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/ 4-H Volunteer Awards

Cover Sheet
Friend of 4-H Award / Submit completed forms to:
Linda Walsh
Maryland 4-H Center
8020 Greenmead Drive
College Park, MD 20740
Fax: 301-314-7146
Email:

To nominate a 4-H volunteer please follow these instructions:

1) Read all the award descriptions to determine which specific award will best recognize your volunteer’s contributions to the 4-H Program.

2) Fill out the following award nomination form carefully, being sure to provide the correct information as it relates to that award. Please be aware that the Awards Committee reserves the right to move a nomination to a different category, in order to better recognize a volunteer’s work.

3) Complete this cover sheet with your contact information. Send both this cover sheet and your nomination form to the stated address.

4) Please remember to save your nomination and resubmit it with updates the following year if the volunteer is not chosen the first time.

Your Name: ______County/Unit: ______

Complete Address: ______

______

Phone: ______Email: ______

Authorization:

I believe the information submitted in this nomination to be accurate to the best of my knowledge.

Signature: ______Date: ______

Permission Release:

I______, give my permission for the information contained in this awards nomination to be used as an example for others completing future award nominations. I understand that all or part of the nomination could be published on websites, promotional materials, or shared in variety of media. Please be aware that no awards information will be shared without consent of the author as well as the award winner.

Signature: ______Date: ______

Friend of 4-H Award Nominee’s Name:

______

/ FRIEND OF 4-H AWARD
Award Nomination Form / Questions? Contact:
Dr. Lisa Dennis

OR
Wendy Sites

The Maryland Friend of 4-HAward is designed to recognize an individual, a business or an organization that has provided extensive service, leadership, resources or financial support to the 4-H program, at the local, county, state or national level. The recognition can be for leadership and service to project areas, a specific activity or program, or to 4-H resource development. This award is designed to recognize their support regardless of the length of time, therefore, a nominee may have only one year of support, but that support would be substantial and/or vital to one or more 4-H programs.

Name:
Complete Address:
Complete Telephone & Email:
County/City: / Years as UME Volunteer:

Describe in detailthe service, leadership and/or resource contribution or commitment the nominee has made to the 4H Program, using as much space as necessary. Most nominations can be completed in 500 words but feel free to include as much detail as possible. Please begin the nomination on this page, and be sure to put the nominee’s name at the top of each additional page.

Form Updated: 2012 Maryland Volunteer’s Association Awards Committee- Approved by Dr. Lisa Dennis

Friend of 4-H Award Nominee’s Name:

______

University of Maryland Extension programs are open to all citizens without regard to race, color, gender, disability, religion, age, sexual orientation, marital or parental status, or national origin.