Lee County 4-H Award Application Cover Sheet
Ages 8 - 13
Application for 2014-2015
I am applying for the following awards:
___ Lee County Junior County Outstanding 4-H Member (for all members who meet criteria below)
___ Top Junior Outstanding Member
___ 4-H Project Awards
___Achievement
___Home & Family
___Food, Nutrition & Health
___Community Involvement
& Global Awareness
___Animal Science
___Dairy
___Environment & Natural Resources
___Personal Development
___Plants & Soils
___Engineering & Technology
___ Jr. County Outstanding
You must meet all four sections of requirements listed on the Jr. Outstanding Member application and complete the Lee County 4-H
Award Application (this application) in order to become a Lee County 4-H Award winner.
Return completed form and applications to your club leader for his/her signature.
You may only count activities completed within the current 4-H year.
Name _________________________________________________ Phone _______________________
Club _______________________________________________________________________________
I.
Age Requirement
Must be 8 - 14 years of age as of September 1 of the current 4-H year
Age as of September 1, 2014 ___________
II.
Birthdate ___ /___ /________
Jr. County Outstanding form filled out and attached
Yes ____ No ____
Statement by Member
I have personally prepared this application and certify that it accurately reflects my work:
_____________
Date
_____________________________________________________
Signature of Member
Approval of Report
_____________
Date
_____________________________________________________
Signature of Parent
_____________
Date
_____________________________________________________
Signature of Leader
I. Participation in 4-H Project Work
In this section, summarize your project work this year in 4-H. Include a section for each project you have taken. For example, put all of your Animal
Science projects in the same section, then describe each project individually – for example: beef, poultry, and rabbits. Then group all Home &
Family projects together, describing what you have done in child development, clothing and/or interior design. You will want to include:
**what projects you’ve taken and the size and scope of your project (i.e. how many model rockets you have built or other activities from project that
you have done)
**what you’ve learned in each project
**how you have used those skills to help others – leadership or community service
**any special workshops or special events you participated in
**talks and demonstrations you have given in the project area
**exhibit accomplishments (Best of Show, Champion, etc); participation in county, regional, state fairs / shows
Number of Projects _______________
Curriculum Area (see award category list attached) _____________________________________________________
Project:____________________________
What You’ve Learned
Size and Scope
Workshops Attended
Talk or Demonstration
Exhibit Accomplishments
Leadership in your Project
Add additional pages for project areas as needed.
Project:____________________________
What You’ve Learned
Size and Scope
Workshops Attended
Talk or Demonstration
Exhibit Accomplishments
Leadership in your Project
II. Other 4-H Leadership
Summarize the 4-H leadership roles you have been involved with, other than through 4-H project work.
Club or county committees
served on
Chair of club or county
committees
4-H community service not
related to project work
Marketing 4-H in your
community
Other 4-H leadership
III. Participation in 4-H Programs
4-H events, activities and workshops you participated in that were
not directly related to your 4-H project work
4-H Awards that you received
(not directly related to a 4-H project)
IV. Non-4-H Related Activities, Workshops and Shows
School participation, leadership roles, awards, service
projects, etc.
Community, Church and Other groups and organizations you’re
involved with, including leadership roles, awards, service projects,
etc.
V. Promotions and Appearances in Support of 4-H
(Presentations, Interviews or articles written by you.)
Describe the activities you have participated in to promote 4-H in your community
Date / Topic
Public Appearance / Group Addressed
May include public presentations, radio spots, television interviews, news articles written by you,
etc
VI. 4-H Story
Write a story for each curriculum area in which you are applying for an award. The story should consist of personal feelings of your experience in
the curriculum area. Be sure to include success, failures, learning experiences, a humorous experience or any experience that is not already listed
in your records.
4-H Award Application and Assigned Project Areas
The list below includes Illinois 4-H projects and the curriculum/award area to which they are assigned.
Achievement – Includes all 4-H projects, leadership, community involvement over the course of the 4-H
member’s “career” in the 4-H program
Animal Sciences – Includes Beef, Cat, Dairy, Dog, Goat, Horse & Pony, Poultry, Rabbit, Sheep, Small
Pets, Swine, Veterinary Science and any related county projects.
Community Involvement & Global Awareness – Includes Citizenship, Intercultural, and any related county
projects
Dairy – Includes Dairy Cows & Heifers, Dairy Goats, and Dairy Foods (also includes dairy food safety).
Environment & Natural Resources – Includes Camping & Outdoor Living, Conservation, Entomology,
Forestry, Geology, Natural Resources, Sportsfishing, and any related county projects
Food, Nutrition & Health – Includes all Foods & Nutrition projects (and food safety), Health, and any
related county projects
Home & Family – Includes Child Development (including safety), Intergenerational, Family Relations,
Clothing & Textiles, Consumer Education, Interior Design, and any related county projects
Engineering & Technology – Includes Aerospace, Bicycle, Computer Science, Electricity, Geospatial
(GIS/GPS), Robotics, Safety (mechanical-oriented safety), Small Engines, Tractor,
Woodworking, and any related county projects
Personal Development – Includes Communication (public presentations, newswriting), Photography,
Visual Arts, Recreation, Theater Arts and any related county projects
Plants & Soils – Includes Plant & Soil Science, Crops & Soils, Horticulture, and any related county
projects.
County Level Awards - Top Senior 4-H’er
Top Junior 4-H’er
Illinois 4-H Award Application 90221 Revised May, 2007