Marion Bunnell 4-H Fund Request

Program Contact

Autumn Britt, 4-H Program Manager
509-588-7817 • autumn.britt@wsu.edu

Marion Bunnell 4-H Fund Request - Yakima County

Grant request form. Application Deadline - June 1st. Use this form to summarize a request for funds from the Marion Bunnell 4-H Fund. The criteria used for awarding grants from the Marion Bunnell 4-H Fund are as follows: Financial Need. Number of People Benefited. Degree and Duration of Benefit to Yakima County.

Date:(Required)

Name, age, and number of years affiliated with 4-H of person or group requesting funds:(Required)

4-H Club of the individual requesting funds:(Required)

Requester's 4-H Club Leader:(Required)

Address of person or group requesting funds:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Specific activity or programs for which funds are being requested:(Required)

Statement of need:(Required)

How much money are you requesting?(Required)

Are other funds being used to help cover the cost of this activity?(Required)

Yes

If other funds are being used to cover activity costs, please describe the funding source and how much will be going toward this event:

What is the total cost of this activity?(Required)

This should be the entire amount being spent, including funds coming from other sources.

Briefly and specifically describe what the money from this request will be spent on:(Required)

By what date do you need the funds?(Required)

On what date will this project or program be completed?(Required)

If this request is approved, to whom should the check be made payable?(Required)

If the request is approved, you will receive a reporting form at the time the check is sent. This must be completed and returned to the Marion Bunnell 4-H Fund Advisory Committee when the project is complete.

Signature of the 4-H Club Leader

First Last

Typing your name in this field constitutes a digital signature confirming your approval of this funding request.