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 ___Suzie 4-H’er______________________________________________ Phone __815-555-1234____________________
Club ________Lee County Rocks_______________________________________________________________________
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 __12_________
II.
Birthdate _10__ /_6__ /_2002_______
Jr. County Outstanding form filled out and attached
Yes __X__ 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 ____1___________
Curriculum Area (see award category list attached) ____Food, Nutrition, Health_________________________________________________
Project:___Cooking 101_________________________
What You’ve Learned
I learned how to make coffeecake
Learned more about food groups and the
myplate program
Size and Scope
I enjoyed making coffee cake for my
church fellowship hour.
I made the cookies from the 101 book for
our family Easter dinner.
Workshops Attended
Attended Project Pool where I learned how
to decorate a cake.
Talk or Demonstration
I gave a demonstration to my club on how
to make blueberry coffee cake
Exhibit Accomplishments
Received State alternate and a blue
ribbon on my coffee cake
Leadership in your Project
I taught my little brother how to make
coffee cake with me.
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
Club community service
committee
N/A
Helped club plant tree for
Arbor day
Helped club make display
for 4-H week
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
Participated in Project Pool at the Fairgrounds
4-H Awards that you received
(not directly related to a 4-H project)
2014 Jr. County Outstanding 4-H’er
IV. Non-4-H Related Activities, Workshops and Shows
School participation, leadership roles, awards, service
projects, etc.
School Band
Class President
Community, Church and Other groups and organizations you’re
involved with, including leadership roles, awards, service projects,
etc.
Church Choir
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
Arbor Day - April
Public Appearance / Group Addressed
May include public presentations, radio spots, television interviews, news articles written by you,
etc
Wrote news article about club tree planting on Arbor day
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.
This year, I learned how to make coffee cake. It was an interesting experience because the first time I made it, I burnt the coffee cake! Each time I
made the coffee cake, it got better. I even made it for our church’s fellowship hour. Everyone loved it! I have even tried to make different kinds of
coffee cake. I look forward to learning how to make scones next year.
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