State 4-H Council Officer Candidate by 23K0Jb

VIEWS: 0 PAGES: 1

									                                                                                    4-H State Council
                                                                                 Presidential Appointed
                                                                                   Commitment Form
All Commitment Form must be e-mailed to Ms. Wendi Armstrong at wendiz@ufl.edu by
August 4, 2011.

Member’s Agreement Statement
I have read and understand the guidelines set forth in the Florida 4-H State Executive Board Handbook and
The Constitution of the Florida 4-H Council for the position that I am seeking within the Florida 4-H State
Council. I am willing to devote the time required.

I will remain active in my club, county and district 4-H program, as well as maintain an acceptable academic
standard (set by my parents) in school during my service as a Florida 4-H Executive Board Member.

If appointed as a 4-H State Council Executive Board Member, I am willing to pay or secure a sponsor to cover
the estimated costs of being a 4-H State Council Executive Board Member (see event expenses at florida4h.org
state events). If I choose to solicit sponsors, I will visit with county Extension staff before making donor
contacts.

Further, I am willing to conduct myself to the high standards level expected for a 4-H State Council Executive
Board Member as stated in the 4-H code of conduct.

           _______________________________                                            ________
           Signature of 4-H member                                                     Date



Parent/Guardian Agreement Statement
As parent/guardian, I understand that my son/daughter wishes to be a 4-H State Council Executive
Board Member. I will support him/her in fulfilling the responsibilities should he/she be selected.
       _______________________________                      ________
       Signature of Parent/Guardian                          Date


Agent’s Consent Statement
As an agent, I am aware that _________________________ is a candidate for 4-H State Council Presidential
Appointed Executive Board Member. I certify that the above named 4-H’er is enrolled, active, and
in good standing in a club and county 4-H program. I recommend this
4-H member for this position and will support them in fulfilling the responsibilities should he/she
be selected.
        _______________________________                          ________
        Signature of 4-H County Agent                            Date

                                                          (For Office Use Only)

                                  Date received:                    Initials of State Advisor:
The Institute of Food and Agricultural Sciences (IFAS) is an Equal Opportunity Institution authorized to provide research, educational
information and other services only to individuals and institutions that function with non-discrimination with respect to race, creed,
color, religion, age, disability, sex, sexual orientation, marital status, national origin, political opinions or affiliations. U.S. Department of
Agriculture, Cooperative Extension Service, University of Florida, IFAS, Florida A. & M. University Cooperative Extension Program, and
Boards of County Commissioners Cooperating.

The 4-H name and emblem are protected under 18 U.S.C. 707
Updated 2/18/2011

								
To top