UME, Cecil County 4-H
200 Chesapeake Blvd., Suite 1500
Elkton, MD 21921
410-996-5280
4-H ACHIEVEMENT NIGHT NOMINATION FORM
Due Friday, February 5, 2016
Club Name:
______________________________________________________
Club Spirit Awards:
Junior: (4-H age 8-10 as of 1/1/15)
______________________________________
Intermediate: (4-H age 11-13 as of 1/1/15) ______________________________________
Senior: (4-H age 14-18 as of 1/1/15)
______________________________________
Adult (UME, Cecil County 4-H Volunteer)
______________________________________
County Awards:
4-H Family of the Year Suggestion:
______________________________________
County Volunteer Award Suggestions:
______________________________________
Friends of 4-H Nominations:
County Spirit Award Nominations:
(4-H Age 14-18 as of 1/1/15)
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
Bringing a DISPLAY to Achievement Night?
Bringing a BANNER to Achievement Night?:
____Yes
____Yes
____No
____No
(Deliver Banner to Extension Office by Wednesday, March 2, 2016)
*Club Display Presenter:___________________________________________________
(*Club Display Presenter must be ready and in the Walls Activity Hall. at Fair Hill Natural Resources Area by 5:45 PM)
Submitted by: ______________________________
Please return by Friday, February 5, 2016 to:
University of Maryland Extension, Cecil County 4-H Office
200 Chesapeake Blvd., Suite 1500
Elkton, MD 21921
University of Maryland Extension programs are open to all and will not discriminate against anyone because of race, age, sex, color,
sexual orientation, physical or mental disability, religion, ancestry, or national origin, marital status, genetic information, or political
affiliation, or gender identity and expression.