4-H Member Financial Assistance Application
Alternatively, download a printable Cascade County 4-H Member Financial Assistance Application.
Participant Information
Member Name:
Parent/Guardian Name:
Parent/Guardian Email:
Parent/Guardian Phone:
Please mark if applicable
I would like to be listed as anonymous to the Leaders Council/Foundation Executive Committee
Application Information
Event or Activity I would like to attend:
Date(s) of the Event or Activity:
Total Cost:
Amount I am able to pay:
Amount Requested:
Signatures
Member Signature
Date
Supplemental Information
- To be completed by the youth member or dictated to parent/guardian, Extension staff, or volunteer leader. Your application will not be considered if this section is left blank. Please tell us why you would like to participate in this event or
- To be completed by the parent/guardian. Your application will not be considered if this section is left blank. Please share a statement of financial
Thank you for your application for 4-H Member Financial Assistance. The Leaders Council/Foundation Executive Committee will review your application, and you will be notified after a decision has been made.
The U.S. Department of Agriculture (USDA), Montana State University and Montana State University Extension prohibit discrimination in all of their programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital and family status.