Individual Project Funding - Larimer County 4-H Foundation

ONE REQUEST PER PROEJCT Requests must be submitted a minimum of 30 days prior to the need for funding

Date of Request *

Activity/Project *

Name of Person requesting funding *

First

Last

4-H Club Name *

Number of Years Enrolled in Larimer County 4-H

Project requesting funds for & unit if applicable *

For Example: Cake Decorating, Unit 3

Years Enrolled in Project

Please state how many years you have been in the project your are requesting funds for

Item(s) being requested *

Please tell us what you are purchasing with the funds

Budget Cost of the item *

What is the total cost of your project item request. Upload pages/documents as needed below

Where are you purchasing this item from *

For Example: Murdoch’s in Fort Collins, Amazon

Describe Project/Activity item is to be used *

Educational Value Statement (describe skills hoped to gain): *

Is this your first time applying for funds? *

Is Person requesting funding a minor (under 18) *

Name of person responsible for documentation (if submitting for a minor);

First

Last

Relationship to applicant: *

Person responsible for documentation Email *

Person responsible for documentation Phone *

Signature of Person Submitting Request Form *

First

Last

Please type your name above and then sign below.

Signature *

Clear Signature

Todays Date *

Supporting Documentation Upload if needed

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

You can upload 3 files

Please upload any documentation needed above.

Upon completion, please click SUBMIT below to email this form to the Larimer County 4-H Foundation. We will confirm receipt of your application within 7 days. For questions, please contact the 4-H Foundation at larimercounty4hfoundation@gmail.com