Scott County 4-H Financial Support Request
Scott County 4-H believes that youth should be able to participate regardless of a family's financial means.  If your youth would like to participate and needs financial support, please fill out the form below.  You'll receive a follow-up message from staff after your request is submitted.

Any questions or concerns can be directed to Scott County Extension Educator - Kaitlyn Albers at alber877@umn.edu | 952-492-5384 or Kathryn Sharpe at shar001@umn.edu  |  952-492-5410

**All information submitted is confidential and will only be used by 4-H staff.**

For future requests, this form can be found at z.umn.edu/Scott4hsupport 
Sign in to Google to save your progress. Learn more
Which program year are you completing this request for? *
Name(s) of youth: *
Youth's 4-H Club or other affiliation (may select multiple): *
Required
Family phone number: *
Family address: *
Please list which program you're requesting support for (ex. annual membership dues, annual SSW membership dues, Educational Program (please specify), TEEL, BLU, 4-H Camp, etc.) *
Are you requesting support for the full cost of the program? *
What is the dollar amount of your financial request? *
Please tell us a bit more about why you are excited about the program for which you are requesting a scholarship and your need for a scholarship. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities. Report Abuse