Achievement
Agriculture
Aerospace
Beef
Bicycle
Bread
Biological Sciences
Career Exploration
Cats
Child Care & Development
Citizenship & Civic Education
Clothing & Textiles
Community Service
Computer Technology
Conservation
Consumer & Family Sciences
Consumer Education
Dairy
Dog Care & Training
Demonstrations
Electricity
Engines, Tractors & field Equipment
Entomology & Bees
Environmental Stewardship
Fashion Review
Family Life
Food Nutrition
Forestry
Goats
Gardening & Horticulture
Healthy Lifestyles
Hobbies & Collections
Home Environment
Horticulture
Horse
Industrial Arts
Judging
Leadership
Outdoor Education & Recreation
Performing Arts
Personal Development
Pets
Photography & Video
Physical Sciences
Poultry
Plant Sciences
Public Speaking
Rabbit
Reporting
Safety
Sheep
Shooting Sports
Swine
Vet Science
Visual Arts
Technology & Engineering
Wildlife & Fisheries
Wood Science
Cleveland County Medal Form
(For members not completing record books)
Name: ______Club: ______Date: ______
To receive a medal in this project you must have completed the specified number of requirements for your level of project work.
0
Complete Mailing Address: ______Phone: ______
4-H Project being Reported: ______Years in 4-H: ___ Years in this project: ____
Level of medal applying for: (check one)_____Bronze _____Silver _____Gold
Things Learned- List new things/skills learned in this project.
1.6.
2.7.
3.8.
4.9.
5.10.
Project Work - List projects completed that were specified for your year of project work.
Communication Skills
____Interactive Display(s):
Title______Level (circle): Club CountyDistrictState
____Speech (es), Demonstration(s), PowerPoint(s) or Illustrated Talk(s) (circle the one done)
Title______Level (circle): Club CountyDistrictState
____Educational Display(s)
Title______Level (circle): Club CountyDistrictState
____Poster(s)
Title______Level (circle): Club County District State
____Workshop(s) Taught
Title______Level (circle): Club CountyDistrictState
____News Article(s) written/published
Title______Wherepublished ______
____Radio & TV Appearance(s)
Title______Radio or TV Station ______
____Other Communication Skills ______
Citizenship- List citizenship projects participated in this 4-H year. Place * by those related to this project
Leadership- List leadership projects participated in this 4-H year. Place * by those related to this project
Member Recruitment- List member recruitment activities.
Educational Experiences- List workshops attended, tours, field trips, camps, conferences and classes. Place * by 4-H sponsored experiences
County, District or State Events- List any county, district or state events participated in.
Non 4-H Project Work- List School, Church or other activities participated in this year.
Photos-Attach up to 3 pages of pictures showing project work. Do not overlap photos on the page.