OGLE COUNTY PROJECT HONOR AWARD APPLICATION
(Report only work done this year. One form per 4-Her. If you want to compete for ANY special awards this year or in the future, you
will need to be sure that everything included on this form is also written on either your “My 4-H Activities” form or on a project goal
sheet. Special awards judges will NOT see this application.)
Name _____________________________________________ Club ______________________________
2014-2015
Age as of 9/1/14 ____________ Number of years I have been a 4-H member--including this year ________
I am applying for the Project Honor Award in: ____________________________________________
(choose one area below)
Aerospace
Beef
Bicycle
Cats
Child Development
Citizenship
Clothing & Textiles
Communication
Computer
Consumer Ed
Crops
Dairy Cattle
Dairy Goat
Do Your Own
Thing
Dogs
Electricity
Entomology
Food & Nutrition
Floriculture
Forestry
Geology
Geospatial
Health
Horse & Pony
Intercultural
Intergenerational
Interior Design
Leadership
Meat Goat
Natural Resources
Photography
Plant & Soil
Public
Presentations
Poultry
Pygmy Goat
Rabbits
Reading
Robotics
Sheep
Shooting Sports
Small Engines
Small Pets
Sportsfishing
Swine
Theatre Arts
Tractor
Vegetable
Gardening
Vet Science
Video
Visual Arts
Welding
Wildlife
Woodworking
#’s appearing in parenthesis indicate points possible per item
I.
PROJECT RECORD (45 POINTS) Answer the following about your project honor award area (above)
Number of years I’ve been in this project area: __________
A.
What I learned from this project this year
Max.
Score
Your
Score
1. _____________________________________________________________________(2)
12
_____
5
_____
4
_____
3
_____
2. _____________________________________________________________________(2)
3. _____________________________________________________________________(2)
4. _____________________________________________________________________(2)
5. _____________________________________________________________________(2)
6. _____________________________________________________________________(2)
B.
I learned more about this project by attending an educational workshop, meeting, or event
outside my local club. 4-H shows and classes in school don’t count. Event and its location
must be listed for credit.
_______________________________________________________________________
(Do not include Auctions, Day or Dabbling, classes taken in school or judging contests here.)
C.
I read magazine articles, books, and/or brochures about this project in addition to my 4-H
manual. List title and author.
1. Title ________________________________________________________________
and Author _________________________________________________________(2)
2. Title _________________________________________________________________
and Author _________________________________________________________(2)
D.
I gave a talk or demonstration in my project area: Title ___________________________
Date _____________________
E.
Project Work Done
I qualify for the ___________________________ achievement award (10 pts).
20
____
(PROJECT, SERVICE, LEADERSHIP--Check with your club leaders to see if you qualify.
Project achievement = 8-11 year olds; Service achievement = 12-14 year olds; Leadership
Achievement = 15-18 year olds.)
I enrolled in and kept records for one or two other project areas this year.
List that/those project areas.
1. ____________________________ (5 pts) 2. __________________________(5 pts)
(Completed goal sheets for these project areas must be included in your record book in order
for you to get credit for them here. To get full credit, your goal sheets must be fully complete.)
F.
I received a BLUE (10 points), Red (7 points), White (4 points) rating on my 4-H Fair
Exhibit for this project. Underline one.
10
_____
G.
I showed an exhibit from this project area at my club project tour, club achievement
program, the 4-H Fair, or to my leader. Underline one.
5
_____
H.
I helped a fellow 4-Her in this project area (or another project area for which I’ve
completed records). Talks and demonstrations don’t count here. Tell who you helped
and what you did. Be specific for full credit. (Brothers and sisters who are in 4-H will be
accepted.)
4
_____
Who ____________________________ What I did _______________________________
I.
I’m applying in an animal project honor award area. My ANIMAL RECORD for that animal
area is in my record book. (Areas include: cat, dog, rabbit, horse, dairy, beef, sheep, swine
goats, and poultry. Records must be accurate & complete for total credit.)
Total for section I. (45 maximum)
II.
3
_____
_____
MY 4-H ACTIVITY RECORD (40 POINTS)
PART A (36 points maximum)
POINTS WILL NOT BE GIVEN FOR INCOMPLETE INFORMATION Each event may only be counted once on form.
4-H MEDIA PROMOTION – anytime you represent 4-H in the media – COPIES MUST BE
INCLUDED IN RECORD BOOK FOR CREDIT. (Photo copies acceptable. Please highlight
your name or where you are in photo.)
____ (2) Date & newspaper _____________________________________________________________
____ (2) Date & newspaper _____________________________________________________________
____ (2) Date & newspaper _____________________________________________________________
4-H CLUB MEETING PROGRAMS – Participated in a special presentation at a club meeting
in the following areas:
____ (2) Culture Study – date & culture studied _____________________________________________
____ (2) Healthy Living – date & presentation _______________________________________________
____ (2) Healthy Living – date & presentation _______________________________________________
____ (2) SET (Science, Engineering, & Technology) – date & presentation ________________________
____ (2) SET (Science, Engineering, & Technology) – date & presentation ________________________
____ (2) Citizenship/Leadership – date & presentation ________________________________________
____ (2) Citizenship/Leadership – date & presentation ________________________________________
4-H COMMUNITY INVOLVEMENT
____ (2) Assisted club with Dairy Month promotion – place & activity ________________________________
____ (2) Assisted club with set up Fall Window Display
____ (2) Promoted club at a parade – event & date _____________________________________________
____ (2) Promoted club at a parade – event & date _____________________________________________
____ (2) Helped with club promotion of National 4-H Week – place & activity _________________________
(News articles don’t count. Wearing green to school does not count; but wearing club shirts does.)
____ (2) Participated in Community Service – place & activity _____________________________________
____ (2) Participated in Community Service – place & activity _____________________________________
____ (2) Participated in Community Service – place & activity _____________________________________
4-H COUNTY PROGRAM PARTICIPATION
____ (2) Attended 4-H Day of Dabbling
____ (2) Attended Discover 4-H Day
____ (2) Attended Science Super Saturday
____ (2) Attended Prepare For Fair
____ (2) Attended another 4-H county event not listed elsewhere – event ___________________________
____ (2) Sold pizza or cookie dough in the annual Ogle County 4-H Fundraiser
4-H RECREATION
____ (2) Helped with club game booth at the Penny Carnival – booth name __________________________
____ (3) Assisted Federation with Penny Carnival – what you did __________________________________
____ (2) Participated in county 4-H bowling tournament
____ (2) Participated in county 4-H softball tournament
4-H CAMPING/OUTDOOR EDUCATION
____ (2) Attended 4-H Club camping event – place & date________________________________________
____ (3) Attended 4-H camp at Camp Benson – dates attended ______________________________
____ (2) Attended other 4-H sponsored outdoor event – event & place ______________________________
____ (3) Participated in 4-H Shooting Sports SPIN club – discipline ________________________________
4-H JUDGING EFFORT WHERE YOU WERE THE JUDGE
____ (2) Club organized judging event – Project area judged ______________________________________
____ (2) Carroll County Judging Event – area judged ____________________________________________
____ (3) State judging contest – area judged __________________________________________________
____ (2) Other 4-H judging event – place & area judged _________________________________________
4-H DRILL TEAM – participated in show as a member of the Ogle County Drill Team
____ (2) Event & place ___________________________________________________________________
____ (2) Event & place ___________________________________________________________________
4-H WORKSHOPS – Attended a workshop (cannot be same as listed for I-B)
____ (2) Club sponsored workshop – date & project area ________________________________________
____ (3) Participated in 4-H SPIN club – which club ____________________________________________
____ (2) County event – place & project area __________________________________________________
____ (2) Other 4-H event – place & project area ________________________________________________
4-H HORSE PROGRAM
____ (2) Participated in the Regional Horse Bowl / Hippology Contest
____ (2) Participated in the State Horse Speech Contest
OGLE COUNTY 4-H FAIR
____ (2) Helped with 4-H Fair Set-up/Clean-up – date & area ____________________________________
(Fair Association Work Days do not count here.)
____ (2) I assisted the Extension staff at the fair by: ___________________________________________
Do not count activities listed elsewhere on form.
____ (2) I worked at the Children’s Farm at the 4-H Fair – date __________________________________
____ (3) I provided animals for the 4-H Children’s Farm – animal provided _________________________
OTHER SHOW PARTICIPATION
____ (2) Exhibited at a county or multi-county show OTHER than Ogle County 4-H Fair –event & place
_____________________________________________________________________________
____ (2) Exhibited at a county or multi-county show OTHER than Ogle County 4-H Fair –event & place
_____________________________________________________________________________
____ (3) Exhibit at the Illinois State Fair – project shown _______________________________________
4-H PROGRAM LEADERSHIP EFFORT
____ (3) Attended a 4-H Leadership Conference – event & place ________________________________
____ (3) Attended the Illini Summer Academies
____ (3) Attended the Great 4-H Debate
____ (3) Attended Speaking for Illinois 4-H Training
____ (3) I assisted with a State 4-H event at the Illinois State Fair
____ (5) I was a counselor at 4-H Camp
____ (4) I was a counselor in training (CIT) at 4-H Camp
____ (3) I assisted with Day of Dabbling
____ (3) I assisted with unloading the pizza truck/cookie dough truck on 4-H Pizza Day
____ (3) I assisted Extension staff at another event by: ________________________________________
____ (3) Helped organize a special presentation at a club meeting. Topic: _________________________
36
_____
4
_____
PART B:
MY PART IN THE LOCAL CLUB PROGRAM
1. I gave a demonstration about a project other than my project honor award area.
Title ___________________________________________ Date _________________ (2)
2. I gave a talk about a project other than my project honor award area. Needs to be
different than the title and date of demonstration.
Title ___________________________________________ Date _________________ (2)
3.
Participated in a club trip or tour other than tour of members’ projects. Place visited:
_____________________________________________________________________ (2)
(This tour should not be counted elsewhere on this form.)
4. Special feature on club program. What I did _________________________________
_____________________________________________________________________ (2)
(May be a special reading, musical presentation, skit, etc.)
Total for section II. (40 maximum)
_____
III. 4-H LEADERSHIP RECORD (15 POINTS)
A.
Responsibilities in my local club
1. Committees I served on in my club:
a. __________________________________________________________________ (2)
b. __________________________________________________________________ (2)
c. __________________________________________________________________ (2)
2. I held the office of ______________________________________________________ (3)
I was chairman of a committee ____________________________________________ (3)
3. I participated in officer training – yes/no _____________________________________ (2)
4. I was a Jr. Leader of my club – what I did ____________________________________ (3)
B. Responsibilities at the county level:
1. I held the Federation office of _____________________________________________ (3)
2. I served on a Federation committee:
a. ________________________________________________________________ (2)
b. ________________________________________________________________ (2)
3. I attended 5 or more 4-H Federation meetings this 4-H year – yes/no ______________(4)
4. I attended 1-4 Federation meetings this 4-H year – yes/no ______________________(2)
5. I served as a 4-H Ambassador yes/no _____________________________________ (2)
6. I served on the 4-H Expansion & Review Committee – yes/no ___________________ (3)
7. I served on another county or state 4-H related board __________________________ (3)
8. I attended a 4-H leader training – where & when ______________________________ (2)
9. I attended a 4-H leader training – where & when ______________________________ (2)
15
_____
Total for section III. (15 maximum)
_____
Total for section I (45 max.)
____
Total for section II (40 max.)
____
Total for section III (15 max.)
____
SEE HOW YOU DID! TOTAL UP YOUR SCORE!
TOTAL
_____
(100 possible)
8-11 years old as of 9/1/14
12 years old and older as of 9/1/14
Silver Project Honor—65-74 points
Gold Project Honor—75 points or more
Silver Project Honor—75-84 points
Gold Project Honor—85 points or more
Member Signature _______________________________ Signature of Club Leader______________________________
Age as of 9/1/14 _____________