4-H 
4-H
This form
needs to be completed and returned to:
MSU
Extension
4-H Youth Development Extension Educator
219 Paw Paw Street, Suite 201
Paw Paw, MI 49079
This form
needs to be turned in to the Van Buren County Extension office for approval before
any fund-raising can be held.
What is the proposed fund-raising activity? ____________________________________________________________ _____________________________________________________________________________________________
When is the
proposed fund-raising activity to take place? _______________________________
__________________________________________________________________________
Where is
the proposed fund-raising activity to be held? ________________________________
__________________________________________________________________________
What is the
fund-raiser’s educational value to the members?
____________________________
_________________________________________________________________________
Proposed
starting date of the activity: __________________ Time: ___________
Expected
ending date of the activity: ____________________________________
Club Name: ______________________________________________________
Address: ___________________________________________________
Phone: __________________________
Person making request: _______________________ Phone: ________________
For
office Use Only:
Approved __________________________________ Date __________________
