Microsoft Word - Active Participation Award App.doc



(Updated 10-2021)Thayer County Active Participation 4-H AwardsName Address City/State/Zip 4-H is learning by doing. It is also sharing your knowledge with others and developing leadership. To encourage active participation throughout the all of 4-H programming, the 4-H council will be offering ten awards to active 4-H members. The award selection will be determined by the number of projects/activities/events participated in. 4-H’ers who are interested in receiving one of the awards need to accurately and completely fill out this form. Turn in the sheet with your record book. The 4-H Council reserves the right to award number of awards as determined by the Awards Review Committee.1Only (1) point per line unless specified differently.1A single activity can only be counted once on this sheet.ACTIVITIESPOINTSClubGave speech/demo in Club (list topic):Shared knowledge or helped another member (describe example)Promoted/Publicized 4-H in some manner (describe example)Recruited new 4-H Member/Volunteer (list name)Helped as a youth leader (describe example)4-H Enrollment completed on timeTurned in Record Book on timeCountyAssisted at event/workshop (describe example)Applied for AwardsCommunity Service 4-H Project (give example)Help with 4-H Show (What did you do? 1 pt. each - list)Attended County-wide Workshop (1 pt. each - list)Judging Contests (poultry, horse, livestock etc. 1 pt. each - list)Presentation ContestPublic Speaking ContestMusic/Performing Arts ContestCulinary Challenge ContestCompany’s Coming ContestIce Cream ContestStyle RevueExhibited a 4-H Animal at County FairExhibited in the 4-H buildingWorked in 4-H Food Stand at FairServed on 4-H CouncilArea/District/StateArea Workshop (1 pt. each - list)State Public Speaking ContestDistrict Horse ShowDistrict Dairy ShowState Horse ExpoExhibited Item(s) at State FairParticipated in State Fair Contest/Show (1 pt. each - list)Participated in AK-SAR-BEN ShowVolunteer at State FairVolunteer at AK-SAR-BENOther area 4-H Livestock Shows/Contests (1 pt. each - list)Participated in PASETotal Points ................
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