Grocery Manufacturers' Representatives of Grand Rapids


This form is to be used in making application for scholarships offered by the Grand Rapids Grocery Manufacturer's Representatives.  Applications must be received by June 15th of the prior school year (i.e. 6/15/17 for fall 2017 enrollment).  Must be a full time student and possess a career interest in the RETAIL GROCERY INDUSTRY.  Notifications will be made in mid-August.


Last Name:   First Name:  Initial:   Age:

Home Address:   City:   State:   Zip:

School Address:   City:   State:   Zip:

Birth Date(xx/xx/xx): Daytime Phone: School Phone:  

Marital Status - Married, Single, Widowed, Divorced:  

Number of Children: Ages of children (if applicable):  

Father's Name: Occupation:  

Father's Address:   City:   State:

Mother's Name: Occupation:  

Mother's Address:   City:   State:

List all children of your parents including yourself first:


Name Age Grade or occupation


High School(s) Attended

  GPA:   City:   State:

  GPA:   City:   State:


Colleges or Universities Attended

  GPA:   Program of Study:   

  GPA:   Program of Study:   

  GPA:   Program of Study:   


List any other scholarships you will be receiving

Anticipated Personal Yearly Income    How much will be used for school? 

Special reasons you should be considered for this scholarship


Describe your ideal career position

What makes you interested in a career in this industry?

If you have a resume available, please forward a copy to, referencing the date and approximate time of your application submission.

Scholarship recipients will be notified by September 1st.

Send mail to with questions or comments about this web site.
Copyright 2000 Grocery Manufacturers' Representatives of Grand Rapids
Last modified: February 28, 2016