4-H Community Service Award
To be filled out by 4-H Club or group and submitted to 4-H Office
4-H Club or Group______Club Leaders: ______
Area (s) of Community Service Program (i.e. Health, safety, recreation, etc.):
______
______
Number of 4-H members in club or group: BOYS______GIRLS______Total______
Number of meetings or work sessions in which program being reported was included______
What did your group accomplish?______
______
What projects &/or activities did your group conduct? Tell how many were involved and specifically describe what was done.
Describe cooperation with other community organizations, agencies, individuals, &/or group:
What were the results of your Community Service Programs to the group and community?
Signature of Club Leader______Date______
Signature of Club President______Date______
*NOTE: Attach to this report form supporting materials such as: news clippings and pictures to further tell the story of your work
Best All-Around Club
Name of Club______
Year Club Begin______Current Year______
Number of Members:______Adult Leaders:______
PARTICIPATION
A. Average monthly attendance at club meetings______Number of visitors during year______
B. Indicate activities members participated in by giving attendance figures and describing what was done by individuals:
Number Explanation
National 4-H Week______
County Activity Day______
District Activity Day______
Day Camps______
Summer 4-H Camp______
4-H Congress______
Summer Fun Program______
Camping Trips______
County Fair______
State Fair______
Fashion Shows______
Livestock Activities______
Retreats/Conferences______
Achievement Program______
C. Youth Council Meetings (# your club representatives attended)______
Duties or offices held:______
D. Number of volunteers attending County Council/Leaders' Assoc. meetings:______
E. Number of members giving Presentations: Club______County______District______State______
F. Number of Project Records submitted:______
G. Number of Cumulative Records/Resumes/Interviews:______
H. Has your club helped other organizations or groups? Explain
I. Describe what your club did during National 4-H Week.
J. Have members from your club represented 4-H at civic clubs?______
*Note* Write a brief summary of why you feel that your club deserves this award.
Signatures:
Leader______Club President______
4-H Agricultural Awards
Nominee/Recommendation
Name______Age:______
Address:______
4-H Club:______
1. What agriculture-related 4-H projects has the individual completed this year?
______
______
2. Check all the 4-H activities nominee has participated in this year related to Agriculture:
_____Club Presentation
_____County Activity Day
_____District Activity Day
_____State Presentations
_____State Congress
_____County Fair Exhibits
_____Local Livestock Show & Sale
_____Other Livestock Shows
_____Local Livestock Judging Contest
_____State Livestock Judging Contest
_____National Livestock Judging Contest
_____Animal Camp
_____Workshops attended
_____Workshops given by individual
_____Field trips or tours. List (ag. related):______
_____Assistance with Extension on-farm tests or demonstration plots
_____Other. List:______
3. How have you (or the 4-H'er) shared the knowledge of your/their agriculture projects with others
(family members, 4-H'ers, and other people)?
______
______
4. Write a brief statement explaining why you/or the nominee should be recognized for outstanding achievement in Agriculture.
______
______
______
______
Signature of 4-H Leader:______Date:______
4-H Beautification Award
Name of Club______
Number of Members______Adult Leaders______
1. Describe the community beautification project or projects that your club identified to work on.
______
______
______
______
2. Describe the responsibilities of the leaders & members. Include how leaders helped to accomplish the club's goals.
______
______
______
3. List the resource people that were involved and how they helped. (list any people from outside the club who were helpful—i.e. Community organizations, etc.).
______
______
______
*NOTE
Attach samples of news articles, photographs with captions, letters or other printed materials to
support your report.
Leader Signature______Date______
Club President Signature______Date______
Family & Consumer Science Award
Nominee/Recommendation
Name______Age:______
Address:______
4-H Club______
1. What home economics-related 4-H projects has the individual completed this year?
______
______
2. Check all 4-H activities individual has participate in this year related to Home Economics:
_____4-H Cooking Club
_____County Fashion Revue
_____4-H Sewing Club
_____State Fashion Revue
_____Club Presentation
_____County Activity Day
_____District Activity Day
_____State Presentation
_____4-H Congress
_____County Fair Exhibits
_____County Fair Dress Revue
_____Spring Into Cotton Event
_____State Fair Exhibits
_____Featured in news
_____Workshops attended
_____Workshops given by individual
_____Field trips or tours: List:______
_____4-H Baking Contest
_____Other: List______
3. How has this individual shared his/her knowledge gained from 4-H projects with others (family members, 4-H'ers, and other people)?______
______
4. Write a brief statement explaining why you believe you/or the nominee should be recognized for outstanding achievement in Home Economics.
______
______
______
Signature of 4-H Leader:______Date:______
Most Improved 4-H Club Award
To receive this award, a club must demonstrate growth over a two year period. Growth is measured by larger number of participants and involvement in more activities. A total comparison will be made by the judges to determine which club
has improved the most in all areas combined.
Club Name______Leader Signature______
Previous Yr.Current Yr.
1. Number of new club members gained______
2. Average number club members attending meetings______
3. Number club meetings held______
4. Number of educational programs at meetings______
5. Number club fund-raising projects______
6. Number of community service projects______
7. Number club members turned in complete project books______
8. Number of County Council meetings attended by club.______
9. Number of club members turned in cumulative/resume/interviews______
10.Number of Adult Leader meetings attended by club______
Indicate number of 4-H'ers who participated in each activity:
County Fair______
County Activity Day______
District Activity Day______
State Presentation______
District Teen Retreat______
4-H Congress______
4-H Camp______
Fashion Shows______
CountyTalent Show______
Livestock Activities______
State Fair______
4-H Summer Fun______
Achievement Program______
Others: List:______
______
Briefly explain how you think your club has improved this year and tell why you think you qualify for this award.
______
______
______
______
______
______
______
WilsonCounty 4-H
Teen Leader of the Year Application (14-18)
Return to 4-H office by January 4th (5:00 p.m.)!
Name______Age______
4-H Club Name______
In a brief paragraph, please explain why you feel that you would be the best candidate for this award.
______
______
______
______
______
______
______
Please indicate what activities you have been involved with THIS year (2010).Also, indicate what level of activities you have been involved in (L= local, C=county, D=district, S=state, N=national).
If you need additional pages for information, please add.
Example: CountyActivity Day-C, 4-H District Activity Day (presentation)-D, etc.
WilsonCounty 4-H
Junior Leader of the Year Application (9-13)
Return to 4-H office by January 4th (5:00 p.m.)!
Name______Age______
4-H Club Name______
In a brief paragraph, please explain why you feel that you would be the best candidate for this award.
______
______
______
______
______
______
______
Please indicate what activities you have been involved with THIS year (2010).Also, indicate what level of activities you have been involved in (L= local, C=county, D=district, S=state, N=national).
If you need additional pages for information, please add.
Example: CountyActivity Day-C, 4-H District Activity Day (presentation)-D, etc.