FUNDING APPLICATION FOR SPACE CAMP Grades 6-8
Space Camp is an opportunity for youth to come together to exchange ideas, form friendships, and travel to
Huntsville, Alabama to learn interesting information about space and science.

COMPLETE THIS FORM BY AUGUST 31
Member Name (Last, First, Middle I)
Street Address
City State Zip
Phone Number
Age (Jan. 1 of current year)
Grade (Jan 1 of current year)
Clear selection
Years in 4-H:
Name of Parent or Guardian
Name of Primary 4-H Club
Project Listing - Please list projects that you have enrolled in, indicate years, and, if presently enrolled.
Project, Number of Years, Currently Enrolled
Project, Number of Years, Currently Enrolled
Project, Number of Years, Currently Enrolled
Project, Number of Years, Currently Enrolled
Please list our accomplishments for some of your projects.
What are some things you have learned when participating in your projects?
Please list additional non-fair 4-H activities that you have participated in (club officer, camp counselor, L.E.A.D.S., Teen Winter Camp, Leaders Federation, etc.) with number of years:
Please list non-4-H activities that you have been active in (school, sports, church, volunteering etc.) with number of years.
Why do you think you would be a good representative of Marathon County?
What experiences do you have in Science?
What interests you most about science? Tell us about it and why?
How will you use this experience to promote science through 4-H and get others involved in 4-H Science programs?
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