White-Reinhardt Mini-Grant

County or State Farm Bureau ®:

County Farm Bureau Contact Full Name:

County Farm Bureau Contact Phone:

County Farm Bureau Contact Email:

Farm Bureau Address where funding will be processed

Address:

City:

State:

Zip:

State Farm Bureau Contact Full Name:

State Farm Bureau Contact Phone:

State Farm Bureau Contact Email:

Person completing this application:
(if different from the above)

Phone:

Email:

Has your organization received a White-Reinhardt scholarship before?

If yes, what year?:

Project Plan Information/ Summary of your Project:

Goals and anticipated outcomes not to exceed 1 page:

Timeline:

Budget maximum funding $500:

Target Audience:

Explain how this project will creatively engage students in a manner that encourages them to learn more about agriculture:

How does this project provide a link between agriculture and education:

Indicate your process for aligning the project with your state learning standards:

Explain how this project would expand upon the current agricultural literacy efforts (additional grades, audiences, new subjects etc):

By checking this box I certify that the information being provided is accurate.

Applicant Signature:


Note: A review of the application and signature from an Ag Literacy Coordinator is mandatory for consideration of any submitted mini-grant.