Pete & Mary Pattee Memorial Award
One $500 scholarships will be awarded to the outstanding 4-H member who is an 11th or 12th grade student
in Gilliam County. A member may receive the award only one time, however, they may apply more than
once. The award may be used at any accredited post high school training course, college or university. In
addition, a memento will be awarded and their name will be inscribed on the rotating trophy.
Application Requirements:
1. Notify the Gilliam County Extension Office by August 5 if you are going to apply for this award.
2. Complete a summary of all of your 4-H activities as an intermediate and senior 4-H member. See
sample format. Application must be computer generated and turned into the Gilliam County 4-H fair
office by 10 am on Monday of fair. Application available online at
http://extension.oregonstate.edu/gilliam/pete-amp-mary-pattee-information-amp-forms
3. Two letters of recommendation completed by adults other than parents. Possible contacts include: 4H leader, teachers, Extension agent, minister, employer, or neighbor. Please submit letters to the 4-H
office by 10 am on Monday of fair.
4. Participate in Pete & Mary Pattee Award interviews.
Basis for the award:
PROJECT RECORDS (20 POINTS)
1.
Completeness
2.
Accuracy
3.
Neatness
4-H ACTIVITIES (60 POINTS)
1.
Participation
2.
Achievement
3.
Leadership
4.
Citizenship
INTERVIEW (20 POINTS)
4.
5.
6.
7.
Personality
Appearance
Ability to Speak
Poise
Pete & Mary Pattee Memorial Award
Interview Score Sheet
Participants= Name __________________________________________________________
Award presented to the outstanding 4-H member based on the following criteria!
RECORDS
-
20 points
1.
Completeness
2.
Accuracy
3.
Neatness
4-H ACTIVITIES -
60 points
1.
Participation
2.
Achievement
3.
Leadership
4.
Citizenship
INTERVIEW -
_______________________Points
Club, Regional, State, & National
_______________________Points
20 points
1.
Personality
2.
Appearance
3.
Ability to Speak
4.
Poise
_______________________Points
Total Points
___________________
Comments:
___________________________________________
Judge=s Signature
Pete & Mary Pattee Memorial Award Application
Name
Phone
Mailing Address
Years in 4-H
School
Grade completed
...............................................................................................................................................................................
4-H project(s) completed
Number of years
Major awards received
4-H PARTICIPATION
Year
County Events Attended
Year
Regional Events Attended
Year
State Events Attended (summer conference, state committees, state fair participation
(exhibits or contest), etc.
Year
National Events Attended
4-H ACHIEVEMENT
Year
Awards & Achievements Earned - County
Year
Awards & Achievements Earned - Regional, State, & National
.4-H LEADERSHIP RESPONSIBILITIES
Year
Role (Explain responsibilities)
CITIZENSHIP
4-H
Year
Community Service Activity
Number of
hours
NON - 4-H
Year
Community Service Activity
Number of
hours