4-H HIGHLIGHTS
Name
Club
Address
Birthdate
City/State
Year in 4-H
Club Meeting Attendance
1
2
3
4
5
6
7
8
9
10
11
12
Number of Meetings held
Number of Meetings attended
Write the # of 4-H program activities you attended at your local club meeting each year in these categories. You
may only count an event in one area. Do not duplicate even if it fits in two areas. On the next page, you will
describe each of the events you counted below. The number below must match the activities listed on page 2.
Club Activities
Year in 4-H
1
2
3
4
5
6
7
8
9
10
11
Agriculture
Awards Program held at club meeting
Career Study
Citizenship
Community Beautification
Community Service
Educational Tour
Energy/Conservation
Health
Intercultural Study
Music
Project Tour
Project Workshop
Special Recreational Activity
Safety
Science & Technology
Other (explain)
Other (explain)
Other (explain)
Other (explain)
Revised 2012
Page 1
12
Club Activities Description Sheet
You should complete one sheet for each year in 4-H. Be sure to keep these from year to year.
4-H Year 20____ - 20____ This is my _______ year in 4-H
Club Activities
Month Held
Brief Description
Agriculture
_________
________________________________________________
Awards Program
_________
________________________________________________
Career Study
_________
________________________________________________
Citizenship
_________
________________________________________________
Community Beautification
_________
________________________________________________
Community Service
_________
________________________________________________
Educational Tour
_________
________________________________________________
Energy/Conversation
_________
________________________________________________
Health
_________
________________________________________________
Intercultural Study
_________
________________________________________________
Music
_________
________________________________________________
Project Tour
_________
________________________________________________
Project Workshop
_________
________________________________________________
Special Recreational Activity _________
________________________________________________
Safety
_________
________________________________________________
Science & Technology
_________
________________________________________________
Other
_________
________________________________________________
Other
_________
________________________________________________
Other
_________
________________________________________________
Other
_________
________________________________________________
EXAMPLE:
Health
DECEMBER
X-Ray technician spoke about how x-rays are done & showed films
If you are a member of a traditional club, and a SPIN CLUB, put your traditional club activities above and put the number of SPIN
meetings under COUNTY EVENTS “PROJECT WORKSHOPS ATTENDED.”
Please number the pages beginning with 2A your first year, 2B year second year, etc. Place the MOST RECENT year on top of this
section.
Revised 2012
Page 2____
Club Project Study
Use one page for each year in 4-H. Write the specific project name as listed in the Clover. Put the number of honors won in
the each column as listed. If more than one exhibit was shown per project, write the total number of ratings/awards, etc. in
the box.
4-H Year 20____ - 20____ This is my _______ year in 4-H
Project Name (specific name as
listed in Clover in bold black type)
EXAMPLE: Beef 3
EXAMPLE: Cooking 101
# of each
Rating at
County
Show
# of
Best of
Shows
# of
Superior
# Picked
For
State Fair
# Exhibited
At
State Fair
1
1
# Superior
At State
Fair
4A
2A, 1B
1
2
4-H Awards ONLY. Do not include your awards at the County Fair Junior Show
Please number the pages beginning with 3A your first year, 3B year second year, etc. Place the MOST RECENT year on top of this
section.
Revised 2012
Page 3____
Club Talks, Demonstrations & Specials
Year in 4-H
EXAMPLE
YEAR 2
EXAMPLE
YEAR1
Talk Title/Special Title
Demonstration Title
The history of 4-H
How to grow tomatoes
How to Crack an Egg Properly
Public Promotion of 4-H at non-4-H Event
1
2
3
Year in 4-H
4
5
6
7
8
9
10
11
12
HCE / Master Gardener Presentation
Parades supporting 4H
Radio Presentations
TV Presentations
Newspaper Articles
Other Public Presentation at non 4H Event
Revised 2012
Page 4
Local Club Offices Held/Committees Served On
Year in 4-H
Office Held
Committees Served On (if chairman note with Ch.)
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
YEAR 6
YEAR 7
YEAR 8
YEAR 9
YEAR 10
YEAR 11
YEAR 12
Revised 2012
Page 5
Write the total number of events you participated in for each category.
County/Unit Activities
Year in 4-H
1
2
3
4
5
6
7
8
9
10
11
12
COUNTY/UNIT ACTIVITIES ATTENDED
Achievement Awards Night
Awards Program during 4-H Show
Bowling/Skating/Camping/Canoeing/Swim
County Community Service
County Fund-raiser
Livestock Auction (sold animal)
Other (specify on attached sheet)
COUNTY/UNIT PROJECT AREA WORKSHOPS/TRAININGS ATTENDED
Animal Science
Community Involvement & Global Awareness
Environment & Natural Resource
Food, Nutrition & Health
Home & Family
Leadership
Mechanical Science & Technology
Personal Development
Plants & Soils
Other (specify on attached sheet)
COUNTY/UNIT CONTESTS ENTERED
NOTE:
YOU MUST HAVE PARTICIPATED AS AN ACTUAL CONTESTANT TO GET CREDIT IN CONTEST CATEGORY—NOT JUST ATTENDED.
Carcass / Rate of Gain Contest
Fashion Review Contest
Dog Obedience Contest
Showmanship Contest
Public Speaking Contest
Table Decorating Contest
Tractor Driving Contest
Other (specify on attached sheet)
Revised 2012
Page 6
Write the total number of events you participated in for each category.
Regional Activities
Year in 4-H
1
2
3
4
5
6
7
8
9
10
11
12
7
8
9
10
11
12
7
8
9
10
11
12
4-H Camp
Discover Chicago
Livestock Judging Regional Contest
Southern Illinois Leadership Conference
Other (specify on attached sheet)
State Activities
Year in 4-H
1
2
3
4
5
6
4-H Day at U of I
4-H Day at the St. Louis Cardinals
4-H Day at the St. Louis Rams
Dairy / Livestock / Horse / Horticulture
Bowl / Hippology / Speaking Contests
Dairy / Livestock / Horse / Horticulture / Meats
Judging Contests
Great 4-H Debate
Junior Leadership Conference
Illini Summer Academies
Legislative Connection at Capitol
State Robotics Contest
Speaking For Illinois 4-H Training
NASA Space Camp
Other (specify on attached supplemental sheet)
National Activities
Year in 4-H
1
2
3
4
5
6
Citizenship Washington Focus
International 4-H Exchange Program
National 4-H Conference
National 4-H Congress
National 4-H Engineering / Robotics Contests
Other (specify on attached sheet)
Revised 2012
Page 7
Leadership Activities
Leadership at the County/Unit Level
Year in 4-H
Official Committees Served On (if chairman note with Ch.)
Leadership at the Regional/State Level
1
2
3
4
5
6
7
8
9
10
11
Regional
4-H Camp Counselor
Regional Event Planning Committee
Other (specify)
State
State Leadership Team
State Fair Assistant
Speaking For Illinois Team
Other (specify)
National
National Council Program Assistant
Revised 2012
Page 8
12
4-H Honors
Year in 4-H
1
2
3
4
5
6
7
8
9
10
11
Best Club Officer
Blue Award (# awarded)
College Scholarship winner
Community Involvement Award
Electricity Council Award
Encouragement Award
Health Award
I Dare You Award
Project Medal of Honor Pins (# awarded)
Perfect Attendance
Safety Award
State Project Record winner
Livestock Grand Champion
Livestock Reserve Grand Champion
Showmanship Trophy any Species
Rabbit / Poultry Trophy
Horse / Dog / Cat Trophy
Other
Other
Other
Revised 2012
Page 9
Teaching Experience
List examples where you were directly responsible for teaching another 4-H member or a group of 4Hers. List the year, activity, number taught, and a brief description of your lesson. DO NOT put your
club talk or demonstration on this page.
Revised 2012
Page 10
Assistance Given in 4-H Programs
List examples where you have given assistance to club leader, 4-H office staff or other instructors
during a 4-H activity or event. List the year, activity and type of assistance you gave. These should
be things that are not included in any other category.
Revised 2012
Page 11
Community Service, School Organization and Events
Choose your 10 most important community groups or school groups and describe your participation in
them, including offices, committees, leadership activities or honors.
Revised 2012
Page 12