Douglas County 4-H ~M.E.Trip Preference

Name / Grade you will be 10/01/this year
Address / Age you will be 01/01/this year
City, State and Zipcode / 4-H Club

1. Please rank trips in order of preference: 1 being first choice, 2 being second choice, etc.

2. It is not necessary to rank all trips – only those you are interested in and qualified to take.

3. Your preferences will be considered by the Board when evaluating your M.E. application.

4. There is no guarantee of receiving any trips.

_____ / National 4-H Congress – November in Atlanta, GA
Approx. 1300 youth from across the nation attend this quality, educational and cross-cultural experience designed to address the needs and issues of youth. The program combines various sessions, seminars, discussion groups, and a service learning experience. / 
 / Not Interested
Not Eligible
Qualifications: In grades 10-12 at time of selection. Maximum age of 18 as of January 1 in year of travel. See 4-H Travel Policies for cost details.
_____ / CitizenshipWashington Focus – Held one week in June or July in Washington,D.C. CWF is a 4-H leadership program for high school youth from across the country. Participants stay at the National 4H Conference Center and take part in a week-long program focused on enriching young people’s lives by providing activities for them which broaden their appreciation and respect for themselves and others in their world. The week consists of participatory workshops, speakers, committee work, field trips and social events. / 
 / Not Interested
Not Eligible
Qualifications: In grades 10-12. See 4-H Travel Policiesfor cost details.
_____ / Wisconsin 4-H & Youth Conference– Held at the University ofWisconsin Madison in June each year. Approx. 700 youth attend this educational event each summer. Participants take part in seminars and assemblies and meet people from across Wisconsin. They are encouraged to take what they learn and share it with others in their home communities. / 
 / Not Interested
Not Eligible
Qualifications: In grades 7-10. See 4-H Travel Policiesfor cost details.
_____ / Superior Days – Held in late February. Participants discuss the concerns and successes of their community with Wisconsin legislators in Madison. There are
3-4 evening meetings from Oct-Feb to prepare for the 3-day Superior Days trip. / 
 / Not Interested
Not Eligible
Qualifications: In grades 11-13. See 4-H Travel Policiesfor cost details.
_____ / Co-op Y.E.S. (Youth Educational Summit) – Two days of exploring career possibilities and learning the purpose, operation, and scope of cooperative business and economy in a fun and educational environment. / 
 / Not Interested
Not Eligible
Qualifications: In grades 10-12. See 4-H Travel Policiesfor cost details.
_____ / Art Lab–Held on a weekend in December orJanuary, sometimes in Eau Claire and sometimes in Wisconsin Dells. Offers 4-H members and adult leaders an in-depth, hands-on session in one art or communication project of their choice. / 
 / Not Interested
Not Eligible
Qualifications: In grades 9-13. See 4-H Travel Policiesfor costdetails.
_____ / Horse Leaders Conference – Held the second weekend in November. Horse-related workshops and activities for youth and adult leaders. Held at UW-Oshkosh in odd years and UW-RiverFalls in even years. / 
 / Not Interested
Not Eligible
Qualifications: In grades 7-13. See 4-H Travel Policiesfor cost details.
_____ / Winter Camp– Held in January at Crosswoods Camp north of Drummond in BayfieldCounty. This is a chance to meet 4-H’ers from other counties in the Northern District while enjoying a variety of leadershipactivities. / 
 / Not Interested
Not Eligible
Qualifications: In grades 8-13. See 4-H Travel Policiesfor cost details.
_____ / National 4-H Conference – Six youth from Wisconsin are selected to attend this working conference in Washington, D.C. Participants help develop plans to direct national 4-H programming priorities and meet with legislators on Capitol Hill. / 
 / Not Interested
Not Eligible
Qualifications: In grades 10-12. Cost details will be determined by Board.
______/ Other 4-H trip or activity you desire to attend or participate in.
Examples: State Teams, Space Camp, Fall Forum, State Horse Expo. Please list the trip/activity you desire:

Why have you chosen the trip opportunities as indicated on the above form? What do you hope to gain from this experience?

Signature of Member / Date

I support my child’s application for the designated trip(s)/activities they are applying for. I have reviewed the 4-H Travel Policies and understand there may be additional costs involved on my part.

Signature of Parent/Guardian / Date