Lake County 4-H Hall of Fame Award
The Lake County 4-H Advisory Committee is looking for 4-H Volunteers who go above and beyond in their position of a 4-H Volunteer. The Committee is looking for 4-H Volunteers who have excelled in the program in one or multiple ways for 10 or more years. The application should focus on the volunteer’s whole 4-H experience, not just specific to one year.
Guidelines:
· The nominee is required to have 10 or more years of service.
· The application is due to OSU Extension, 99 East Erie Street, Painesville, OH 44077 by June 29, 2017. NO late applications will be accepted.
· This application must be completed by a 4-H Advisor, Committee Chair, Key Leaders, Parents, or a 4-H member. Nominees are not limited to nominating someone from their own club or project area.
· Volunteers cannot nominate themselves. Application can be typed or neatly printed and all parts of the application must be complete to be accepted.
· The winner will be announced at the Outstanding Youth Ceremony at the 4-H building immediately following the parade, on the first day of fair.
· The inductee will also be nominated to represent Lake County for the State 4-H Hall of Fame.
Lake County 4-H Hall of Fame Nomination Form
Volunteer Name: Years of Service
Address:
City: Zip:
Phone Number:
4-H Club(s):
List the committees this nominee has been involved in:
What have been the nominees major contributions to Positive Youth Development through the 4-H program? For example, offices held, leadership skills, community work, non-club 4-H activities, etc.
Lake County 4-H Hall of Fame Nomination Form (pg. 2)
Volunteer Name: Years of Service
In 250 words or less, please describe how this individual goes above and beyond within the 4-H program and why they should receive the Lake County Hall of Fame Award. Please be specific:
Signature of Nominator: Date:
Printed Name of Nominator: Phone: