4-H 511
MARYLAND 4-H SUMMARY RECORD
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This record belongs to: Sally Senior
Mailing Address:
(City/Town): Frederick
Year: 2015
Name
(Street): 123 Pleasant Street
(State) : MD
Please indicate age as of January 1st: 16
4-H Age—Please check:
Junior (8-10)
Birth Date: 1/16/96
Grade in School: 11
(Apt. #):
(Zip): 21701
Intermediate (11-13)
Years in 4-H: 10
Senior (14-18)
County/City: Frederick
4-H Club(s): Rocky Ridge, and Breezy Hills
These are my 4-H goals for this year:
My 4-H projects this year; number of years in project: Sewing (10), Foods (10), Crafts (10), Home
Environment (8), Public Speaking (8), Horse (7), Photography (3), Leadership (2), Consumer Savvy (1)
I have evaluated by records and believe they are complete and accurate.
Signed
4-H Member
Date
I have reviewed this record book.
Signed
Volunteer
Comments:
Date
Club Participation
Number of Meetings I Attended (check or make notes)
Jan
Feb
Mar
Apr
May
June
RR
RR
RR
RR
RR
RR
BH
BH
BH
BH
BH
July
Aug
Sept
RR
BH
BH –
Horse
meet
in PA
Oct
Nov
Dec
RR
RR
RR
BH
BH
BH
RRToys
for
Tots
drive
Committees & Offices (4-H & Other)
Name of Committee/Office/Role
Description/What I Did
Rocky Ridge 4-H Club President
Run monthly meetings and attend club events. Enter the Club
Book at the Frederick Fair.
Promotional Activities
I promoted or publicized 4-H in these ways during the year (for example, news articles, TV, radio, 4-H
Ambassador responsibilities, displays, fair booths, flyers, new member recruitment, expansion efforts):
Date
Activity
Results
Be Specific – Explain Activity & Location
AG Week at the Mall- helped club members enter a 1st Place
02/15
4-H Club Booth that had to do with the certain fair
theme.
2
Communication Activities
I took part in the following communication activities (for example, judging, demonstrations, illustrated
talks, public speaking, conference judging, reports at club meetings, community groups):
Date
Type of Communication
Title
Event or Location
01/15
Public Speaking
Promoting AG in the
Classroom
Catoctin High School
Awards and Honors
Include 4-H awards and honors such as fair and county recognition (you may add additional pages)
Date
Activity/Event
Award
Location
01/15
Public Speaking
1st Place Senior Age
Division
3
Catoctin High School
Journal of Activities, Events, and Experiences
Use this page to record all activities, events, and experiences as you have them. Include 4-H, volunteer,
community, citizenship, leadership, service learning, school, and other activities.
Date
4-H Event
Type of Activity or Event
Location
12/15
Toys for Tots Drive
Community
2/15
AG Week at the
Mall- Ice Cream
Making
4-H
Thurmont
Grange Hall
FSK Mall
3/15
Public Speaking
Contest
4-H
4-H Office
05/15
Beef Workshop
4-H
Frederick
Fairgrounds
Description
Collected items for
Toys For Tots
Make Ice Cream with
club members in
hopes of winning 1st
place
Participated in
contest by speaking
about topic of choice
Learned about daily
hair care, nutrition,
and showmanship
skills
(Add other pages as needed)
Developed by
L. Martin Hamilton
Alice Hevner
Mary Ellen Waltemire
P2000
Issued in furtherance of Extension work, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture, University of Maryland, College Park, and
local governments. Cheng-i Wei, Dean and Director of University of Maryland Extension.
The University of Maryland is equal opportunity. The University’s policies, programs, and activities are in conformance with pertinent Federal and State laws and regulations on
nondiscrimination regarding race, color, religion, age, national origin, gender, sexual orientation, marital or parental status, or disability. Inquiries regarding compliance with Title
VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments; Section 504 of the Rehabilitation Act of 1973; and the Americans With Disabilities Act of
1990; or related legal requirements should be directed to the Director of Human Resources Management, Office of the Dean, College of Agriculture and Natural Resources,
Symons Hall, College Park, MD 20742.