DISTRICT 8 4-H COUNCIL
OFFICER CANDIDATE APPLICATION
Complete and submit form to the District Extension Office by May 31, 2013
Double check your enrollment information on 4-H Connect/Enrollment Form. Make sure your gender, date of birth, ethnicity, race, grade, etc. are all correct.
If you are planning to run for a Texas 4-H Council position (Chairman, 1st Vice Chairman, or Delegate-At-Large), you must read, sign, and return with this application AND the Membership Requirements Form for Texas 4-H Council to be eligible to run. Please send the ORIGINAL copy of all forms.
Please TYPE or PRINT NEATLY. Do not change spacing and use only the space provided. Do not attach additional pages.
Name(First) / (Middle) / (Last)
Address
(Street or Route) / (City) / (Zip)
County / Email Address
Home Phone / Mobile Phone
Mother’s Name / Father’s Name
Mother’s Email / Father’s Email
Mother’s Mobile / Father’s Mobile
# Years in 4-H / School Grade (next fall)
Birth date / 4-H Age
(for next year as of 8/31/13)
Polo Shirt size
(Men’s or Women’s)
1. List your major 4-H Project Experiences:
2. List your major 4-H Community Service Experiences:
3. List your major 4-H Leadership Experiences (Include 4-H Offices you have held):
4. List several of the most important 4-H honors received
5. List your non 4-H activities (School, Church, Community, etc.):
6. Candidate Program Information: Please provide a paragraph, no longer than 100 words, that can be used for the printed program for Leadership Lab to express to the voting delegates who you are and what qualifies you to represent their interests as a District 8 4-H Council Officer. The following items are things you may want to consider providing in your paragraph. Please do not use personal pronouns such as “I” or “My”. Use pronouns such as “He/She” or “His/Her”. Do not attach additional pages.
Name
County
Grade in School – next fall / 4-H Projects, Leadership roles
Significant awards
School, church, and/or community activities
7. Below are the District 8 4-H Council Officer positions. Please check the offices which would you like to be considered and for which you meet the age requirements. If you are planning to run for a Texas 4-H Council office (Chairman, 1st Vice Chairman, or Delegate-At-Large), you must read, sign, and return with this application the Membership Requirements Form for Texas 4-H Council to be eligible to run.
Check / Office / Check / Office
Chairman (must be 16 by 8/31/13) / Delegate-At-Large ((must be 16 by 8/31/13)
1st Vice Chairman (must be 16 by 8/31/13) / Vice-Chairman (8 elected positions)
By signing this, I am certifying that all information above is accurate. I understand that I am only able to run for the above officer positions that I have indicated. I also understand that as a District 8 4-H Council officer, I am required to attend the officer training and certain District 8 4-H events to provide leadership and support, such as Gold Star Banquet (October), Food Challenge (Nov/Dec), Holiday Classic (November), Consumer Decision Making (March), Nutrition Quiz Bowl (March), Fashion Show (April), Roundup (April/May), Leaders 4 Life Skillathon (April/May), Horse Show (June), and Leadership Lab (June). The months listed are tentative. They are subject to change.
Applicant Signature / Date
Parent Signature / Date
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