My 4-H
Record
Book
______
Name
______
Club
______
4-H Record Book Year
County Awards I Would Like to Receive:
County Awards I Have Already Received:
(Picture)
Name ______
Age: ______
Grade Completed as of May 2013: ______
Mailing Address: ______
City, State, Zipcode: ______
County: ______
My 2012-2013 Declared Projects are:
______
______
(No more than two project declarations per year)
Certification Statement
Statement by 4-H Member
My Family and I have personally prepared this report and certify that it accurately reflects my work:
Date ______Signature of 4-H Member ______
Approval of this Report
We have reviewed this report and believe it is correct:
Date ______Signature of Parent or Guardian ______
Date ______Signature of 4-H Club Leader ______
Leader’s Recommendation for county Medals &/or Awards
Table of Contents
COVER PAGE
INDIVIDUAL PHOTO PAGE
CERTIFICATION PAGE
TABLE OF CONTENTS
"MY 4-H STORY"
POINTSHEET ACTIVITY
Record Book Participation
Offices & Committees
4-H Club Meetings
4-H Event Assistant
4-H Key Club
4-H Demonstrations
4-H Foods and Nutrition
4-H Sewing, Clothing, Impressive Dress & Fashion
Share- the- Fun
4-H Speech / Illustrated Presentations
Community Service Work
4-H Wheat Show
Make-it-yourself-with-wool and Lamb lead
4-H Judging
National 4-H Week
4-H Roundup
4-H Workshops, short courses, Programs Attended
4-H Trips, Tours / Field Trips Attended
Fund-Raisers
4-H Showmanship
4-H Livestock shows
4-H Horse Shows
4-H Project Tour
4-H Shooting Sports
4-H Achievement Banquet
4-H Promotional Events
4-H Jack-o-Lantern Contest
State 4-H Project Camp
Quad-County 4-H Camp
4-H Division at Beaver County Fair
4-H Division at State Fair
NON 4-H PARTICIPATION
Non 4-H Experiences
Non 4-H Exhibits
Non 4-H Awards
PROJECTS (Note that each Project Section Listed Below is further subdivided by Objectives, Work
Done, New Things Learned, & Income/Expense & Pictures)
All projects the 4-Her participate in may have a project section. Current Declared projects should be first in this section.
______
______
______
My 4-H Story
______
Date / Description / Level / Award
L / C / D / S
Offices and Committees Served On
Date / Description / Level / Award
L / C / D / S
Club Meetings Attended
Include local Club Meetings, Project Meets, County, District, and State Boards
Date / Description / Level / Award
L / C / D / S
Key Club
Date / Description / Level / Award
L / C / D / S
4-H Event Assistant
Contest, Ceremony leader, projects, etc.
Date / Description / Level / Award
L / C / D / S
4-H Demonstrations
Include local Club Meetings, Project Meets, County, District, and State, Civic Organizations, School, etc.
Date / Description / Level / Award
L / C / D / S
4-H Foods and Nutrition
Include local Club Meetings, Project Meets, County, District, and State, Civic Organizations, School, etc.
Date / Description / Level / Award
L / C / D / S
4-H Sewing, Clothing, Impressive Dress & Fashion
Include local Club Meetings, Project Meets, County, District, and State, Civic Organizations, School, etc.
Date / Description / Level / Award
L / C / D / S
4-H Share-the-Fun
Include local Club Meetings, Project Meets, County, District, and State, Civic Organizations, School, etc.
Date / Description / Level / Award
L / C / D / S
4-H Speech/Illustrated Presentations
Include local Club Meetings, Project Meets, County, District, and State, Civic Organizations, School, etc.
Date / Description / Level / Award
L / C / D / S
Community Service Work
Cannot count as Community Service Project if it benefits only 4-Hers trip account.)
Date / Description / Level / Award
L / C / D / S
4-H Judging
Judging Schools, Quality of Standards, Meat judging, Fairs, Livestock shows, State Field Day, Breed Show Contest
Date / Description / Level / Award
L / C / D / S
National 4-H Week
Posters Displayed, project Item Displayed, Radio or TV interviews
Date / Description / Level / Award
L / C / D / S
4-H Roundup
Delegate, contest participation, short courses, Workshops, Assisted in, District or State Officer candidate, Blue Award, Contest Placings, Fashion Revue
Date / Description / Level / Award
L / C / D / S
4-H Workshops, Short Courses, & Programs Attended
Other than Roundup
Date / Description / Level / Award
L / C / D / S
4-H Trips, Tours/Field Trips Attended
Zoo Snooze, Science Camp=IN, Leadership Delegate District, or state, Denver Western Roundup, KC Conference, CWF and/or National Conference
Date / Description / Level / Award
L / C / D / S
Fund Raisers
Red Wheel, Ronald McDonald Campaign, Local Fundraisers
Date / Description / Level / Award
L / C / D / S
4-H Showmanship
All Livestock including Horse.
Date / Description / Level / Award
L / C / D / S
4-H Horse Shows
Horse Handling Evaluations, Play Days, Open Shows, All Awards, Talks & Demonstrations, horse Club achievement Awards
Date / Description / Level / Award
L / C / D / S
4-H Project Tours
Project Tour by entire club, local club field trips, Any project areas
Date / Description / Level / Award
L / C / D / S
4-H Shooting Sports
Supervised Practice shoots, Session Participation, District & State Trap Shoot
Date / Description / Level / Award
L / C / D / S
4-H Achievement Banquet
Attendance, Decorating, Serving, Special Awards, Officer presiding
Date / Description / Level / Award
L / C / D / S
4-H Promotional Events
Including: Oakwood Mall Day, Teen Helper, Attended, Mini Float, Interactive Display, Style or talent show
County Fair: Interactive Display,& Jack-O Lantern Contest
Date / Description / Level / Award
L / C / D / S
Camp Participation
State 4-H Project camps, Quad County Camp, Conducted, helped, or participated in workshops, Camp Officer, Pre-camp planning, Filed for Camp officer
Date / Description / Level / Award
L / C / D / S
Beaver County Fair & State Fair Participation
All Classes entered in the 4-H division
Date / Description / Level / Award
L / C / D / S
Citizenship / Community Activities
For All Project Areas
Year / Citizenship / Community Activity / Place Held / Ind. / Group / # Helped
Other 4-H Events / Activities Attended
(For All Project Areas)
Year / Name of Event / Activity / Place Held / Other Information
Other Events / Activities Attended – Continued
(For All Project Areas)
Year / Name of Event / Activity / Place Held / Other Information
Awards And Recognitions
(For All Project Areas)
Year / List Awards and Special Recognitions You Have Received For Your 4-H Work / Level
Awards And Recognitions Continued
(For All Project Areas)
Year / List Awards and Special Recognitions You Have Received For Your 4-H Work / Level
(For All Project Areas)
Date / Description / Level / Award
L / C / D / S
Non 4-H Experiences - Continued
(For All Project Areas)
Non 4-H Awards and Recognition
(For All Project Areas)
L / C / D / S
My Horse Project Story
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Objectives of My Horse ProjectWork Done in My Horse Project
(Articles Made, Animals Owned, Hours Worked, etc. You make your own headings to fit your project)
Year
Animals Owned
Project Club Meetings & Activities Attended
Contests & Evaluations
Other Horse Related Events
Leadership Activities
Work Done in My Horse Project - Continued
(Articles Made, Animals Owned, Hours Worked, etc. You make your own headings to fit your project)
Animals Owned / Year
Project Club Meetings & Activities Attended
Contests & Evaluations
Other Horse Related Events
Leadership Activities
Animals Owned
Project Club Meetings & Activities Attended
Contests & Evaluations
Other Horse Related Events
Animals Owned
Hours Worked
Horse Club Meetings Attended
School Activities involving My Achievement Project
New Things Learned in My Horse Project
Year
Expenses / Income For MY Horse Project
(For All Project Areas)
Year / Description of Expense or Income / $ Expense / $ Income
Total
Expenses / Income For MY Horse Project - Continued
(For All Project Areas)
Year / Description of Expense or Income / $ Expense / $ Income
Total
My Shooting Sports Project Story
______
Objectives of My Shooting Sports ProjectYear
Work Done in My Shooting Sports Project
(Articles Made, Animals Owned, Hours Worked, etc. You make your own headings to fit your project)
Year
Guns Owned
Practices
Project Club Meeting
Experiences and Competitions
Guns Owned
Practices
Project Club Meeting
Experiences and Competitions
Work Done in My Shooting Sports Project
(Articles Made, Animals Owned, Hours Worked, etc. You make your own headings to fit your project)
Year
Guns Owned
Practices
Project Club Meeting
Club Meetings
New Things Learned in My Shooting Sports Project
Year
Expenses / Income For My Shooting Sports Project
(For All Project Areas)
Year / Description of Expense or Income / $ Expense / $ Income
My Public Speaking Project Story
______
Objectives of My Public Speaking ProjectWork Done in My Public Speaking Project
(Articles Made, Animals Owned, Hours Worked, etc. You make your own headings to fit your project)
Year
Public Appearances
Other Communications Activities
Project Related Exhibits
Public Appearances
Other Communications Activities
Project Related Exhibits
Work Done in My Public Speaking Project Continued
(Articles Made, Animals Owned, Hours Worked, etc. You make your own headings to fit your project)
Year
Public Appearances
Other Communications Activities
Project Related Exhibits
Year
Public Appearances
Project Related Exhibits
New Things Learned in My Public Speaking Project
Year
Learning Experiences
Learning Experiences
Learning Experiences
Expenses / Income For My Public Speaking Project
(For All Project Areas)
Year / Description of Expense or Income / $ Expense / $ Income
My ______Project Story
______
Objectives of My ______ProjectWork Done in My ______Project
(Articles Made, Animals Owned, Hours Worked, etc. You make your own headings to fit your project)
Year
New Things Learned in ______Project
Year
Expenses / Income For My ______Project
(For All Project Areas)
Year / Description of Expense or Income / $ Expense / $ Income