Undeniably Dairy Funding Application

Application

Applicants must complete a separate online application request for each program/event by one of three deadlines: February 25, May 1 or August 1.
Eligibility
Please select one of the following:*
- Dairy Farmer(s) Currently Contributing to Midwest Dairy Checkoff
- Organized 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:*
Applicant Information
Your Name*
Farm/Group/Partner Name*
Phone*
Email*
Mailing Address*
Street Address City State ZIP Code
County*
If a dairy farmer, where does your milk go?
Program/Event Information
Event Name*
Provide a description of your program(s)/event(s)*
Event Date(s)*
Event Location(s)*
Estimated Number of Consumers Reached:
Youth Grades K-12
Adults (22-72)
Describe how your program(s)/event(s) will focus on conflicted health seekers and/or youth to reach non-agriculture audiences? For each of the four areas of Undeniably Dairy, please give a brief description for how the program(s)/event(s) will align with each: Responsible Produced, Nutrient Rich, Locally Driven and Real Enjoyment?
Will the program(s)/event(s) be posted on social media?*
- Yes
- No
- Don’t Know
Please list any social media links or accounts so we can follow and share your experience. Remember to use #UndeniablyDairy with your posts!*
Grant Information
All 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*
Mailed To*
Organized Dairy Groups Must Complete the Following
President/Chair (this person will receive future Midwest Dairy notifications):
Name*
Address*
Street Address City State 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):
Name
Address
Street Address City State 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.*
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Application

Eligibility

Applicant Information

Program/Event Information

Grant Information

Organized Dairy Groups Must Complete the Following