Virginia 4-H Foundation 1999 Mini-Grant Program Application Name of Applicant: __________________________________________ Title:____________________________________________________________ Address: ________________________________________________________ City: _____________________________________Zip: ___________________ Unit: _____________________________________ Telephone: ______________________ Date Submitted: _________________ Amount Requested (not to exceed $250): _____________________________ 1. Project Summary (give a brief description of project): 2. Impact of Project (describe anticipated outcome of grant, giving particular attention to number of new clubs and new members, new initiatives in a targeted neighborhood or expansion of existing clubs): 3. Methods (describe the activities to be conducted to achieve desired outcomes): 4. Itemized Budget: $ ________________________________ $ ________________________________ $ ________________________________ $ ________________________________ TOTAL $__________________________ 5. Plan For Evaluation: Return by: (April 1, 1999) Return to: Brian Calhoun, Virginia 4-H Foundation Director, 115 Hutcheson Hall, Virginia Tech , Blacksburg, VA 24061-0419 E-mail: dcalhoun@vt.edu Fax: 540-231-7866