4-H MEMBER JOURNAL
Year ______
Name ______County ______
Club ______Year in Club Work ______
Date of Birth ______Year in School ______
Residence: Rural Rural non - farm Urban
My Projects This Year:
______
______This Space for
______Your Snap Shot
______
______
______
______
______
______
______
I certify that this record is complete and accurate:
Signed ______Date ______
(4-H Member)
I have reviewed this journal.
Signed ______Date ______
(4-H Club Leader)
Add a new page each year
4-H JOURNAL
OF
ACTIVITIES, EVENTS AND EXPERIENCES
Non-Project
Use this journal to record all 4-H activities, events, and experiences as you do them. Include such things as: (not limited to these)
Club meetings Health Community service
Workshops Safety Recreation
Contests Citizenship Judging events
Tours Leadership Ecology
Add pages as necessary.
DATE / ACTIVITY OR EVENT / DESCRIPTION(What I did - What I learned)
DATE / ACTIVITY OR EVENT / DESCRIPTION
(What I did - What I learned)
Page 2
4-H
COMMITTEE AND OFFICE SUMMARY
List committees on which you served and your specific responsibilities. Indicate level:
Local (L) District (D) State (S) National (N)
County (C) Multi-County (M) Regional (R) International (I)
YEAR / NAME OF COMMITTEEOR OFFICE / LEVEL / DESCRIPTION
Page 3
YEAR / NAME OF COMMITTEE
OR OFFICE / LEVEL / DESCRIPTION
Page 4
ACTIVITIES AND EVENTS OUTSIDE OF 4-H
List non 4-H activities and events that you participated in during the year such as church, school, sports, jobs, and leadership experiences in other organizations.
YEAR / DESCRIPTIONPage 5
YEAR / DESCRIPTIONPage 6
AWARDS AND HONORS
(Include 4-H and others)
Indicate level:
Local (L) District (D) State (S) National (N)
County (C) Multi-county (M) Regional (R) International (I)
YEAR / AREA/EVENT / AWARD/HONOR / ACTIVITY/LOCATIONPage 7
YEAR / AREA/EVENT / AWARD/HONOR / ACTIVITY/LOCATIONPage 8
COMMUNICATIONS SUMMARY
(4-H and non-4H)
List the types of presentations such as demonstrations, talks, displays, newspaper, radio, and interviews that you have done. Use these codes to indicate level:
Local (L) District (D) State (S) National (N)
County (C) Multi-county (M) Regional (R) International (I)
YEAR / TYPE OF PRESENTATION / TOPIC / LEVEL / AUDIENCE / SIZEPage 9
SUMMARY OF ATTENDANCE
Indicate level:
Local (L) District (D) State (S) National (N)
County (C) Multi-county (M) Regional (R) International (I)
YEAR / YEAR IN CLUB WORK / PROJECT/AREA / MEETINGS/WORKSHOPS HELD / MEETINGS/WORKSHOPS ATTENDED / LEVELPage 10
PROJECT EXHIBIT SUMMARY
Use this page to summarize your project exhibits. Use these codes to indicate exhibit level and your ribbons/awards:
Local (L) State (S) Ribbons: Purple (P)
County (C) Regional (R) Blue (B)
District (D) National (N) Red (R)
Multi-county (M) International (I) White (W)
or other color used in your county
YEAR / PROJECT / LEVEL / NUMBER OF EXHIBITS / RIBBONS/AWARDSPage 11
YEAR / PROJECT / LEVEL / NUMBER OF EXHIBITS / RIBBONS/AWARDSPage 12