Virginia 4-H Foundation
1998 Grant Program Application

Name of Applicant: _______________________________________________________

Title: ___________________________________________________________________

Address: ________________________________________________________________

City: _________________________________________ Zip: ______________________

Unit: _________________________________________

Telephone: ___________________________ Date Submitted: ___________________

Amount Requested (not to exceed $300): ______________________________________

Project Summary (give a brief description of project):  

 

 

 

 

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):  

 

 

 

 

Methods (describe the activities to be conducted to achieve desired outcomes):  

 

 

 

 

Itemized Budget:

$______________________________________

$______________________________________

$______________________________________

$______________________________________

TOTAL $_______________________________

Plans for evaluation:  

 

 

 

 

Persons signing will be responsible for implementation of project and documentation of use of funds.  

 

 

 

 

____________________________________________________
Volunteer Signature

____________________________________________________
Extension Agent with 4-H Responsibility

Return to:
Brian Calhoun (by April 1, 1997)
Virginia 4-H Foundation Director
Hutcheson Hall, Virginia Tech
Blacksburg, VA 24061-0419
E-Mail Address: dcalhoun@vt.edu
Fax Number: 540/231-7866