4-H Awards Application Form

"*" indicates required fields

Please select the award for which you are applying:*

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Parents'/Guardians' Name(s):*

Number of years in 4-H:*

Primary Club:*

Age as of August 31 of current year:*

Grade as of August 31 of current year:*

Birthday:*

What project(s) do you consider to be your primary area(s) of involvement over the past one to four years?*

What life skill (i.e. record keeping, public speaking, etc.) have you learned through this/these project(s)? What did you enjoy most about the project(s)?*

What influence has your 4-H involvement had on your family?*

What do you consider to be your most meaningful 4-H experience?*

Has 4-H helped you in making future plans and goals? If so, what are your plans and goals at this time? (Example: school, career, family, project goals)*

What is the most meaningful award recognition you have received as a result of your 4-H involvement?*

How have others gained from your leadership experiences?*

What suggestion(s) would you make to change your county's 4-H program and what would you be willing to do to help make the change?*

Write a short script that could be used when presenting the award, if selected. Include your most outstanding accomplishments in 4-H (150 words maximum.)*

Extension Educationin Orange County

Texas A&M AgriLife Extension Service

4-H Awards Application Form

4-H Awards Application Form

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