My
4-H
Record Book
By
Table of Contents/Check List
Place a check mark next to each item you have included in your
Record book.
Cover Page
Information Page
Diamond Clover
Summary
4-H Story
Life Skills (optional)
Me Page (optional)
The Spirit Page (optional)
Journal of Activities &
Experiences
Project Record (s)
Completed Project Workbook (s)
My 4-H Information Page
Your Picture Goes Here
Try inserting a picture from your computer
My Name is
My Birthday is
And my 4-H age is
I am a
Junior
Intermediate
Senior
My Club Name
I have been in 4-H for
My Favorite thing about
4-H is
I am a member of the following
club(s)
My Project Title(s) are
My Wicomico County 4-H Summary
Year 20____- 20_____
NAME
What has been your greatest accomplishment in 4-H this Year.
Club Attendance (place an  in the box for meetings you attended)
Club Name
Sept Oct Nov Dec Jan Feb March April May June July Aug Sept
Did you hold an office or belong to a committee for your 4-H club?
President, Vice President, Secretary, Treasurer, Historian, News Reporter, Recreation,
Telephone, Historian, Safety, Health, Other
Club
Office Held or Committee
Place a  next to the 4-H Activities, Events, Experiences you
participated in, list others in the blank spaces provided
Holiday Workshop
Winterfare
Summer Adventures
4-H Camp
County Fairs
State Fair
County Public Speaking
4-H Awards Ceremony
Livestock Shows
Regional Public Speaking
Community Service
Horse Shows
State Public Speaking
Horse Bowl
List 4-H awards and Honors you have Received as a 4-Her.
My 4-H Story
Please write a story about yourself, your family, and your friends. Include what
you did in 4-H this year. What did you enjoy most? What did you learn about?
What special events did you attend? Be sure to write at least one paragraph on
each project you completed as well as a paragraph describing the things you
have done involving leadership, community service, and citizenship. Let your
creativity help you tell your 4-H story in a unique way. Please pay attention to
your spelling and grammar.
My 4-H Story
Please write a story about yourself, your family, and your friends. Include what you did in
4-H this year. What did you enjoy most? What did you learn about? What special
events did you attend? Be sure to write at least one paragraph on each project you
completed as well as a paragraph describing the things you have done involving
leadership, community service, and citizenship. Let your creativity help you tell your 4-H
story in a unique way. Please pay attention to your spelling and grammar.
Click here to start typing.
Life Skills
Describe the Life Skills you have learned and practiced under
each H of the 4-H Clover. List at least 3.
(This page is optional, but is extra credit for record book grading)
HEAD
HEART
HANDS
HEALTH
Me Page
This page is for adding your favorite photos of this past 4-H year.
(This page is optional, but is extra credit for record book grading)
The Spirit Page
What Does 4-H Spirit Mean To You?
Use the space below to illustrate what 4-H
Spirit means to you by using your creativity.
So put on your thinking cap and write a poem,
a song or a story or maybe you would rather
draw a picture. Remember be creative.
(This page is optional, but is extra credit for record book grading)
Journal of Activities & Experiences
This page is used to record ALL of your activities, events, and experiences. It can include any
work done in 4-H or outside of 4-H. Such as community groups, school, church or anything else.
Please include the type of activity and location in your description.
Date
Type
Description
Example
5-8-09
Church
My youth group helped collect canned food during a community awareness day in
Salisbury. We collected over 500 items for the Joseph House homeless shelter. I
was the team leader and coordinated the drive.
My 4-H Project Record
Complete one form for each project
Name
Project Title
Club you completed the
Project with
Years in this project
Date Project Started
Goals
What Things do you want to learn or do relating to this project?
I have reviewed this plan and agree to support its completion:
(Parent or Helper, Date)
(4-H Leader, Date)
Project Learning Experiences
Complete this form for each project.
Please list any learning experiences you gained while working on this project .
Date
Description of What I Did and What I Learned
4-H Project Financial Records
Please include your Income or Expenses related to your project.
Project Title
Date
Description
Subtotals For
Income Expense
Income
Expense
(add totals for
this column)
(add totals
for this
column)
+$
-$
Total Project Financial Results (Income - Expense) $