Application These are competitive grants and funding is subject to availability. Applications will be evaluated based on information provided and alignment with identified eligibility requirements. Grants will be reviewed in three funding cycles: March 2, May 4 or August 3.EligibilityPlease select one of the following:* Dairy farmers contributing to Midwest Dairy checkoff Organized dairy group (a dairy farmer currently contributing to Midwest Dairy checkoff must serve on the board) Agriculture organization (FFA, Farm Bureau, 4-H, etc.) Please select one of the following Midwest Dairy Divisions:*SelectIllinoisIowaMoKan (Northern Missouri, Kansas)MinnesotaNebraskaNorth DakotaOzarks (Arkansas, Southern Missouri, Eastern Oklahoma)South DakotaOptionPlease select one of the following:* Undeniably Dairy Grant: I/we have a project that will showcase that dairy is good for people, the planet and our communities. Applicant InformationYour Name* Farm/Group Name* Preferred Phone*Preferred Phone Type*SelectMobileHomeOfficeEmail* 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 do you ship your milk to? Project InformationProject Name* What type of project is this?*SelectDairy in the CommunityOn-FarmK-12 Youth FocusProvide a brief description (5-7 sentences) of your project.*Project Date(s)* Project Location(s)* Estimated Number of Consumers Reached*Please enter a number greater than or equal to 0.Will the project be shared on social media?*SelectYesNoUnsureDescribe how your project will use the Undeniably Dairy brand and sustainable messaging that dairy is good for people, the planet and our communities. Be sure to include how your project will target K-12 youth and/or urban consumers removed from agriculture.Grant InformationTotal Project Costs*Please enter a number greater than or equal to 0.Funding Amount Requested (up to $3,000)*Please enter a number from 0 to 3000.All applicants are required to submit a W-9 form to Midwest Dairy for payment using our secure site. The information on the W-9 must match the payable and mailing address below. Please click here to submit.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. 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.*Food Pantry InformationFood Pantry Name* Estimated Number of People Served per Month*Please enter a number greater than or equal to 0.Contact Name* Contact Preferred Phone*Contact Email* Food Pantry Shipping 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* Is there a receiving dock?*YesNoAcknowledgment 1* I acknowledge that I have discussed this grant option with the Food Pantry, and they have agreed to receive the refrigerator provided by this grant.*Acknowledgment 2* I further acknowledge that this grant will not be finalized until approved internally and the Food Pantry has completed a digital letter of agreement.*School InformationDistrict Name* State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificNumber of Students in District*Please enter a number greater than or equal to 0.Contact Name* Contact Preferred Phone*Contact Email* Package Option* Smoothies Breakfast Bulk Milk Acknowledgment 1* I acknowledge that I have discussed this grant option with the School District, and they have agreed to receive one of the packages listed.*Acknowledgment 2* I further acknowledge that this grant will not be finalized until approved by Midwest Dairy and the School District has completed a digital letter of agreement.*Organized Dairy Groups InformationPresident/Chair (this person will receive future Midwest Dairy notifications):Name* Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Vice-President/Vice-Chair:Name* Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Secretary:Name* Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Treasurer:Name* Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Princess Coordinator (if applicable):Name Address Street Address City State / Province / Region ZIP / Postal Code PhoneEmail List Additional Members (Name and Email):Name and Email(s):HiddenCAPTCHA
