SW District 4-H Officer Filing Application

Serving in office during the 2017 4-H Year

Term in office: YAC 2016

To YAC 2017

Revised 8/2014

Complete the following information: (Print clearly)

Full Name of Applicant ______

Mailing Address______

City ______State ______Zip Code ______

Home Phone ( ) ______- ______Cell Phone ( ) ______- ______E-mail address ______

District ______County ______

You must attend a candidate workshop offered by the SW District 4-H Specialist. These are done online.

Dates for these online trainings are September 13 or 19, 2016 at 5 p.m.

Which training did you attend?

Please have your county extension educator email Kim Davis by September 9, 2016 to let her know which training you will be attending. The SW District 4-H Specialist will email you the information you will need to attend the training. If you have a conflict with these dates please let your County Extension Educator know.

Rank office preference(s). If you would consider more than one office, please indicate the second office of interest. The District Election Committee will contact candidates who file for more than one office before placing your name on the ballot.

Office(s) being filed for: / Rank
No more than 3
President
Vice President
Secretary
Reporter
Song Leader

Name to be printed on ballot and used on Web site ______.

Candidates for district office must have a minimum of 200 points on the filing application. Consider all years of project work as you complete the application.

Instructions: Multiply the number in the “How Many” column by possible points to get the points earned. The number can not exceed the “Max Points” noted in the third column.

Experiences / How Many? / Possible Points / Max. Points / Points Earned
1.  Held a 4-H office, such as President, Vice-Pres., Secretary, Songleader, Recreation Leader or Reporter at the local or county level. (5 points per office.) / 5 / 25
2.  Held a 4-H office at the District or State level. (List all offices and the year held.)
(5 points per office.) / 5 / 20
3.  Serving as a State 4-H Ambassador. (5 points per year.) / 5 / 25
4.  Served as an active member of one or more local 4-H club committees. List committees: / 5 / 20

5.  Actively served on county committee of youth and adults, cooperatively planning and conducting an activity or event. List committees:

/ 5 / 20

6.  Chaired a county planning committee.

/ 5 / 20
7.  Presented original 4-H presentation before a regularly scheduled Civic Group on the local or county level. List groups: / 5 / 50
8.  As a representative of 4-H, instructed 4-H members or others in one or more workshops at 4-H camp, club meeting, day camp, or school. (Do not include school projects not directly related to 4-H project work. A workshop should be a minimum of 45 minutes in length.) List workshop topic(s) and location(s)/group(s): / 5 / 20
9.  Trained 4-H members in demonstrations, judging and/or project work. / 5 / 20
10.  Trained non-4-H members (youth and adults) in a project area. / 5 / 20
11.  Organized community service program(s) in the community, county, or state (i.e. Kids Helping Kids, community beautification, Kicks4Kids, etc.) List examples: / 5 / 50
12.  Participated in six (6) different county events, such as the county fair, project show, fabric and fashion/fashion revue, Share the Fun, judging events, public speaking contests, camp, etc. (Count no more than 2 of the same kind of contest/activity/event) (5 points per event.)
List events: / 5 / 30
13.  Delegate to District 4-H Leadership Conference (10 points per year attended.) / 10 / 30
14.  Delegate to State 4-H Roundup (10 points per year attended.) / 10 / 60
15.  Set up educational display at District or State event. / 5 / 20
16.  Attended conference(s) for further developing leadership skills. List the name(s) of conference(s): / 5 / 20

17.  Recruited 4-H members who maintained membership, for a minimum of two (2) years.

(5 points per year.) List names of members:

/ 5 / 20
18.  Submitted a Project Record Book to State Competition. (10 points per year.) / 10 / 50
19.  Submitted a county project report form to county office. (5 points per year.) / 5 / 25

Total Points

/ 545

I have rated myself and personally filled out this application. My leadership experiences total ______points.

Candidate’s Signature ______Date ______

Approval

I have reviewed this report and checked points the member earned and believe it to be correct.

County Extension Educator’s Signature ______Date______


If elected as a 4-H officer, during my year of service I pledge that I will:

Read and initial each section of the pledge.

Respect

·  To honor and respect the Oklahoma 4-H organization and to conduct myself in such a manner as will reflect positively on the program and the office I hold.

·  To show respect and appreciation for 4-H members, volunteers, parents, OCES educators, and OCES specialists. Prove myself to be worthy of their support and trust.

·  Use wholesome and appropriate language and behavior in all formal and informal conversations.

Citizenship

·  Remain enrolled and active at the local and county level, remembering, “I am first and foremost a 4-H member.”

·  To serve as an advocate for the 4-H program on the local, county, district, and state level.

·  Become knowledgeable of be able to share facts about Oklahoma 4-H the Cooperative Extension Service.

·  Develop skills as an effective public speaker presenter through continuing education, preparation practice.

Fairness

·  To represent the concerns, interests, and ideas of 4-H members and make decisions based on the welfare of the 4-H program and the constituents I represent rather than my own personal interests.

·  Treat all 4-H members, volunteers, extension professionals, and others equally without discrimination.

Responsibility

·  Commit the time necessary to attend officer and committee meetings, reach planned objectives and to thoroughly prepare and participate in required activities/events.

·  Be dedicated and committed to the 4-H Youth Development Program of the Oklahoma Cooperative Extension Service.

·  Be willing to commit 1 year of service to the district 4-H program with the knowledge that my time and responsibilities will be divided between 4-H activities at the local, county, district, and state levels.

·  Assume financial responsibility for the purchase of the official casual officer uniforms, and any travel, lodging, food and registration.

·  At all times, maintain proper dress and good grooming so as to project a professional and desirable image of 4-H.

·  In a timely manner, write and respond to all electronic mail, letters, thank-you notes, reports and other correspondence that are necessary and desirable.

·  Accept and search out constructive criticism and evaluation of my total performance.

·  Willingly take and follow instructions as directed by those responsible for the district 4-H Leadership Team.

Trustworthy

·  At all times, serve as a positive role model and mentor for younger members.

·  Follow and abide by the Oklahoma Code of Conduct when representing 4-H on the local, county, district, state, and national level and any other published policies or rules governing 4-H affiliated events and activities.

·  To fulfill the duties and obligations of the position which I hold as outlined by the District 4-H Leadership Team By-Laws, as well as expectations as outlined in this State and District 4-H Leadership Handbook or be removed from office. (See By-Laws, Addendum 1 (Ratified 1/2008),

·  Avoid places or activities that could raise questions as to one’s moral character or conduct.

·  Maintain and protect my personal health through adequate rest and good nutrition.

Caring

·  Be available and willing to travel without creating conflict at home, work or school.

·  Conduct myself in a manner that inspires respect through service and consideration for others.

·  Strive to improve abilities to carry on meaningful and enjoyable conversations with individuals of all ages and from all walks of life. Maintain dignity while being personable, concerned and interested in others.

·  Have a positive and enthusiastic attitude. Regularly evaluate your attitude and make every effort for improvement.

·  Work in harmony with fellow 4-H officers and not knowingly engage in conversations detrimental to Oklahoma 4-H or other 4-H members, officers or adults.

·  Serve as a cooperative member of the leadership team.

Attended all required SWD Officer Meetings, 4-H Day at the Capitol, Leadership Team Retreat in Stillwater, State Roundup, and SWD YAC

Youth Signature Parent Signature