Sac County 4-H Endowment
Individual Grant Program Application
Date Received __________________
Application due to Sac County Extension Office 60 days before your event.
Name ______________________________________________________
Address ____________________________________________________
Name of the Event I want to attend _____________________________________
Date of Event ____________________________________________
Why I want to attend this event:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
The Sac County Endowment Committee requires 5 hours of community service to
be completed before any funds will be released. Community service activities do
not need to be associated with 4H; it can be church, school, etc.
Date/Time
Community Service
Adult Signature
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
*Make sure you check if additional financial aid is available either through the
event or other groups.
________________________________
________________________
Signature
Date