/ 4-H International Travel Scholarship form

4-H International Travel Scholarship form

4-H International Scholarship Form

Michigan 4-H Outbound International Travel Scholarship Application

Deadline to apply: February 1
SECTION 1
Name*
Gender*
- Male
- Female
County of 4-H membership*
4-H Club or Group*
Address*
Mailing Address City State / Province / Region ZIP / Postal Code
Home Phone No
Cell
Email*
Age*
Date of Birth*
MM slash DD slash YYYY
*
Current Grade in School School Attending
Host Country*
Select the country to which you are traveling:
SECTION 2
1. Why do you want to travel to the country you have selected for your summer exchange experience?*
2. Exchange programs are part of the 4-H Leadership and Civic Engagement programs. Please explain how you have been involved in leadership, citizenship and/or global and cultural education activities in 4-H, school, your community, or other ways.*
3. If you were asked to develop a photo story or video about the community/town/city where you live, please list 15 different things you would include in your presentation.*
4. What cultural project will you share with your host family and hosting organization? The cultural project should focus on an aspect of American culture that is important to you. Example: bake or cook an American dish or treat, demonstrate a skill, teach a game or song or make a craft.*
SECTION 3
*
- I understand that if I am awarded a scholarship I will complete all the requirements stated, by the deadline given. Any participant that fails to fulfill the requirements in this contract will be responsible for repaying the entire scholarship amount.
Note: All travel scholarship award applications must be submitted by February 1.
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Emma Rasch, Kent County

When I put my mind to things, nothing is impossible. That is one of the most important things I’ve learned from 4-H.

— Emma Rasch, Kent County