MY 4-H RECORDS by k966Xd

VIEWS: 3 PAGES: 8

									                                                                            CHRISTIAN COUNTY
                                                                  1120 N. Webster St, Taylorville, Illinois 62568
                                                                  Telephone: 217/287-7246 Fax: 217/287-7248


This form must be completed and turned in with your 4-H Records by the last Friday in August______.
                                                      4-H Records Cover Sheet
Name: ____________________________________________________________________________

Address:                                                         City:

Phone:                                       Years in 4-H:

Name of Club:                                                    Birthdate:

Award Areas:
Achievement Career Focus (this spans your whole career in 4-H and you must turn in all your records)
Animal Sciences (includes the following areas: Beef, Dairy, Sheep, Swine, Small Pets, Goats, Rabbits, Horses, Dogs,
Poultry, Veterinary Science)
Community Involvement & Global Awareness (includes Citizenship and Intercultural)
Environmental & Natural Resources (includes Conservation, Camping & Outdoor Living, Entomology, Forestry,
Geology, and Wildlife Conservation)
Food, Nutrition & Health (includes Food and Nutrition, and Health – Physical and Mental)
Home & Family (includes Child Care, Intergenerational, Family Relations, Clothing, Consumer Education, Fashion
Revue, and Interior Design and Home Furnishings)
Leadership (member must be enrolled in Leadership project)
Mechanical Sciences & Technology (includes Aerospace, Bicycling, Computer Science, Electric Energy, Safety,
Science, Small Engines, Tractor, and Wood Science)
Personal Development (includes Communications, Theatre and Performing Arts, Photography, Visual Arts, and
Recreation)
Plants & Soils (includes Crops & Soils, Flower Arranging, Flower & Herb Gardening, Vegetable Gardening,
Horticulture, and Plant & Soil Science)

I am applying in the following area(s):

1.

2.

3.

Signatures

Member Signature

Parent Signature

Leader Signature


                   University of Illinois at Urbana-Champaign College of Agricultural, Consumer and Environmental Sciences
                                United States Department of Agriculture  Local Extension Councils Cooperating
                           University of Illinois Extension provides equal opportunities in programs and employment.
                                              MY 4-H RECORDS

                                              Current Year: _________

Participation in Activities: C=County level, L=Local, M=Multi-county, R=Regional, S=State, N=National, I=International

Club Meeting Attendance: (Place a check mark beside each month you attended a meeting and mark n/a if no meeting
held)
September              December                 March                   June
October                 January                  April                   July
November                February                 May                     August

Please be specific


                       Example:
Talks &                How to
Demonstrations         prepare carrot
                       sticks, L


Radio, TV
presentations &
newspaper articles
written

                       Example:
                       Tour of
Club tours & Trips     Asgrow Seed,
                       L


                       Example:
                       Rookie
Workshops &            Cooks, C
Conferences            Legislative
Attended               Conference, S

                       Window
                       Displays,
Exhibits & Displays    Display Case,
                       Achievement
                       Night, Ect,

                       Monticello 4-
Camps                  H Camp, S
                       Space Camp,
                       N
                   Example:
4-H Judging        Livestock,
Contests           Horse, Ect.
                   (Events you
                   judged)


                   Example:
4-H Service        Tray Favors,
Projects           (# 0f times)
                   Nursing
                   Home, L



4-H Federation     Example:
Activities         4-H Olympics



                   Awards You
Awards Received    received other
                   than county
                   fair awards




4-H Fair Exhibit   Example:
                   County Fair
                   and State Fair
                   awards
                   received

Other              Example:
                   International
                   Night, Job
                   Shadowing
Project Knowledge and Skills: Explain the things you have learned through your 4-H projects and experiences this year.

Project Area            Learned to load film
Example:                Took pictures from different angles
Photography             Received an A rating at County Fair
Project Knowledge and Skills (Cont’d).
Leadership Exhibited: Show the ways you have provided leadership during your 4-H experiences. Remember, as a
young member you will probably not have very many experiences in this area.



                   Example:
                   Refreshment,
Committee          Window
                   Display




Committees
Chaired & Club
Offices Held




Junior Leader
Project Leader
Activities




Other
Community/School/Other Accomplishments (These are non-Extension on Non-4-H Activities)




Other Activities,
events you have
organized and/or
taught




Other: Sports, Band,
Choir, Key Club,
Student Council,
Scouts, Honors,
Awards
My 4-H Story: The 4-H Story should relate to your projects, as well as your activities or experiences during the period of
September 1 through August 31. Do not mention your name in the story.

								
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