8-10 My 4-H Year Record Form - ONLINE

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My 4-H Year (8-10 year olds)
Name
Address
4-H Club
Click here to enter text.
Year
Birthdate
EX: 2014-2015.
EX: 3/2/2005.
Street, City, State, ZIP.
Click here to enter text.
Yr. joined 4-H
Select a Year.
These are my goals for this year:
EX: Raise a baby pig; Learn to work with clay; Learn to plant & care for vegetables; Learn to groom my dog; Learn to use microwave
These are my projects for this year:
EX: Swine I; Visual Arts; Veg Gardening A; Dog I
My Photo
I have evaluated my records & believe they are accurate, complete and verify this represents my own work.
4-H Member
Date
We/I have reviewed this record book.
4-H Leader(s)
Date
Club & Project Meeting Participation
Record the number of meetings you attend. Click in box and choose from drop down menus below
Club
SPIN
Club
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
June
July
Aug
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Leadership, Committees & Office Summary (4-H & Other)
Record Leadership, club offices you hold and committees you are a member of. EX: Led pledge at Club meeting; Club Treasurer/kept
track of club balance in accounts; Refreshment Committee/member-provided snacks at meeting; Student Council/4th Grade class
representative
Type of Leadership
Describe what you did
Communication Activities/Promotional Presentations
List ways you communicated about or promoted 4-H. (Talk, demonstration, reports at club meetings, news article, 4-H promo)
EX: Gave demonstration at club meeting on grooming my Dog; talked about Foods Workshop I attended at club meeting; helped with
club National 4-H Week activity; assisted at 4-H promo booth at the Fair
Awards & Honors (4-H and other)
EX: 4-H Swine Show/Champion Duroc Barrow/4-H Fair; 4-H Visual Art Show/State Fair Alternate/4-H Fair; Honor Roll/High
Honors/School; Spelling Bee/Top 5th Grader/School; Music Contest/First/County Contest; Fine Arts Show/2nd Place/County Fair
Activity/Event
Award
Location
Journal of all your Activities, Events and Experiences
Use this section to record ALL activities, events, and experiences you attended and participated in as you have them.
Include 4-H, school, sports, church, and volunteer activities.
SUCH AS: Meetings, Workshops, Contests, Tours, School, Citizenship, Leadership, Sports, Camps
EX: 4-H Foods Workshop; 4-H Fair Orientation Program; 4-H Camp; Traveling Soccer Team; Speech Contest; School Play; VBS;
Type of Activity/Event
Location
Description
4-H Story - write your story in space provided below
Provide a story/extended response below about your year in 4-H. Tell what you learned this year and whether you were able to meet your
goals listed on the first page. Tell what you liked best about your year in 4-H and what you’d like to do next year. MINIMUM OF ONE
PARAGRAPH (4-5 sentences)
EX: This year I learned to plant and grow vegetables in our garden. I got to plant carrots, potatoes, sweet corn, and green beans. I was
really excited about the sweet corn because it is my favorite vegetable! Some of the hot days I had to be sure to go out and water the
garden. I think I met my goal of learning to plant and care for vegetables. I liked showing my vegetables at the Fair the best. Next year I
hope to plant some different things in my garden and might try strawberries.
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