4H CLINTON COUNTY
CLOVERBUD AWARD APPLICATION
My 4-H Cloverbud Award Application
Page 1 of 5
Instructions
• Fill
out the 4-H Cloverbud Award Application one
time at the end of the 4-H year (FOR ALL CLOVERBUD
PROJECTS ONLY SEND IN ONE AWARD
APPLICATION)
• This
information will be reviewed and you will be
recognized for your participation.
My Name is:
Age:
Grade in school:
My address is:
I belong to the
4-H club.
I have been a 4-H Cloverbud member for
Show and tell (4-H demonstration) � Yes
Exhibit (something you made) � Yes
year(s).
� No
� No
Project activity sheets or workbooks � Yes � No
List 4-H projects I have completed this year:
Example: Visual Arts/Fiber Monster Pillow
1.
I went to the following club or county events:
Example: 4-H Rally/Fishing derby
1. Fishing Derby (C) and Fishing Derby (CL)
Complete these questions:
1. This year I learned to:
2. Next year want to learn about:
3. My favorite things in 4-H this year were:
Signature of Cloverbud Member
Signature of Cloverbud Parent
Signature of Club Leader
Date:
Here are drawings of my 4-H project or 4-H activities.