4-H MEMBER PERMANENT RECORD
Include all 4-H years of membership including Cloverbuds
Name
Club _____________________________
4-H PROJECTS
List each project once in the first column. Put a check in each year you have completed the project by
exhibiting it at a club meeting or the county fair.
Projects (i.e.-foods, beef –
not things taken to fair such as
bench, brownies, etc)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
1
2
3
4
5
6
7
8
9
10
11
12
13
4-H ACTIVITIES
Check each activity that you participated in during the appropriate year of 4-H membership.
Club Activities
Attended required number of
club meetings
Served as a club committee
chair
Participated in club community
service project
Participated in club tour/
picnic/trip
Participated in club fund raiser
Lead club recreation/social
event
Recruited new 4-H families
Helped organize club
achievement program
Participated in club project
meetings
Served as youth project leader
Served as youth activity leader
(music, drama...)
Turned in completed record
book on time
Included pictures and
clippings in record book
Gave demonstration or speech
Helped with club fair displays
Served as a club officer
Indicate offices:
Other:
Other:
Other:
1
2
3
4
5
6
7
8
9
10
11
12
13
County Activities
Attended county project
meeting/trainings
Participated in Project
Discovery Day
Taught at Project Discovery
Day
Served on a county committee
Assisted at county activity
Participated in music/drama at
Festival of Arts
Presented speaking/demo at
Festival of Arts
Attended Foods Revue
Attended Clothing Revue
Participated in Dog Obedience
Attended Summer Camp
Served as Cloverbud Day
Counselor
Served as Summer Camp
Counselor
Exhibited at county fair
Served as Ambassador
Attended county association
meetings (Leaders, Horse,
Rabbit, Goat, Livestock)
Officer of county association
(Leaders, Horse, Rabbit, Goat)
Explore Wisconsin or Out of
State Trip Delegate
Other:
Other:
Other:
Other:
1
2
3
4
5
6
7
8
9
10
11
12
13
District, State and
National Activities
1
2
3
4
5
6
7
8
9
10
11
12
13
State 4-H Youth Conference
Delegate
American Spirit Delegate
Citizenship Washington Focus
Delegate
National 4-H Congress
State Fair Exhibitor
State Team Member – Art,
Tech, Drama, Showcase
Singers
State Dog Show Exhibitor
State Horse Event Participant
State Horse Expo Exhibitor
State Shooting Sports Meet
Youth Plant Science Day
State Mechanical Science
Contest
Area Animal Science Day
Other:
Other:
RECORD BOOK AWARDS
Record the years you received the following record book awards.
HCE Record Book Award
Animal Science
Mechanical Sciences
Natural Resources/Environ. Ed
Community Service
Farm Bureau Record Book Award
Arts and Communications
Home Economics
Plant and Soil Sciences
Robert Roggow Junior Leader
Achievement
Leadership
I Dare You
Project Award: List project followed by year - do not include awards received at fair or other competitive event.