CARROLL COUNTY 4-H FEDERATION
Officer Candidate Application
Name of Nominee ___________________________________ Club _____________________________
Address of Nominee ___________________________________________________________________
_________________________________________ Phone _____________________________________
I would like to be a candidate for the following office(s): [rank in order of preference]
_____ President
_____ Treasurer
_____ Vice President
_____ Reporter
_____ Secretary
_____ Co-Recreation
Number of years in 4-H _____
Number of years as a Federation delegate _____
Number of 4-H Federation meetings attended during the last year you were a delegate _____
4-H Club leadership roles (offices and committees):
County 4-H Federation leadership roles (offices and committees):
List any leadership responsibilities other than 4-H:
Candidate comments: (Contributions you feel you can make, challenges facing the 4-H Federation, future
direction of Federation, etc.)
What kinds of things/activities would you like to see Federation do for next year?
What do you feel is the most important quality of being a Federation officer? Why?
I understand, if elected, I will attend and participate in all required meetings to fulfill my
responsibilities of my elected office.
I understand the responsibilities of each respective office and will do my part to fulfill those
responsibilities.
_____________________________________
(Signature)
Return to the Carroll Co. Extension Office, 807D South Clay St., Mt. Carroll, IL 61053
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