Agriculture Education, County Program and Toolkit Grant Activity Report

Agriculture Education, County Program and Toolkit Grant Activity Report

All questions marked with an (*) are required. When you have finished filling out the form, click on submit. Once the form has been submitted changes cannot be made.

Questions may be referred to Shannon Martin at : martins@kfb.org

Name

First NameLast Name

County Farm Bureau

Select which type of grant you received

Enter the date of your grant award (must be at least one week before the event/activity)

Date

Date of Event

MonthDayYear

Project Name

Briefly describe the event or program and benefit to Farm Bureau members

Number in Attendance

Enter the number only (ex:400)

Amount of your grant award

The County will receive a check in the amount of your grant award or half of the total amount spent and documented with receipts (up to the grant award).

Total costs of the event (Grant amount plus local funding):

Enter a dollar amount

Please list of all of the costs involved in the project. Amount should equal above:

To complete your Grant Activity Report, you must submit all receipts related to the activity. Submit receipts for all the grant and local funds spent. You will be reimbursed for half of this amount or your grant amount (whichever is higher).

Please submit your receipts in the order you listed them above.

Also, please attach photos or newspaper clippings from your granted program, activity or event and show how recognition was given to the Kansas Farm Bureau Foundation for Agriculture for its role in providing funding assistance.

Let us know how you plan to submit your receipts and photos/newspaper clippings:

Email your receipts and photos/newspaper clippings to grantapp@kfb.org

Mail your receipts and photos/newspaper clippings to:

Shannon Martin
Kansas Farm Bureau Foundation
2627 KFB Plaza
Manhattan, KS 66503

To upload a photo, receipt, or document related to the project, program, or event, click the "Upload a File" button then find the file you wish to upload.

Max file size is 8 megabytes.

Your Email Address:

Used to send you a confirmation email of your submission.

By checking the box below, you understand the information and accompanying material in your submission may be used by the Kansas Farm Bureau Foundation for Agriculture for educational and promotional purposes.

Check this box to verify that you have reviewed and completed the form.