Ohio FFA Foundation

Ohio FFA Foundation 614.299.1332 | www.ohioffa.org/foundation 717 A E. 17th Avenue | Columbus, OH 43211

APPLICATION FOR FUNDING

Applications must be submitted no later than Funds requested: $ May 10, 2017. Email completed application to: [email protected] or mail to: Ohio FFA Center Attn: Jessica Parrish 717 A East 17th Ave. GRANT REQUEST MUST BE FOR $750 to $5000 Columbus, OH 43211

Applicant (FFA Chapter): FFA District: Project Title: Date of Project Duration (start to finish): Address of Applicant: City / Zip Code: Name of Primary Contact Person: Telephone: E-mail:

School Tax I.D. Number: County:

CERTIFICATION: By signing below, I hereby certify that all applicable state and federal rules and regulations will be observed; that to the best of my knowledge, the information contained in this application is correct and complete; and that the attached assurances are accepted as the basic conditions in the operations of this project/program for local participation and assistance.

Agricultural Education Instructor: Date:

Chapter President: Date:

School Principal or Superintendent: Date:

Funding Leaders | Funding Traditions | Funding Tomorrow Ohio FFA Foundation 614.299.1332 | www.ohioffa.org/foundation 717 A E. 17th Avenue | Columbus, OH 43211

2017 ARCOP Application Agricultural and Rural Community Outreach Program

Project Description (Abstract) I. Description of Proposed Project: (attach additional page if needed) Should include the following: Four SMART goals, plan of action for each goal, evaluation of goals

II. Explain how this project will benefit rural residents or your community:

III. Explain how this project will impact the community economically or through an improved quality of life:

Funding Leaders | Funding Traditions | Funding Tomorrow Ohio FFA Foundation 614.299.1332 | www.ohioffa.org/foundation 717 A E. 17th Avenue | Columbus, OH 43211

IV. Besides your FFA Chapter, list the additional substantial agencies which you will collaborate with to complete the project: What is their contribution to this project?

Agency Contribution

V. Please identify one opportunity for staff from Ohio Department of Agriculture to visit for a photo opportunity (ribbon cutting, celebration, meeting, event.) Date may be confirmed later.

VI. In as much detail as necessary, identify the budget of your proposed project. (Can attach separate page if needed.)

VII. In as much detail as necessary, identify the timeline of your proposed project.

Funding Leaders | Funding Traditions | Funding Tomorrow