BURNETT COUNTRY 4-H - Extension Douglas County



Douglas County 4-H

Community Service Award Application Form

Annual Legislative Award to a Burnett County 4-H Club

This form is designed to help a Burnett County 4-H Club report on a Community Service project their club carried out during the current project year.

Please include scrapbooks, newspaper clippings, letters, etc., to enhance your report.

Club: _________________________________________________________________

Number of Members: __________ Number of Leaders: __________

1. What were your community service projects or events? Who or what did they involve?

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2. Why did you choose these projects?

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3. What effect did the projects have on your community?

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4. Would you do these same projects again?

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Any other important information: ______________________________________________

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Rev.7/5/2016

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