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 - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming 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 dropdown Brush Creek 4-H Club Cloverdale 4-H Club Eagle Hustlers 4-H Club Elkhorn Valley Trailblazers 4-H Club Goose Lake 4-H Club Heartland 4-H Club Holt County Independent 4-H Member Horses Unlimited 4-H Club Needles & Nails 4-H Club Ropin N Fun 4-H Club Shining Stars 4-H Club Trailblazers 4-H Club Up & At It 4-H Club Other… 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