ADAMS COUNTY 4-H
MEMBER EVALUATION AWARDS PROCEDURE
PROCEDURE
1.
FORMS REQUIRED - also available online at:
http://www.uwex.edu/ces/cty/adams/4h/MEandRecordBookForms.html
 ME Form
 Resume – limited to 2 pages
 One Letter of Reference (Completed by someone other than a
relative)
 Trip preference sheet
 4-H record book
2.
Application Deadline
 Application materials are due October 1st.
3.
Interview
 Members are required to interview for awards, date and time to be
announced. If the member is unable to attend the interview, he/she
will forfeit their opportunity for the trip or awards.
4.
Judges
 A panel of 3 judges will review resumes, interview candidates, and
make the final selection. All decisions of the judges are final. The
4-H Youth Development Agent will also be present as an added
resource for the judges.
5.
Delegate Requirements
 If you are selected as a delegate or award recipient, you will be required
to complete the following requirements:
- Pay ½ of award trip bill by January 15.
- Full payment of trip must be made by April 15.
- Trip Promotional Report Form (attached)
Approved July 2008 Leaders Association
Updated September 2013
Updated July 2014
S:\4-H\4-H Awards\ME\Member Evaluation Awards Procedure
Adams County 4-H Awards
Ambassador (applications are due October 1st)
This office is awarded to two outstanding 4-H’ers, one as a Senior and one as a Junior
Ambassador. If selected their job is to represent and educate Adams County about 4-H.
For more details, see the Ambassador position’s description and application forms.
Top Record Book (Record Books are due October 1st)
Award is given to recognize achievement in project work during the current year. A
recipient is chosen in age categories.
Record Book Project Awards (Record Books are due October 1st)
Awarded certificates & pins for achievements in up to two outstanding project areas.
These awards are given at the annual banquet in November.
Ivan Morrow Outstanding Volunteer Award (nominations are due October 1st)
The Ivan Morrow Outstanding Volunteer Award is an annual award given to two 4-H
volunteers. This award is given to recognize volunteers who have given outstanding
service to Adams County 4-H at the club or county level. Nominees must be an enrolled
4-H volunteer in good standing of an Adams County 4-H club for at least 2 years. A
completed nomination form must be submitted by the deadline of October 1 st. A leader
may win this award once every 5 years.
Outstanding Youth Award (nominations are due October 1st)
Is an annual award given to two enrolled 4-H members. They are active members who
have promoted 4-H within their club and county. This award recognizes youth who
exhibit 4-H spirit and are all around outstanding members. They must be an enrolled
4-H youth in good standing of an Adams County 4-H Club for at least 2 years.
Recommendation can be from a 4-H member, leader or volunteer who is not an
immediate family member. Youth has demonstrated outstanding leadership practices in
their club and at the county level – please give specific examples.
Friend of 4-H (nominations are due October 1st)
Is an annual award given to two non-4-H community members/business’ that has had a
positive impact on 4-H in Adams County. They will have exhibited outstanding service to
Adams County 4-H through volunteering or sponsorship. Nominations can be made by
any 4-H member, club, or family.
State 4-H Awards
(Must complete the Member Evaluation Process for all state awards)
**Youth may be awarded up to two trips per year**
Member Evaluation (ME) Process (applications due October 1st)
Is a process by which youth apply for a trip or specific award through the ME application
process. This process includes submitting a resume and application form to the Awards
Committee. Contact the Extension Office at 608.339.4237 to learn more about this.
Key Award
The Key Award is the most prestigious award that a 4-H member can receive. The award is
based on member's total 4-H record, projects, leadership, and activity involvement. Youth must
have completed their junior year of high school prior to applying. Youth may receive this award
once. Up to 2 members can be selected; winners are announced at the 4-H Awards Banquet in
October/November. This award is sponsored by Farm Bureau and Rural Insurance Company.
WI State 4-H and Youth Conference
A four-day event held on the University of Wisconsin-Madison campus. Members must be in
grades 7- 10 grade at the time of the trip. Up to 4 members from Adams County will be
selected to attend State 4-H Conference the end of June. Delegates participate in a variety of
workshops and tours in the Madison area. Delegates are expected to use their 4-H Conference
experience in their local club and on a county level. Delegates stay in supervised dormitories on
campus. The registration fee is $235 plus extra fees determined by the sessions participants
choose; the Adams County 4-H Leaders Association will pay 75% of the cost of the trip and
members pay the remainder. Members may apply as eligible, however funding and preference
will be given to 1st time participants. As an option any member may apply for this trip and pay
for the entire cost with judge’s approval at the Member Evaluation interview.
Leadership Washington Focus: Washington DC
Leadership Washington Focus (LWF) is a 4-H leadership program for youth in grades 6 through
8. The program will take place at the National 4-H Youth Conference Center, just 1 mile from
the Washington, D.C. border. For more than 50 years, thousands of 4-H’ers have participated in
our high school program, Citizenship Washington Focus and now we are happy to introduce its
precursor for middle school 4-H'ers, LWF. Led by our team of program assistants, delegates
will learn by doing and leave LWF with the experiences, tools, and connections to be leaders in
their communities today. Participants are immersed in the culture and history of our nation
through on-site workshops at D.C.’s most spectacular sights. Up to 2 delegates from Adams
County will be selected to attend this trip in June/July. Total cost is approximately $1100, which
includes transportation, meals and lodging. The Adams County 4-H Leaders Association will
pay 75% of the cost, and members pay the remainder.
Citizenship-Washington Focus
Citizenship Washington Focus (CWF) is a 4-H leadership program for high school youth, grades
10-12 grade at the time of the trip, from across the country. Every summer thousands of young
people stay at the National 4-H Conference Center, near Washington, D.C., to participate in this
week-long program. Up to 3 delegates from Adams County participate in workshops at the
National 4-H Center; visit with U.S. Congressmen and Senators, and tour significant sites in the
Washington D.C. area. Total cost is approximately $1200, which includes transportation, meals
and lodging. The Adams County 4-H Leaders Association will pay 75% of the cost, and
members pay the remainder. If selected for the Citizenship-Washington D.C. Focus Trip, you
will have a choice of four different weeks in June or July to attend the trip.
Space Camp
This is a five day trip to Huntsville, Alabama for youth grades 6th – 8th grade at the time of the
trip. Youth will participate in hands-on mock space missions and other activities in this NASA
program while exchanging ideas with youth from across Wisconsin. Up to 2 members will be
chosen to represent Adams County 4-H. The cost of this trip is approximately $525.00. The
Adams County 4-H Leaders Association will pay 75% of the cost of the trip and members pay
the remainder.
CO-OP Yes
This is a two day youth educational summit for youth grades 10th – 12th during the program. The
summit will be held in Central Wisconsin. Participants learn the purpose, operation and scope
of cooperative business and economy in a fun and educational environment. Youth will also
explore career possibilities and meet youth leaders from across Wisconsin and Minnesota.
Cost for this trip is minimal. Local sponsors are typically secured by the Wisconsin Federation
of Cooperatives Office.
National 4-H Dairy Conference
This is a four day conference in Madison for youth who are in 10th – 12 grade during the
program. About 200 youth from 4-H dairy projects around the U.S. and Canada congregate in
Madison for the National 4-H Dairy Conference held annually in conjunction with World Dairy
Expo. Participants learn about production, processing, marketing and use of dairy products,
and develop a broader understanding of careers available in dairy production, biotechnology,
genetics, marketing and other selected areas. The conference consists of participatory
workshops on the University of Wisconsin-Madison campus, speakers, tours and visiting the
World Dairy Expo. Up to 1 member will be chosen to represent Adams County 4-H.Total cost is
approximately $300.00. Wisconsin 4-H Foundation supports a portion of the cost. The Adams
County 4-H Leaders Association will pay 75% of the cost of the trip and members pay the
remainder.
National 4-H Congress-Atlanta, Georgia
The National 4-H Congress will be held in Atlanta, Georgia. Members who are in grades 10-12
grade at the time of the trip, and maximum age for attendance is 18 as of January 1 of the year
of travel. National 4-H Congress focuses on leadership, careers, and community service. 1
member may be selected to represent Adams County 4-H. The cost of the National 4-H
Congress will be approximately $1100.00. The Adams County 4-H Leaders Association will pay
75% of the trip cost and the Wisconsin 4-H Foundation will provide financial support.
National 4-H Conference: Washington DC
This is not a guaranteed trip if you are selected as the county representative as only six youth
are selected from the state to attend. Members may apply for the National 4-H Conference to
be held in Washington D.C. This trip is for members in grades 10-12 during the program and no
older than 18 as of January 1st. If you are selected to represent Adams County, you will need to
complete a two-page application and submit it to the state by December of the current program
year. The state 4-H program selects the top six candidates. Each youth selected will pick an
issue and work with other youth from across the county to develop plans that help direct future
4-H programming. Your recommendations will be sent to all states, national Extension Program
Leaders, and others who determine 4-H programs. Approximate cost $1100.00. The Adams
County 4-H Leaders Association will pay 75% of the cost of the trip and members pay the
remainder.
The Member Evaluation process is a great way to develop your resume and writing skills. If you
have any questions about the ME process please contact the Extension Office at 608-339-4237
or e-mail at 4-H@co.adams.wi.us. We wish you the best as you showcase your experiences
and leadership skills.
Sincerely,
Adams County Awards Committee
Member Evaluation Form
Name _______________________________________
Grade (as of last January) _________
Adams County 4-H Club you belong to _____________________________________________
How many years in 4-H ____________
*All materials must be typed. This form can be found at
http://fyi.uwex.edu/adams4h/member-resources/member-evaluations/
or retyped as needed. Please limit each answer to ½ a page or less.
1. Describe one project area you felt you learned the most from. Expand on the skills &
knowledge you gained from this project area.
2. List 2-3 goals you had when starting in this project area.
3. List the steps taken to meet your goals. If you did not meet them, what can you do next
time to be sure you achieve these?
4. List 2-3 activities you participated in. These can include club, county, state, or national
activities. Give a brief description of each activity and how it contributes to your success in
the 4-H Program.
5. Share with us an important concern that you think youth have to deal with. Do you feel
that 4-H can help youth deal with this concern positively? Are there some
changes that 4-H could make to help youth even more? If so, what are they?
6. What are your plans in 4-H for the next year?
TRIP PREFERENCE SHEET
Of the trips offered this year, rank in order the one(s) you would be most interested in
being considered for:
____
Space Camp (Grades 6-8)
____
Leadership Washington Focus (Grades 6-8)
____
WI 4-H & Youth Conference (Grades 7-10)
____
Co-op Y.E.S. (Grades 10-12)
____
Citizenship Washington Focus (Grades 10-12)
____
National 4-H Congress (Grades 10-12)
____
National 4-H Conference (Grades 10-12)
____
National 4-H Dairy Conference (Grades 10-12)
In addition to the above trips, you can also apply for the following. Check if
you are interested:
____
4-H Key Award (Grades 11-13)
Parent/Guardian endorsement:
I feel that my child, _____________________, has stated the information in the M.E. Form
accurately, and should be considered for selection by Adams County 4-H for an award/trip.
Signed ___________________________________________ Date _______________________
General/Project Leader endorsement:
I feel confident that this 4-H member has stated the information in this M.E. Form
accurately, and should be considered for selection by Adams County 4-H for an award/trip.
Signed ___________________________________________ Date _______________________
Adams County
Trip Promotional Report Form
The Adams County 4-H Leaders Association pays 50% of the Older Youth Award trip cost for each
member (minus spending money). In return, trip recipients are expected to help promote 4-H and
the available trips. To help promote 4-H, trip recipients must complete 2 of the 4 options listed
below. TRIP RECIPIENTS WHO DO NOT COMPLETE THESE REQUIREMENTS WILL BE INELIGIBLE FOR
FUTURE TRIPS, AWARDS AND SCHOLARSHIPS SPONOSRED BY THE ADAMS COUNTY 4-H LEADERS
ASSOCIATION.
Name ______________________________________ Trip ____________________________________
Club ________________________________________________________________________________
When you complete a requirement, write the date in the blank provided and ask a representative
from the place where you went to sign the form as a record that the requirement was completed.
In return for the 4-H Leaders Association
Financial Support, I . . .
Date
Signature
1. Must write an article for the Clover Connection
____________
________________________
2. Talked at 4-H club meeting other than my own
____________
________________________
3. Wrote a news article for local paper
(please include a copy of the newspaper article)
____________
________________________
4. Set up a display at the County Fair and/or
4-H Awards Banquet or other 4-H function
____________
________________________
5. Create a display/poster to be exhibited at the
Community Center
____________
________________________
Member Signature __________________________________________ Date _____________________
Parent/Guardian Signature ___________________________________ Date _____________________
DUE ON OR BEFORE OCTOBER 1st OF YEAR FOLLOWING TRIP
Return completed form to:
4-H Youth Development
569 N. Cedar Street, Suite #3
Adams, WI 53910
This form will need to be signed with your acceptance letter
that you receive after you are awarded trip.
Updated June 6, 2012 by the Awards Committee
Resources for you to use when
completing your packet
Five WAYS OF IDENTIFYING IMPORTANT INFORMATION
TO BE INCLUDED ON YOUR RESUME
1. How can you show how much you’ve grown since your first year in 4-H in terms of
knowledge, complexity or difficulty, time and/or money, worth or value,
responsibility, leadership, maturity, judgment or decision making, service to others,
relationships with others, recognition, etc?
2. How can you most clearly and concisely express this growth to someone who
Knows little about you or the activities you’ve been involved in? Remember that the
people who read your form may not be familiar with 4-H. Will they understand your
terminology or the significance of places or events? If not, how can you concisely
explain this?
3. How can you convey the most information to the reader while still keeping
your resume easy to read? When should you use paragraphs, phrases, outlines,
lists, labels, graphs, etc?
4. Some information may fit in several places. How can you minimize repetition
so you can include as much different information as possible? Are there
some places where you feel it is appropriate to do some repeating.
5. How can you best use the sections of the resume to complement each
other? How should they be different? Where will be the best place to give
lots of facts and figures? Where will be the best place to tell about how you feel
about what you’ve done, difference it has made in you, your family, your
community?
6. Have someone other than your self proof read your application and resume. An
excellent resource could be your English teacher.
EXAMPLE: Resume Worksheet
Name: Adams Clover
Address: 1122 4-H Lane
City: Adams, WI 53910
E-mail: Sampleresume1@monster.com
Phone: Home: 555-555-5555
4-H Club: Jolly Green Giants 4-H Club
Education:
School: A-F High School
Graduation Date: 06/06/10
Award/Expectation Objective: Please List Award Trip and Preferences. It’s OK to
request more than one Award Trip.
4-H Experience:
4-H Leadership: List all activities you participated in as a leader, such as:
EXAMPLES: 4-H Ambassador, 4-H Camp Counselor, Club Officer, 4-H Youth
Leader, Committee Chair, Demonstrations, Leader’s Association Board Member,
Judging Team Participant, Dog Obedience, 4-H Arts Camp, State Fair Delegate,
Youth/Adult Partnership Retreat, Officer Training, Adams County Fair Assistant,
Super Saturday, Cloverbud Day Camp, etc.
4-H Citizenship/Community Involvement: List all the activities that you
participated in that benefited your community:
EXAMPLES: Food Pantry, Resident Home Visits, Relay 4 Life, Adopt-A-Highway,
Habitat For Humanity, Community Flower Bed, Historical Society, Dairy Promotion,
County Fundraisers, School Visits, Participating/assisting at Community Events,
Parades, Club Scarecrows, etc.
4-H Activities: List all activities which you participated in 4-H:
EXAMPLES: Camp Participant, Foods Revue, Clothing Review, Cultural Arts
Festival, Super Saturday, Cloverbud Day Camp, Fundraisers (County and Club),
Adventures Activities (Camp-Out, Hayride, Fishing), County Fair (Dress-A-Critter,
Barn, Auction), Livestock Committee, Club Activities, County Wide Projects,
Awards Program, Special Craft Workshops, etc.
Skills: List years in project and greatest accomplishment. Note that accomplishment
should not be a ribbon/trophy or award.
EXAMPLES: Photography
5
Established a photo journal
Horse
5
Taught my horse to pick up the correct lead
Foods/Nut.
4
Made a 5 course meal for 5 people
Interests/Other Activities: List all other outside activity involvement.
EXAMPLES: Varsity Tennis, Team Captain, 2000-2004; A-F FFA, Secretary,
2000, Pizza Hut Waitress, 2000-2004
Achievement: List All Special Awards and Recognition.
EXAMPLES: HCE Awards, County Fair Awards, Award Trip Winner, etc.
Resume Adapted from Green Lake County4-H, 2010
ADAMS COUNTY 4-H
Resume Worksheet
This is a worksheet only! Your resume should be done
using your own creativity and format.
Name: _______________________________________________________________
Address: _____________________________________________________________
City: _____________________________________ State: _____ Zip: ___________
Phone Number: ________________________________________________________
E-mail Address:
4-H Club:
Education
School:
Graduation Date:
Award/Expectation Objective: (Please list award trip and preferences you would like to
receive)
4-H Experience: (reference sample resume for ideas)
Leadership:
4-H Citizenship/Community Involvement:
4-H Activities:
Skills: (List years in project and greatest accomplishment. Note that
accomplishment should not be a ribbon/trophy or award)
Project
Yr
Accomplishment
Interests/Other Activities: (List all other outside involvement)
Achievement: (List all Special Awards, Recognitions, and Trips you have received,
including the year you received them)