Application Applications will be evaluated and approved in three funding cycles: March 2, May 4 or August 3.EligibilityPlease select one of the following:*Dairy farmers contributing to Midwest Dairy checkoffOrganized Dairy Group (a dairy farmer currently contributing to Midwest Dairy Checkoff must serve on their board)Agriculture Organization (FFA, Farm Bureau, 4-H, etc.)Please select one of the following Midwest Dairy Divisions:*IllinoisIowaMoKan (Northern Missouri, Kansas)MinnesotaNebraskaNorth DakotaOzarks (Arkansas, Southern Missouri, Eastern Oklahoma)South DakotaApplicant InformationYour Name*Farm/Group/Organization Name*Phone*Email* Mailing Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code County*If a dairy farmer, where does your milk go?Program/Event InformationProgram/Event Name*What type of program is this?*SelectBring dairy to unexpected placesHost On-Farm eventEngage with K-12 youthProvide a description of your program(s)/event(s)*Event Date(s)*Event Location(s)*Estimated Number of Consumers Reached:Youth Grades K-12Adults (22-72)Describe how your program(s)/event(s) will use Undeniably Dairy brand and Sustainable Nutrition messages that dairy is responsibly produced, nutrient-rich, locally driven and delivers real enjoyment. Be sure to include how your program(s) will target K-12 youth and/or urban consumers removed from agriculture.Will the program(s)/event(s) be posted on social media?*YesNoDon’t KnowPlease list any social media links or accounts so we can follow and share your experience. Remember to use #UndeniablyDairy with your posts!*Grant InformationAll applicants are required to submit a W-9 form to Midwest Dairy for payment using our secure site. Please click here to submit.Total Project Costs*Funding Amount Requested (up to $3,000)*If Funding is Awarded:Check Payable To*This needs to match the information provided on the W-9 Form.Mailed To*This needs to match the information provided on the W-9 Form.Organized Dairy Groups Must Complete the FollowingPresident/Chair (this person will receive future Midwest Dairy notifications):Name*Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* Vice-President/Vice-Chair:Name*Mobile Phone*Email* Secretary:Name*Mobile Phone*Email* Treasurer:Name*Mobile Phone*Email* Princess Coordinator (if applicable):NameAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mobile Phone*Email* List Additional Members (Name and Email):Name and Email(s):Acknowledgment* I certify that I have reviewed the eligibility requirements and are in good legal standing to apply for and use these funds. I also understand that IRS guidelines define grants as taxable income so an IRS Form 1099 will be mailed if the grant exceeds the IRS threshold for reporting.*Acknowledgment 2* I further acknowledge that failure to meet the usage and/or reporting requirements could compromise our ability to request future funds.*CAPTCHA