Current Holt County 4-H Foundation Club Grant Application Information Sheet Preview Complete Name Required First Required Last Required Address Required Address Required City/Town Required State/Province Required - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Required Phone Number Required Number of Years as a Volunteer Required Choose Your Club Required Choose Your Club Required - Select -Choose club from dropdownBrush Creek 4-H ClubCloverdale 4-H ClubEagle Hustlers 4-H ClubElkhorn Valley Trailblazers 4-H ClubGoose Lake 4-H ClubHeartland 4-H ClubHolt County Independent 4-H MemberHorses Unlimited 4-H ClubNeedles & Nails 4-H ClubRopin N Fun 4-H ClubShining Stars 4-H ClubTrailblazers 4-H ClubUp & At It 4-H ClubOther… Enter other… Club's Major Accomplishments and 4-H Activities Required What Project or Activity are you Requesting Funding for Required How Will This Activity Benefit my Community Required Why Do You Feel This Project or Activity is Important Required Activity Date Required Total Cost Project/Activity Required Amount Requested Required Do You Have Other Funding for This Activity (Describe) Required Have You Ever Been Awarded a Holt County 4-H Foundation Grant Before? Required Yes No If Yes, When? For What Activity? Holt County 4-H Foundation Club Grant Application Budget Worksheet Request for Project Holt County 4-H Foundation Required Other Required Total Requested for Project Required Expenses for Project Supplies - Please List Required Total Supplies Required Advertising Required Rent (Facility, Machinery, Etc.) Required GIfts Required Contract Labor Required Other Expenses - Please List Required Total Other Expenses Required Total Expenses for Project Required Total Income/Expenses for Project Required Total of Requested Funds Minus Expenses Leave this field blank