<p> Ohio FFA Foundation 614.299.1332 | www.ohioffa.org/foundation 717 A E. 17th Avenue | Columbus, OH 43211</p><p>APPLICATION FOR FUNDING</p><p>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</p><p>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:</p><p>School Tax I.D. Number: County: </p><p>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. </p><p>Agricultural Education Instructor: Date: </p><p>Chapter President: Date: </p><p>School Principal or Superintendent: Date: </p><p>Funding Leaders | Funding Traditions | Funding Tomorrow Ohio FFA Foundation 614.299.1332 | www.ohioffa.org/foundation 717 A E. 17th Avenue | Columbus, OH 43211</p><p>2017 ARCOP Application Agricultural and Rural Community Outreach Program</p><p>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</p><p>II. Explain how this project will benefit rural residents or your community:</p><p>III. Explain how this project will impact the community economically or through an improved quality of life:</p><p>Funding Leaders | Funding Traditions | Funding Tomorrow Ohio FFA Foundation 614.299.1332 | www.ohioffa.org/foundation 717 A E. 17th Avenue | Columbus, OH 43211</p><p>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?</p><p>Agency Contribution </p><p>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.</p><p>VI. In as much detail as necessary, identify the budget of your proposed project. (Can attach separate page if needed.)</p><p>VII. In as much detail as necessary, identify the timeline of your proposed project.</p><p>Funding Leaders | Funding Traditions | Funding Tomorrow</p>