2020-2021 Solano County 4-H Program Fee Scholarship Request

2020-2021 Solano County 4-H Program Fee Scholarship Request

Provisions will be made by the Solano County 4-H Leaders Council to cover County and State Program Fees for eligible youth who are unable to pay them. The parent/guardian of an eligible youth for which a Solano County 4-H Program Fee Scholarship is requested, must complete and sign this form.

Please click here to verify eligibility.

✻ = Required

Family Name (must match Family Profile name in the 4HOnline System): ✻

First Name of Youth: ✻

Last Name of Youth: ✻

Email Address: ✻

Please check the box of the Program Fee Scholarship you are requesting: ✻

I am requesting a County Program Fee ($60) Scholarship in full. I am requesting a State Program Fee ($20) Scholarship in full. I am requesting a County & State Program Fee ($80) Scholarship in full.

To determine eligibility for a Solano County 4-H Program Fee Scholarship, please indicate if:

Monthly household cash income is at or below 185% of the Federal Poverty guidelines. If your child is eligible for/enrolled in free or reduced price school breakfast or lunch you meet this criteria. ✻

Yes No

UC reserves the right to verify the above information by further reviewing the household financial status with the parent/guardian.

For Staff Only