Napa County 4-H Management Board
Fund Request Application

Instructions:
4-H Clubs and/or projects will submit a fund request application online.
Applications are due by November 1.
Applications will also be accepted in the spring on an as needed basis.
Fund request applications will be individually reviewed by the Finance Committee of the Napa County 4-H Management Board.
In addition to the online application, 4-H youth members will have the opportunity to submit a 2-minute video presenting their request.
4-H youth members who receive funding will agree to make an oral report at the May 4-H Management Board meeting.

** The 4-H Management Board will not fund requests 100%; independent fundraising must be completed.
** Submitting a request does not guarantee funding; the 4-H Management Board may not be able to fulfill all requests.

✻ = Required

Applications are due by November 1st.
Applications will also be accepted in the spring on an as needed basis.

Full Name ✻

Phone ✻

Email ✻

Club Name ✻

Project

(N/A if the funds are being requested for general club use) ✻

Amount Requesting ✻

What percentage of your club's available funds does this request represent? ✻

Tell us what fundraising you have done and/or what fundraising you plan to do. ✻

Amount Fundraised (to date) ✻

Number of youth this funding will serve. ✻

Describe the project, event, or activity. (500 words or less) ✻

Briefly summarize your plan of action. This should include the how, where, by whom, and estimated timeline of completion. (250 words or less) ✻

What outcomes do you anticipate your project, activity, or event having on 4-H youth members; and what, if any, broad community impacts might be achieved? ✻

Budget: Please itemize the costs of the expenses for this funding. Below, attach a budget showing the item(s), costs, etc. for the expected purchase.

** I have attached a budget in the space provided at the bottom of the application. ✻

I agree.

Cost Documentation: Below, attach documentation of costs listed in the budget. Documentation may include item(s) on a website, brochure with price, picture of price tag at the store, etc.

** I have attached documentation of costs in the space provided at the bottom of the application. ✻

I agree.

Oral Report: 2-3 4-H youth members will make an oral report at the May 4-H Management Board meeting if funding is received. Oral reports will be at least 2-minutes, include photos, and share the impact had on the youth member and community. ✻

I agree.

Video Request: In addition to the online application, 4-H youth members will have the opportunity to submit a 2-minute video presenting their request. You may attach the video in the space provided at the bottom of the application, or email to suzanne.amaral@countyofnapa.org. ✻

I agree.

Upload your file(s)

4-H FUND REQUEST APPLICATION - Napa County 4-H Management Board

Napa County 4-H Management BoardFund Request Application

Applications are due by November 1st.Applications will also be accepted in the spring on an as needed basis.

Napa County 4-H Management Board
Fund Request Application

Applications are due by November 1st.
Applications will also be accepted in the spring on an as needed basis.