Granville 4-H Scholarship Request
This is a general Granville County 4-H Scholarship Request form that can be used for various 4-H sponsored events/programs.
Email address *
Please note that available funds vary from year to year and event to event. We are happy to receive scholarship applications and will respond to your request, which will be reviewed based on the following criteria: Please check the applicable box for your youth: *
Scholarship amount requested *
Total amount due for requested program *
**Please note that we require some financial commitment from the family; 100% scholarships are rare**
Youth First and Last Name *
Gender *
Date of birth *
Address *
Parent First and Last Name *
Phone Number *
4-H Participation
Active in 4-H? *
Number of years in 4-H? *
4-H Club or program name (if applicable)
Describe the 4-H sponsored activity for which you are requesting this scholarship. *
Please list any events for which you have received 4-H scholarship funds during the past 18 months: *
List or describe any leadership roles the youth has had (offices held, community and volunteer work, seminars led, speeches given, etc.) *
Please answer the following short answer questions.
What does your youth hope to gain from this experience? *
Why do you feel that this would be a beneficial experience for your youth? *
Scholarship Statement of Need: Why are you requesting financial assistance to attend this program or activity? *
Is your youth willing to volunteer with Granville County 4-H for a 4-H related activity/event? *
Household information
Number of siblings in household *
Household income, check one *
Thank you for submitting your request to Granville County 4-H. We will review your application and notify you or your status within
A copy of your responses will be emailed to the address you provided.
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