Scholarship Application

CBH CO-OP offers educational scholarships to promote furthering education, and are available only to seniors graduating from high school. Scholarships are open to accredited college, universities, and trade schools, with no restriction on area of discipline. Only complete and typewritten applications will be considered. Use the online form below, or print our scholarship application form (PDF, 106.79 KB) and return to us in person at:

CBH CO-OP
Scholarship Selection Committee
1206 S Douglas Hwy
Gillette, WY 82716

*Applications will close midnight on March 1, 2023
Recipients will be selected and notified in April 2023.

General Information

First Name *

Middle Initial

Last Name *

Birthdate *

Street

City

State

Zip

Home Phone

Cell Phone

High School

Year of Graduation

GPA

Class Rank & Size of Class

ACT Score

SAT Score

College/University/Trade School Attending

Major

Parent or Guardian Name

Parent Email

Parent Phone #

Parent/Guardian Co-op Member Account Number

Cooperative account/membership in good standing (y/n)

Upload Your Most Recent Academic Transcript

Please include a short essay on what it means to be a CO-OP member:

Upload Essay

I have read and understand the qualifications for the CBH CO-OP Scholarship. I affirm the information contained herein is true and accurate to the best of my knowledge and belief.

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