I PLEDGE MY HANDS TO LARGER SERVICE…..
4-H Community Service Report
Complete one for each project and return to your local 4-H program coordinator.
Name of person reporting:
Address, City, Zip:
Phone number:
Email address (if available):
4-H club name:
County:
Name of community service project:
If there is not an official name, just create a name that includes a general description of the project.
Number of youth involved in the service project:
You may include 4-H members, non-member siblings, non-member friends who also participated.
Number of adults involved in the service project:
Please include club leaders, 4-H parents, 4-H grandparents, and other adults who helped the club with their service project.
Estimated number of people served with this project.
Estimated number of hours the club (as a whole unit) invested in this service project.
Hours planning:
Hours doing the project:
Hours spent on miscellaneous tasks wrapping up the project:
Did you receive a grant for this service project?
If so, please include the name of the grant, the donor, and the amount or items received.
Please share any stories, quotes, reactions, or special insights about this service project you
think would help give a better picture of the impact it made in the lives of the people of the
community it served.
If you have any photos taken during the service project, please select the best 2 or 3 photos and share
them with your county 4-H program coordinator.
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