Michigan 4-H Foundation » 4-H Learning Experience Sponsorship Request Form

4-H Event Coordinator Name*

List the primary 4-H event coordinator (person completing this form).

First Last

Email*

CYI Work Team

Select the CYI Work Team primarily responsible for this event/program.

Name of 4-H event*

Is this a new 4-H event/program?

Yes
No
This program/event is replacing a previous event.

Previous name of 4-H event

If this event/program had a different name or has evolved into a new program, please list the name of the event/program that this will replace.

Date 4-H event begins*

Date 4-H event ends*

Location of event*

Virtual
MSU Campus
Kellogg Biological Station
Hybrid (virtual and face-to-face)
Other

Please specify other or hybrid location:

Was this event historically hosted at Kettunen Center?

4-H workshops and learning experiences at Kettunen Center traditionally received sponsorship funds. The 4-H Foundation wants to ensure these programs continue to receive funding regardless of the location of where they are held moving forward. The 4-H Foundation also wants to ensure that new and innovative 4-H program ideas are explored and receive funding to meet the needs of youth and volunteers.

Yes
No

Anticipated number of participants*

Anticipated number of resource persons*

Indicate which CYI strategic priorities this event contributes to:*

DEI (diversity, equity and inclusion)
External Partnerships
Program Excellence
Scholarship Excellence

Describe the educational learning experience that you are requesting funds for.*

What are the outcomes of this experience?*

Describe your budget and other sources of funding for this learning experience. Include why additional funding is needed.*

Total budget/cost for event:*

Per person cost for event:*

Total budget / total number of participants

Total per person sponsorship amount requested:*

Total sponsorship amount requested:*

Per person amount requested X total number of participants

Detailed Budget

Please upload a spreadsheet containing an itemized budget for this event/program.

Max. file size: 100 MB.

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4-H Learning Experience Sponsorship Request Form

Statewide 4-H Learning Experience Sponsorship Request Form

Statewide 4-H Learning Experience
Sponsorship Request Form