2017 Agricultural Incentives Program (Youth) Application to Administer Program PLEASE CAREFULLY REVIEW THIS PROGRAM’S GUIDELINES PRIOR TO COMPLETING AN APPLICATION Program administrators approved for the program must all investment areas to county youth. Funded participants shall adhere to all local, state and federal rules and regulations. Questions concerning these guidelines should be directed to the Governor’s Office of Agricultural Policy at (502) 564-4627. Applicant Information 2. Authorized Representative (AR) Info 1. Legal Name of the Entity: This must be the information that will allow staff to contact the AR directly, if necessary. 1b. Address check will be mailed KY Name, City ZIP Code 1c. Registered with the 1d. TAX IDENTIFICATION # Mailing Address (Legal Agreement mailed here) Yes Secretary of State’s Office? No KY 3. Program Contact City ZIP Code (if different than AR in 2): Name, ( ) ( ) AR Phone AR Cell ( ) ( ) Cell: E-mail Address: AR e-mail address (e.g. ) Required Youth Program Request 4 a. Program County: 4b. Total Funds 4e. Maximum Award $ $ Requested: (Not to exceed $1,500): *All youth are eligible to receive the maximum limit* 4c. Total Administrative Expenses $ (not to exceed 5%): 4d. Funds Available 5. Will you be pro-rating funds for Cost-Share (4b. evenly between approved – $ 4c.)*: applicants? No Yes Youth Program Administration Questions
2017 Agricultural Incentives Program (Youth) Application to Administer Program PLEASE CAREFULLY REVIEW THIS PROGRAM’S GUIDELINES PRIOR TO COMPLETING AN APPLICATION Program administrators approved for the program must all investment areas to county youth. Funded participants shall adhere to all local, state and federal rules and regulations. Questions concerning these guidelines should be directed to the Governor’s Office of Agricultural Policy at (502) 564-4627. Applicant Information 1. Legal Name of the Entity: 2. Authorized Representative (AR) Info This must be the information that will allow staff to contact the AR directly, if necessary. 1b. Address check will be mailed KY Name, City ZIP Code 1c. Registered with the Secretary of State’s Office? Yes No 1d. TAX IDENTIFICATION # Mailing Address (Legal Agreement mailed here) KY 3. Program Contact (if different than AR in 2): City ZIP Code Name, ( ) ( ) ( ) Cell: ( ) AR Phone AR Cell E-mail Address: AR e-mail address (e.g. ) Required Youth Program Request 4 a. Program County: 4b. Total Funds Requested: $ 4e. Maximum Award (Not to exceed $1,500): $ *All youth are eligible to receive the maximum limit* 4c. Total Administrative Expenses (not to exceed 5%): $ 4d. Funds Available for Cost-Share (4b. – 4c.)*: $ 5. Will you be pro-rating funds evenly between approved applicants? No Yes Youth Program Administration Questions
youth-17_admin-application.docx