Clone of New $1,000+

Iowa 4-H Foundation Grant Application

For grant requests $1,000 and less
Spring: The Spring Grant Cycle applications are due March 15 at 11:59 p.m. This grant cycle is recommended for projects and programs taking place in the upcoming fiscal year (July 1 or after). Award notification will be made by May 1 and funding will be received by the State 4-H Office by June 30.

Fall: The Fall Grant Cycle applications are due October 1 at 11:59 p.m. This grant cycle is recommended for projects and programs taking place in the current fiscal year (prior to June 30). Award notification will be made by November 1 and funding will be received by the State 4-H Office by December 31. Requests received after the deadline will be considered in the next grant cycle.

Refer to www.iowa4hfoundation.org/programgrants for full grant details.
Proposal Name
Submitted By
Your Role
Email
example@example.com
Other staff involved in the project (if applicable)

About Your Proposal
Total Project Budget
Amount Requested from Iowa 4-H Foundation
Which Foundation Strategic Priority does this request best align with (select all that apply)?

Other
Primary Program Priority Area
Secondary Program Priority Area (optional)
Program Reach
County or Region
Type of Program
Start Date of Active Program

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date of Active Program

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Estimated Number of Youth to be Served:
Estimated Number of Contact Hours Per Youth

Proposal Details
In 3-4 sentences, summarize the program you are requesting funds for.
In greater detail, please outline the project. Include details about program delivery and implementation .

What are your participation goals for this program?

Rows	Numeric Goal
Current 4-H'ers
New to the 4-H Program
Youth who participated in a previous year or previous program
Adult Volunteers
Other

How does this program support your Growth Plan?
How will you evaluate the impact of this proposal? What are the qualitative and quantitative measures that will indicate success?

Program Expenses

Program Income & Funding Sources

Rows	Amount
Program Income (if any)
Budgeted Funds
In-Kind Support (i.e. staff salary or travel)
Support from County Endowment
Carry Over funds from previous Iowa 4-H Foundation Grant (if any)
Other
Request from Iowa 4-H Foundation

Total Program Income
Should match expense line.
What would change if the Foundation does not fund this request?
Please Explain.
Optional: Attach additional information or documentation if necessary.

Cancelof
Should be Empty:

Iowa 4-H Foundation Grant Application