Pioneer Grant Application

Pioneer Seed Grant Application

To stimulate local 4-H clubs in Iowa to plan and carry out community improvement activities, the Iowa 4-H Foundation in partnership with Pioneer, provides “seed money” needed to make the projects successful. Applications are due to be reviewed by county staff, approved, and sent to the state office by January 30 via this form.
Name of 4-H Club*
County*
Number of 4-H Members in Club*
Project Chairperson (4-H'er)*

First NameLast Name
Project Chairperson Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Project Chairperson Email*
example@example.com
Project Chairperson Phone Number*
Please enter a valid phone number.
County Youth/4-H Coordinator Name*

First NameLast Name
County Youth/4-H Coordinator Email*
example@example.com
Adult Leader*

First NameLast Name
Adult Leader Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult Leader Email*
example@example.com
Adult Leader Phone Number*
Please enter a valid phone number.

Grant Project Name*
Total Project Budget*
Must be between $50-$500.
Amount Requested from Foundation Grant*
Must be between $50-$500.
Statement of Need*
Describe the problem/issue in your community you wish to address
Proposed Project*
Describe your project in one or two sentences. Tell how your project will address the identified need. Who or how many will benefit from this project?
Goals for Your Club*
What knowledge, attitudes, and skills does your 4-H group expect to learn through the different stages of this project?
Methods*
Describe what you plan to do to meet the needs and accomplish your goals. Include a timetable for the project.
Involvement in the Project*
What part will the 4-H members play in planning and carrying out the project? Describe assignments and responsibilities to include all members. What will other individuals, service organizations and agencies do on this project?
Evaluation Plan*
How will you measure the outcomes of your project? How will you determine if you have met your goals? What is your plan for sharing your accomplishments?

Project Budget

Give expected income and expenses for this project for one year. Expense line must equal income line. The amount requested should equal no more than half the budget, not to exceed $500.

Estimated Project Expenses*

Estimated Project Income (Funding)*

Upload Letter(s) of support here:*

A letter of support from the governing board of the project location MUST accompany the application.
Cancelof

Pioneer Seed Grant Application