Current Holt County 4-H Foundation Individual 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 in 4-H Required Choose Your Club From Dropdown List Required Choose Your Club From Dropdown List Required - Select -Brush 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… 4-H Projects Taken Required Major accomplishments or 4-H activities you are involved in Required What project or activity are you requesting funding for Required How will this activity benefit our community Required Activity Date Required Total Cost Project/Activity Required Amount Requested Required Why would you like to attend this project or activity 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? Leave this field blank