Women's Leadership Grant Application
The purpose of the Women’s Leadership County Grant is to allow counties an opportunity to provide an agriculture education experience in their respective county. The $200 grant may cover any Farm Bureau sponsored agriculture educational activity including, but not limited to Agriculture in The Classroom, American Farm Bureau Foundation For Agriculture.  Contact susan.furner@fbfs.com with any questions.
Email *
Date of Application:
MM
/
DD
/
YYYY
County *
Name of County Women's Leadership Chair *
Contact phone number: *
Contact e-mail *
Please describe the activity or use of the grant funds below: *
What is the timeline and budget for your activity? *
What percentage/dollar amount of your activity budget will come from your county budget? *
List the dollar amount you are requesting for your activity. *
What agricultural education resources will be used in this activity? *
Who is your target audience? *
How many people do you expect to reach? *
How many county Farm Bureau members will be involved in helping with the activity? *
I understand a written report, including photos, of the completed activity is required to be sent to the state office (9865 S. State, Sandy, UT 84070)  no later than 10 days after the event is completed. *
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms