Request for Scholarship
This is the official Indian River County 4-H Foundation Scholarship Request Form. The IRC 4-H Foundation is dedicated to promoting, supporting, and funding our 4-H Community! Please submit this form at least 2 weeks prior to the event registration deadline. The submission of this form DOES NOT guarantee funds. An email with an official decision will be sent to the requester and leader after the IRC 4-H Foundation Board has an opportunity to review the request. Please contact IRC4HFoundation@gmail.com with any questions.
Name of 4-H Event *
Your answer
Name of 4-H Participant(s) *
Your answer
Number of Participants *
Your answer
Member of What IRC 4-H Club? *
Your answer
Description of Event *
Your answer
Total Cost of Event *
Your answer
Total Amount Requested *
Your answer
Requested By *
Your answer
Relationship to 4-H Participant *
Your answer
Mailing Address *
Your answer
Phone Number
Your answer
Email Address
Your answer
Club Leader Name *
Your answer
Club Leader Phone Number *
Your answer
Club Leader Email Address *
Your answer
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