this form.
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    Read and follow these instructions fully prior to submitting your application.

    1. Please fill out the information below accurately, completely and carefully.

    2. This is a $100 scholarship. A member share purchase is $200. Therefore, if you receive the scholarship, you are expected to contribute $100 toward your member share. The scholarship will be awarded when payment is received, and that will complete the member share payment.

    3. While we do not require specific proof of financial need, by filling out and submitting this scholarship application, you are indicating that a full member share purchase is a significant financial hardship for you at this time.

    4. Application deadline is Friday, December 18, 2020.

    5. If you receive $100 toward your $200 member share purchase, you will be notified by the first week of January 2021.

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    This scholarship covers half of the cost ($100) of a member share purchase ($200). If selected, you will be responsible for the remaining amount of $100. You are not a full member-owner of the Rooted Carrot Co-op Market until you have purchased the full share. Full share holders can vote and use their member-owner cards for business partner discounts.

    Should you receive the scholarship and in the future request a refund, IF the Co-op is able to honor the refund request, you would receive only the amount that you invested in your member share purchase ($100 or whatever amount you have paid at that time). For more information on redemption of member shares, please see the co-op bylaws.

     

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    Please list the best number for contacting you, ideally with voicemail options.
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    Please make this address will accept email from membership@rootedcarrot.coop and not move it to your junk folder.
    Email Verified

    The verification code has been sent to some@email.com
    Please check your mailbox and paste the code below to complete verification

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    Receiving the email may take a few minutes, thank you for your patience!
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    • Canada
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    • Central African Republic
    • Chad
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    • China
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    • Colombia
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    • Cote d'Ivoire
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    • Cuba
    • Curaçao
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    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
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    • El Salvador
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    • Germany
    • Ghana
    • Gibraltar
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    • India
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    • Mozambique
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    • Nepal
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    • New Caledonia
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    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
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    • Senegal
    • Serbia
    • Seychelles
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    • Singapore
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    • South Africa
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    • Spain
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    • Sudan
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    • Taiwan
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    • Tanzania
    • Thailand
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    • Trinidad and Tobago
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    • Vietnam
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    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
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    • Other
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    0/300
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    0/500
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    By signing (typing your legal name) this application, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

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    If you have any questions, please email us at info@rootedcarrot.coop.

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    The Rooted Carrot Co-op Marketis committed to equal opportunity in employment and education. The Co-op does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.

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