2015 ARCOP

Agricultural and Rural Community Outreach Program

Proposal Committee Use Only
Review and recommended for approval by:
Funds authorized: $
Funds authorized by:
Date:
Date:
APPLICATION FOR FUNDING
Return to:
Ohio FFA Foundation, Inc. / Funds requested: $
717A East 17th Avenue / GRANT REQUEST MUST BE FOR $750 TO $2500
Columbus, Ohio 43211
Applicant (FFA Chapter) / FFA District CTPD # County
Project Title / Date of Project Duration (start to finish)
Address of Applicant / City / Zip Code
Contact Person / Title / Telephone
E-mail
School Tax I.D. Number / Date

CERTIFICATION: 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.

Chapter President/Date
/ FFA Community Service Committee Chairperson/Date
Agricultural Education Instructor/Date
/ School Principal or Superintendent/Date
2015 ARCOP
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:

IV. Besides your FFA Chapter, list the additional substancial agencies which you will collaborate with to
complete the project: What is their contribution to this project?
Agency / Contribution
1
2
3

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. Budget Schedule (under separate cover)

VII. Timeline