Illinois 4-H Event Scholarship Application

Illinois 4-H Event Scholarship Application
This scholarship is to be awarded to youth based on economic need and answers provided to the questions on the following application.
State Event *
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
County *
Is this your first 4-H experience or event?*
Why are you interested in attending this 4-H event?*

0/250
Using what I learn at this conference, I feel that I can improve my club, school, and/or community by:*

0/250
Without this scholarship, I would not be able to afford the event registration fee.*
Please sign below to verify the above information is accurate. *

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