Undeniably Dairy Funding Application

Application

Applications will be evaluated and approved in three funding cycles: March 2, May 4 or August 3.
Eligibility
Please 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 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/Organization Name*
Phone*
Email*
Mailing Address*
Street Address City State ZIP Code
County*
If a dairy farmer, where does your milk go?
Program/Event Information
Program/Event Name*
What type of program is this?*
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 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?*
- 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*
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 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.*
CAPTCHA

Application

Eligibility

Applicant Information

Program/Event Information

Grant Information

Organized Dairy Groups Must Complete the Following