SURPRISE OPPORTUNITY

Scholarship

NAME:  _____________________________________________________________

ADDRESS: __________________________________________________________

EMAIL: _____________________________ TELEPHONE: __________________

BIRTH DATE: ____________________CLUB: _____________________________

Name of the Event: ______________________________________________________

Amount needed to attend this event: ________________________________________

Please explain why you wanted to attend this event:

*Applicant must appear before the members of the Anne Arundel County 4-H foundation to explain why the want to attend this event and must give a presentation on a 4-H Achievement Night about the trip.

*Event must be a state or national 4-H event where the trip is not fully funded.

*All recipients must be an enrolled 4-H member.

*All scholarships will be awarded after successful completion of the event.

Please mail to:    A.A. County 4-H Foundation

         7320 Ritchie Hwy, Suite 210

         Glen Burnie MD 21061

“It is the policy of the University of Maryland, Agricultural Experiment Station and Maryland Cooperative Extension, that no person shall be subjected to discrimination on the grounds of race, color, gender, religion, national origin, sexual orientation, age, marital or parental status or disability.”