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4-H PERSONAL DEVELOPMENT REPORT
Year
Year in 4-H Age Grade in School
Name
Address
City Zip Code
Photo is suggested
County
Club
Present Star
MY 4-H STORY
Tell what you did, what you liked, what you learned and how you feel about your 4-H year. (If your
story is longer than this space allows, leave this space blank writing only "(See attached)". Story should
be no longer than 6 pages double spaced.) Be creative in this space.
Signed Date
4-H Member
Signed Date
Parent or Guardian
Signed Date
Local 4-H Leader
(6/2000 rbpdr.pub)
4-H PERSONAL DEVELOPMENT REPORT
INTRODUCTION
This form is designed to help you fill out your Annual Achievement Report. Some items may
apply to more than one category on the Achievement Report. Wherever the item is recorded, you can
only use it once per year. You cannot count any item until you have completed it.
Remember that this report is a continuing record and you should add the previous year's total to it
each year as directed on the final page. Since this report also combines the Annual and Permanent
Records as well as the Rank Sheet, maintain it even if you do not apply for a star. Also maintain this
report after you attain a Gold Star since you can use much of the material in it to fill out national report
forms, scholarship applications and other award forms.
A. LOCAL 4-H CLUB MEETINGS ATTENDED
To figure the percent for this item, divide the total number of local club meetings attended by the total number of
local club meetings held. Move the decimal point two places to the right.If the number is less than 80, you cannot
qualify for a star under any circumstances. The local 4-H club determines an excused absence. Excused
absences count as meetings attended. Some kind of make-up activity is recommended...perhaps if the club
meeting is missed, the member could attend the club meeting of another club. (NOTE: Physical presence is
required at all meetings for a 100% attendance pin. Pre-authorized excused absences will qualify member for
100% attendance pin.)
MONTH MEETING DATE ATTENDED EXCUSED ABSENCE
(circle one) (circle one)
September Y N Y N
October Y N Y N
November Y N Y N
December Y N Y N
January Y N Y N
February Y N Y N
March Y N Y N
April Y N Y N
May Y N Y N
June Y N Y N
July Y N Y N
August Y N Y N
MEETINGS MEETINGS %
ATTENDED HELD ATTENDED
80% REQUIRED
÷ = FOR A STAR
B. PROJECT MEETINGS ATTENDED
Follow the same procedure as for "A." The project leader determines excused absences. Any other 4-H activity
constitutes an excused absence.
MEETINGS MEETINGS %
ATTENDED HELD ATTENDED
÷ =
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4-H PERSONAL DEVELOPMENT REPORT
C. 4-H CAMP Total:
Attendance at a regular, approved 4-H camp session. B = 1, S = 2, G = 3
Sa = 4, R = 5
LEVEL: L - Local, C - County, D - District, S - Sectional, St - State, N - National
LEVEL NAME OF CAMP and LOCATION DATE
D. FIELD DAY Total:
Report attendance at a field day here or as an Event Attended (U). These events should B = 1, S = 3, G = 5
include; educational activities, speakers, judging, demonstrations or showmanship. Of Sa = 7, R = 9
utmost importance is, each member would view this as a learning experience (i.e., career
opportunities, livestock, home economics, agricultural engineering, talent or other).
LEVEL: L - Local, C - County, D - District, S - Sectional, St - State, N - National
LEVEL NAME OF FIELD DAY or LOCATION DATE
E. STATE LEADERSHIP CONFERENCE Total:
Report attendance as a representative to the State 4-H Leadership Conference. B = 1, S = 1, G = 1
Sa = 2, R = 2
LOCATION DATE
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4-H PERSONAL DEVELOPMENT REPORT
F. COMMITTEE CHAIRPERSON Total:
Report the number of times you have served as chairperson or co-chairperson of a B = 2, S = 5, G = 8
committee. If you were a group leader at a state conference, you may count that here, but Sa = 11, R = 14
DO NOT report membership on state conference committees here. Senior or HI 4-Hers who
attend 4-H camp as counselors, workers or directors may count it here. A club officer who
has served as a committee chairperson may report services here as well as under offices held.
LEVEL: P - Project, L - Local, C - County, D - District, S - Sectional, St - State, N -
LEVEL NAME OF COMMITTEE YOUR RESPONSIBILITY (be specific) DATE
G. JUDGING CONTEST Total:
Report participation in any judging contest where you competed as a 4-H member. B = 1, S = 2, G = 3
Sa = 5, R = 7
LEVEL: P - Project, L - Local, C - County, D - District, S - Sectional, St - State, N -
LEVEL WHAT YOU JUDGED WHERE DATE
H. WROTE AND SUBMITTED AN ARTICLE Total:
Wrote and submitted an article to be published or broadcast. Keep a copy, if printed, or if B = 4, S = 7, G = 10
material was not used, submit a copy of it to the club secretary or reporter and retain the Sa = 13, R = 16
original for your own records.
SUBJECT or TITLE WHERE SUBMITTED DATE
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4-H PERSONAL DEVELOPMENT REPORT
I. REPRESENTED 4-H SOME OTHER WAY Total:
Include all personal appearances in connection with 4-H work not reported elsewhere (i.e., B = 2, S = 4, G = 6
master of ceremonies; entertainer; fashion revue commentator and escorts; Presentation Day Sa = 10, R = 14
judge, clerk or runner; local exhibit day or fair judge; host or hostess at fairs; soliciting for
buyers; or where you wore your uniform or club t-shirt and represented 4-H other than at 4-
H meetings or events; picture in newspaper as a 4-H member; fundraising; and Food Booth.
DESCRIBE WHAT YOU DID (be specific) DATE
J. COMMITTEE MEMBER Total:
This means attendance at committee meetings and active duty as a committee member. B = 8, S = 14, G = 20
Include all committees from project to national levels. Sa = 30, R = 40
LEVEL: P - Project, L - Local, C - County, D - District, S - Sectional, St - State, N -
LEVEL NAME OF COMMITTEE YOUR RESPONSIBILITY (be specific) DATE
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4-H PERSONAL DEVELOPMENT REPORT
K. JUNIOR OR TEEN LEADER Total:
This refers to the completion of one year as a Junior or Teen Leader. (Required for the Gold B = 1, S = 1, G = 1*
Star, Sapphire, and Ruby Ranks..) One credit for each project led. Sa = 2*, R = 3*
LEVEL: J - Junior Leader (6-8 grade), T - Teen Leader (9-12 grade)
LEVEL TYPE OF LEADERSHIP GIVEN NUMBER LED
L. PREPARED TALKS Total:
Report prepared, scheduled talks relating to 4-H work given before you project group, 4-H B = 4, S = 7, G = 10
club, County 4-H Council, school and other groups. Do not take credit if this is part of your Sa = 13*, R = 16*
job description as an officer, committee chair, Junior or Teen leader. In addition, project
meeting announcements do not qualify as a prepared talk. Can be an illustrated talk (i.e.,
project reports, reports or speeches given to service clubs or other groups).
LEVEL: P - Project, L - Local, C - County, D - District, S - Sectional, St - State, N -
LEVEL TITLE or SUBJECT WHERE GIVEN DATE
M. OFFICE(S) HELD Total:
Includes offices held in your 4-H club or in a countywide 4-H organization, sectional, state B = 1, S = 1, G = 2
or national organization. Project officers also report here if elected to the position. Sa = 2, R = 3
LEVEL: P - Project, L - Local, C - County, D - District, S - Sectional, St - State, N -
LEVEL OFFICE HELD ORGANIZATION
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4-H PERSONAL DEVELOPMENT REPORT
N. RADIO OR TV APPEARANCE Total:
Report all appearances as a participant before a radio or TV audience in connection with B = 1, S = 3, G = 5
4-H work. If the presentation is taped for multiple shows, a member should count this as Sa = 6, R = 6
one appearance.
TITLE or SUBJECT STATION DATE
O. MEDALIST Total:
Includes any 4-H member, other than the division/catagory winner, who receives a medal in B = 1, S = 2, G = 3
a 4-H approved event or who receives a medal or certificate in the California Awards Sa = 4, R = 5
Program (record book competion). (i.e., county events)
LEVEL: C - County, D - District, S - Sectional, St - State, N - National
LEVEL PROGRAM DATE
P. PROJECT EXHIBIT (Focus on the project) Total:
Report the number of events (not the number of projects or divisions entered) at which you B = 2, S = 4, G = 8
exhibited your 4-H livestock, crops, clothing, food or other items (i.e., 4-H Week, project Sa = 9, R = 10
tours, parents' night, exhibit day, fairs and other shows. County fair counts as only one
exhibit per year.)
LEVEL: L - Local, C - County, D - District, S - Sectional, St - State, N - National
LEVEL WHAT WHERE DATE
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4-H PERSONAL DEVELOPMENT REPORT
Q. PARTICIPATION OTHER THAN 4-H Total:
Report your activities in other organizations, including church, school, community. Report B = 3, S = 8, G = 15
offices held, committee service, representation on student councils, honors received, Sa = 18, R = 20
participation in organized sports, job experience, etc. Each organization counts one credit.
(Make It With Wool Contest and Redwood Recreation Lab may be reported here.)
PARTICIPATION PARTICIPATION
R. PRESENTATIONS Total:
Report the number of times you gave a presentation, either alone or as a member of a team B = 4*, S = 7*, G = 10*
at project meetings, local club, county, sectional, state or national events, as well as at Sa = 13*, R = 16*
service clubs, PTA meetings, school or other groups, Presentations must be prepared in TYPE:
advance. Do not count presentations given as part of your Junior or Teen Leader P - Presentation R - Radio
responsibility. Follow the 4-H format for giving a presentation. D - Demonstration V - Video
PS - Public S - Slide
LEVEL: P - Project L - Local, C - County, D - District, S - Sectional, St - State, N - National Speaking K - Skit
LEVEL TYPE TITLE or SUBJECT WHERE GIVEN DATE
S. PROJECTS COMPLETED Total:
Report the number of different projects you completed this year.A completed project is one B = 2*, S = 4*, G = 8*
in which the quality and quantity of the work meets your leader's approval and a project Sa = 10*, R = 12*
record is submitted. Itemize your projects; do not bunch your projects into single catagory.
(i.e., beef feeding and beef breeding are two separate beef projects if taken separately; a
canning project and a freezing project are two separate projects unless taken together as a
food preservation project). (Emerald Star is not a project.)
LEVEL: L - Local, C - County, D - District, S - Sectional, St - State, N - National
LEVEL PROJECT LEVEL PROJECT
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4-H PERSONAL DEVELOPMENT REPORT
T. PLANNED GROUP ACTIVITY Total:
An activity is a planned piece of work undertaken by a 4-H group not to the extent of a B = 1, S = 3, G = 5 Sa
project. (i.e., pen decorations, outdoor garden, indoor booth, etc.). = 7, R = 9
LEVEL: L - Local, C - County, D - District, S - Sectional, St - State, N - National
LEVEL ACTIVITY (Tell briefly what you did)
U. EVENTS ATTENDED Total:
4-H events refer to gatherings other than local club meetings or project meetings. B = 12, S = 25, G = 40
Examples: 4-H Sunday, County Achievement Night, HI 4-H meetings, two or more groups Sa = 55, R = 70
holding a function, county or area tours and training days. Count fair or any other gathering
not reported elsewhere on report.
LEVEL: L - Local, C - County, D - District, S - Sectional, St - State, N - National
LEVEL EVENT LEVEL EVENT
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4-H PERSONAL DEVELOPMENT REPORT
V. AWARD WINNER Total:
An award winner is a member who wins at the highest level in their division/category and B = 1, S = 1, G = 2 Sa
competed with other 4-H members. (i.e., Record Book winner, Best of Show, High Point, = 2, R = 3
Outstanding Exhibitor Award, buckle winners, etc.)
LEVEL: C - County, D - District, S - Sectional, St - State, N - National
LEVEL PROGRAM DATE
W. OTHER - INDIVIDUAL ACHIEVEMENT Total:
Report each activity, event, achievement, accomplishment or endeavor that would not fit B = 1, S = 2, G = 3
any other category or that you considered to be outstanding enough to stand by itself. Sa = 5, R = 7
(Examples: All-Star, Diamond Star, Emerald Star, Merit Award, 100% Attendance Pins at
community level, Exchange Delegate, etc.) Must be 4-H related.
LEVEL: L - Local, C - County, D - District, S - Sectional, St - State, N - National
LEVEL INDIVIDUAL ACHIEVEMENT (Tell briefly what you did)
X. OTHER - GROUP ACHIEVEMENT Total:
Report each group achievement. (Examples:HI 4-H, Clean Pen, Pen Decoration, Judging B = 1, S = 2, G = 3
Team, other group awards, etc.) Sa = 4, R = 5
LEVEL: L - Local, C - County, D - District, S - Sectional, St - State, N - National
LEVEL GROUP ACHIEVEMENT (Tell briefly what your group did and describe your part)
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4-H PERSONAL DEVELOPMENT REPORT
Y. COMMUNITY PRIDE / SERVICE Total:
Report participation when you take an active part as an individual or with other members. B = 1, S = 3, G = 5
Sa = 8*, R = 11*
LEVEL: P - Project L - Local, C - County, D - District, S - Sectional, St - State, N - National
LEVEL DESCRIBE WHAT YOU DID (be specific) DATE
Z. PROJECT SHOWING CONTEST (Focus on the member) Total:
Report appearances as a participant in these activities at local, county, sectional, state, and B = 1, S = 2, G = 3
national 4-H events. (Examples: livestock, dog, horse, rabbit or poultry showmanship, Sa = 4, R = 5
Fashion Revue, Food Fiesta Contest, etc.)
LEVEL: L - Local, C - County, D - District, S - Sectional, St - State, N - National
LEVEL WHAT WHERE DATE
ZZ. C. C. C. C. LEADERSHIP DEVELOPMENT DAY Total:
Worked, planned and/or helped organize the Contra Costa County Citizenship & Leadership B = 0, S = 0, G = 1
Development Day event. Sa = 1*, R = 2*
(Tell briefly what you did) DATE
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4-H PERSONAL DEVELOPMENT REPORT
To get credit as a 4-H member, you must complete at least one project, turn in a Personal Development Report, Project Report
and Project Picture or Story pages. Member will not earn a stripe if these things have not been done. Refer to your club
bylaws for local club rules.
To obtain any of the stars, you must complete the asterisked (*) items as part of your total effort.
Member must fill in the number of meetings attended spaces (A & B) or the book will not be signed.
A LOCAL 4-H CLUB MEETINGS ATTENDED %
B PROJECT MEETINGS ATTENDED %
Number of different items required: Total Total Total All
10 13 16 18 20 This Past Years
TYPES OF 4-H PARTICIPATION Year Years Add
Bronze Silver Gold Sapphire Ruby
II III II + III
Needed Participation * REQUIRED
C 4-H CAMP 1 2 3 4 5
D FIELD DAY 1 3 5 7 9
E STATE LEADERSHIP CONFERENCE 1 1 1 2 2
F COMMITTEE CHAIRPERSON 2 5 8 11 14
G JUDGING CONTEST 1 2 3 5 7
H WROTE AND SUBMITTED AN ARTICLE 4 7 10 13 16
I REPRESENTED 4-H SOME OTHER WAY 2 4 6 10 14
J COMMITTEE MEMBER 8 14 20 30 40
K JUNIOR OR TEEN LEADER 1 1 1* 2* 3*
L PREPARED TALKS 4 7 10 13* 16*
M OFFICE(S) HELD 1 1 2 2 3
N RADIO OR TV APPEARANCE 1 3 5 6 6
O MEDALIST 1 2 3 4 5
P PROJECT EXHIBIT 2 4 8 9 10
Q PARTICIPATION OTHER THAN 4-H 3 8 15 18 20
R PRESENTATIONS 4* 7* 10* 13* 16*
S PROJECTS COMPLETED 2* 4* 8* 10* 12*
T PLANNED GROUP ACTIVITY 1 3 5 7 9
U EVENTS ATTENDED 12 25 40 55 70
V AWARD WINNER 1 1 2 2 3
W OTHER--INDIVIDUAL ACHIEVEMENT 1 2 3 5 7
X OTHER--GROUP ACHIEVEMENT 1 2 3 4 5
Y COMMUNITY PRIDE / SERVICE 1 3 5 8* 11*
Z PROJECT SHOWING CONTEST 1 2 3 4 5
ZZ C.C.C.C. LEADERSHIP DEVELOPMENT DAY 0 0 1 1* 2*
Present Star Star applying for: Purple Bronze Silver Gold
Emerald Sapphire Ruby All Star Diamond
Approved Not Approved Signed
(Community Leader signature required)
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