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4-H Club Community Service Award Application Form
4-H Club Community Service Award Application Form
4-H Club Community Service Award Application Form
"
*
" indicates required fields
Name of Club
*
Email
List the Community Service Projects that your 4-H club has completed during this past Texas 4-H year. Tell (approximately) how many 4-H members and adults participated, and estimate how many volunteer hours were provided for each activity. Only include projects that helped organizations outside of 4-H.
Date of Project
*
MM slash DD slash YYYY
Description & Impact
*
Number of 4-H Members Participating
*
Number of Adults Participating
*
Total Number of Hours Provided
*
Project #2
Date of Project
*
MM slash DD slash YYYY
Description & Impact
*
Number of 4-H Members Participating
*
Number of Adults Participating
*
Total Number of Hours Provided
*
Project #3
Date of Project
*
MM slash DD slash YYYY
Description & Impact
*
Number of 4-H Members Participating
*
Number of Adults Participating
*
Total Number of Hours Provided
*
Project #4
Date of Project
*
MM slash DD slash YYYY
Description & Impact
*
Number of 4-H Members Participating
*
Number of Adults Participating
*
Total Number of Hours Provided
*
Project #5
Date of Project
*
MM slash DD slash YYYY
Description & Impact
*
Number of 4-H Members Participating
*
Number of Adults Participating
*
Total Number of Hours Provided
*
Project #6
Date of Project
*
MM slash DD slash YYYY
Description & Impact
*
Number of 4-H Members Participating
*
Number of Adults Participating
*
Total Number of Hours Provided
*
Project #7
Date of Project
*
MM slash DD slash YYYY
Description & Impact
*
Number of 4-H Members Participating
*
Number of Adults Participating
*
Total Number of Hours Provided
*
Project #8
Date of Project
*
MM slash DD slash YYYY
Description & Impact
*
Number of 4-H Members Participating
*
Number of Adults Participating
*
Total Number of Hours Provided
*
Project #9
Date of Project
*
MM slash DD slash YYYY
Description & Impact
*
Number of 4-H Members Participating
*
Number of Adults Participating
*
Total Number of Hours Provided
*
Project #10
Date of Project
*
MM slash DD slash YYYY
Description & Impact
*
Number of 4-H Members Participating
*
Number of Adults Participating
*
Total Number of Hours Provided
*
Please list all projects before continuing to the following questions.
What did the 4-H members learn from these activities?
*
How did the activities benefit others?
*
What future community service activities does the 4-H club have planned?
*
Name of Person Submitting Form
*
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