Event Scholarship Application Event Scholarship Application Member Name* First Last Phone*Email* Age* What event are you applying for?*Sr. Leadership LabJr. Leadership LabD9 Council MeetingTeen RetreatCounty CampDistrict Roundup (Big Time in D9)State RoundupState CongressNational CongressLeadership InstituteRegistration Due Date* Month Day Year Date of event* Month Day Year Please give us your reason for wanting to attend this event.*Price for event*Can you pay for half of the entry fee?* Yes No If accepted, who does the reimbursement check need to be made out to?*Your application will be reviewed by the Brazoria County 4-H Adult Leaders. A decision will be made and you will be contacted with the outcome for financial assistance once the Adult Leaders have had their monthly meeting. Reimbursement will be given to the family after the event has ended.Consent* Check this box if you have read the statement above.Untitled Δ