RECOGNITION FOR EXCELLENCE AWARD APPLICATION
COMPLETE ONLY ONE “RECOGNITION FOR EXCELLENCE” APPLICATION
NAME
Age
4-H Club
.
As of Sept. 1, 2013
Ages 8-11 complete statements 1-3
Ages 12-14 complete statements 1-6
Ages 15-19 complete statements 1-9
To be eligible for Achievement Awards,
members must have achieved All of the listed
standards for their age group.
Check all statements that apply to you.
1.
I selected and completed plans for a project and reported to my leader on the project. That project was
__________________________________________
.
2.
I attended
4-H Club meetings. Must be at least 2/3 of my 4-H Club meetings after enrolling(or
a number selected by the Club).
3.
I gave a talk or demonstration or exhibited a project at the 4-H Fair about
_______________________________________________________________________.
4.
I served on a Club committee or held a Club office. Name the committee or office.
_______________________________________________________________________
5.
I participated in a community service activity or in a community activity related to my
project. List the service or community activity. _______________________________
6.
I assisted my Club leaders with a special Club activity, tour, or program. Name the
activity. ______________________________________________________________
7.
I participated in a 4-H learning experience at the county, unit, regional, or state level. Name the
experience. _____________________________________________________________
8.
I provided leadership for a project, an activity, or a 4-H group. Tell what you did.
__________________________________________________________________________
9.
I assisted in conducting programs at the county, unit, regional, or state level. What did you do?
______________________________________________________________________
4-H Member’s signature
Date
.
Leader’s signature
Date
.
Parent’s signature
Date
.