AWARD REPORT FORMPage One
Section One
4-H CLUB MEMBER CAREER SUMMARY
NAME ______
CLUB ______
ADDRESS ______
(Street address) (City) (Zip)
PHONE ______GRADE______AGE ______
YEARS in 4-H ____ (from age 9, include this year)
YEARS as 4-H Cloverbud ____
CLUB OFFICES HELD (list office and year held)
______
______
PROJECTS, PROGRAMS, EVENTS, AND ACTIVITIES
PROJECT AREAS
(List only projects completed)
Project Code Project Area and Name Year
Page Two
CLUB Participation (i.e. Club Achievement Program, National 4-H Week, Parades, Beautification, Trip, Community Service-Learning, etc. and dates)
Event/ Activity Date
COUNTY Participation (participation in county sponsored events/ activities-i.e. Officer Training, Radio Days, Workshops, U.P. State Fair Activities, Horsebowl, Fashion Review/Construction Judging, Community Service-Learning, Escanaba Holiday Parade, etc.)
Event/ Activity Date
COMMITTEE Participation – Club (CL), Local (L), County (C), Regional (R), State (S)
Committee Code Date
Page Three
REGIONAL, STATE, and NATIONAL PARTICIPATION (All U.P. State Fair Activities-Judges Assistant, Miracle of Life, Livestock Skill-a-thon/Exploration Days/ Tournaments/ MSU Events/Regional Workshops/Kettunen Center Workshops/ National and International Programs, etc.)
Event/ Activity Date
LEADERSHIP and CITIZENSHIP – Local, County, Regional, State (i.e. Banquet Program or Emcee, Day Camp Instructor, Community Service-Learning Project,
This may be a duplication of previously recorded information
Event /activity Project Code Year
______
______
______
______
OTHER 4-H INVOLVEMENT (Not listed elsewhere, i.e. hosted LABO or other exchange programs and dates)
Program/Activity Code Date
Page Four
4-H LOCAL, STATE, NATIONAL AWARDS/RECOGNITION
(List honors or awards received and year)
Award/Recognition Year
NON-4-H EXPERIENCES (list only those currently participating in at school, church, faith group and/or community)
Activity/Event Date
WORK EXPERIENCE- Include any work experience you have had starting with most recent experience, describe your responsibilities.
Position Responsibilities Date
DeltaCounty 4-H Career Summary Form-updated 11/01
PORTFOLIO
Portfolios are becoming accepted as a way to communicate specific information about your knowledge, skills and competencies. The 4-H Award Report Form does not effectively show skills learned or documented knowledge gained academically, in teamwork and/or in personal management skills. Therefore, with a portfolio you are able to present yourself in a manner that gives more of an understanding about you, the individual person and your growth.
Your Portfolio Documentation could include pictures of you and your project, your involvement in an activity i.e. committee or volunteer work, babysitting, lawn work, paper delivery or other forms of responsibility. Newspaper clippings about your work with the date, certificates or letter of thank you or congratulations, photo of hobbies, copy of “best works” in photography, art, special honors or recognition, involvement in team work, i.e. sports, etc.
PORTFOLIO CHECK LIST:
Notebook. All pages are to be placed and secured into a notebook.
4-H Award Record Form is to be placed loosely inside notebook.
Title Page – your picture, name, age, name of club, years in 4-H (first page in notebook)
Table of Contents – can be placed on back of Title Page.
Documentation – Place your most important materials in Portfolio. Count each page with front and back sides as one page (not to exceed 15 pages) and show your most recent efforts at the beginning of each grouping. Plastic sleeves for each page work well to keep everything together.
Divider Pages inserted for each grouping and to extend past the Title Page and Documentation Pages. Suggest dividing your Portfolio: 4-H Involvement, School Involvement, Community/Other, Hobbies/Personal. (Divider pages do not count as number of pages.)
Pictures in Portfolio need to have date and brief description.
Newspaper Articles need to have date of publication.
Maintain consistency in printing – type or handwritten throughout Portfolio.
Portfolio should show progressive development of accomplishments if focusing on a specific task.
Ribbons, pins, patches, etc. are not to be included.
QUESTIONS – on completing the Award Report, including the Portfolio – contact your
4-H Club Organizational Leader.