Pike Unit 4-H Member Record This record is a summary of all that you have done while in 4-H. Read all instructions at the beginning of each section carefully. One line or column is provided for each year. This record can be used in evaluating your progress and planning future work. It will also be used as the basis for award selection. NAME:__________________________________________ BIRTH DATE___________________________________ ADDRESS:__________________________________________________________________________________________ 4-H CLUB:__________________________________________________ YEAR I JOINED 4-H___________________ I. PARTICIPATION IN THE LOCAL 4-H CLUB Begin with your first year in 4-H and list the number of meetings held, meetings you attended; list offices held and the committees you have served on in your club. Year No. meetings held after joining No. attended after joining Club Offices Held Committees served on in the club. (Indicate those chaired with a capital "CH") II. 4-H PROJECTS -- ENROLLMENT, EXHIBITS AND SKILLS LEARNED Begin with your first year in 4-H and list your projects by year. Use one row for each year and one column cluster for each project. List the project name at the top of the appropriate column. Indicate the project Unit, total size of your project, what you exhibited, and all other work done including articles, animals, recipes, etc. Refer to the Illinois 4-H Clover for a listing of the proper project name. List exhibit ratings in the Exhibit column. Indicate where the rating was received by using the following abbreviations: (L) = Club; (C) = County/Unit; (S) = State. The exhibit ratings are "A- B- C- Purple Award (PA) - and Superior (SP) at the State Level. Additional inserts of this page are available from your 4-H Leader, add as many as you need. ****** Project: Year Unit and size Skills Learned ******* Project: Exhibit Unit and size ****** Skills Learned Exhibit Project: Year Unit and size Skills Learned ******* Project: Exhibits Unit and size ****** Skills Learned Exhibit III. PARTICIPATION IN 4-H PROGRAMS For each year, record the month you participated in each of the programs. The column "Where Done" refers to where you participated in the program. "Club” refers to what you do on your own or as a club. "Unit" refers to those activities that you participated in at the Unit or County Level. Cluster refers to activities involving 2 or more Units from the Springfield Cluster, while Region refers to Regional Activities. State, National and refer to programs offered at those levels. Program Where Done Achievement Program Club Unit/County Animal Showmanship Unit/County State Camping Club Younger/Older 4-H Unit/County Other 4-H related Career Exploration Club Unit/County Region/Cluster 4-H Family Event Club Unit/County Clothing Revue Unit/County State Community Service Club Unit/County Demonstration and Talks Club Unit/County State 4-H Conference State 4-H Federation Unit/County Judging except livestock (specify in box) Unit/County Regional/Cluster State National Judging Livestock and or Meats (specify in box) Unit/County Region/Cluster State National International Club 20_ 20__ Activity State/National/Int. Radio Program Unit/County 4-H Corner Unit/County National 4-H Week Club Unit/County Public Speaking Unit/County State 4-H Promotion Club Unit/County Miscellaneous 4-H Event (specify in box) Club Unit/County Region/Cluster Safety Club Health Club/ Unit/County Window Display Unit/County State Workshops and Clinics or Conferences not included above (specify in box) Club Unit/County Region/Cluster State National Project Tour Club Business Tour Club Help with Fair/ 4-H Food stand Unit/County Judges' Assistant Unit/County List other programs and workshops not listed above; please indicate the year(s) in which you participated ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________ Talks and Demonstrations III, Continued Year/Date Club or County Participation in 4-H Programs Talk Title Demonstration Title III., Continued 4-H Community Service List your 4-H Community Service; I. e. Petting Zoo, Recycling, etc. If you were chairman of the committee, please indicate with a CH. Indicate where the service was done by using the appropriate letter: (L) Club; (C ) County/Unit; (R) Regional/Cluster; and (S) State. Year 4-H Community Service Club/ County IV. 4-H LEADERSHIP List your specific responsibilities and in (parenthesis) indicate the number of members assisted, along with the appropriate letter indicating: (L) club; (C) county/unit; (R) Regional/cluster, and (S) State. Example: Taught project workshop on visual arts (15)(C). DO NOT indicate club offices or committees. Year Activity/Leadership responsibility 20__ V. APPEARANCES IN SUPPORT OF 4-H Please list the occasions when you have appeared publicly in support of 4-H. List the year, topic and name of group addressed if the appearance was a speaking engagement. If the media were used, please indicate the station or newspaper. Year 20__ Topic Group Addressed Newspaper Radio T.V. VI. NON-EXTENSION OR 4-H RELATED ACTIVITIES Summarize what you have done in your school, community and church activities. In the columns with Activities, tell what you did in the groups to which you belong. In the column "leadership roles," indicate any offices held or committees chaired. Year School Activities Church/Community Activities Leadership Roles 20__ VII. HONORS AND RECOGNITION In the space below, please list the honors and awards you have received, in both 4-H and other areas. Please do not include 4-H show exhibit ratings. Include such items as medals, certificates, bonds, trips, gifts or Grand Champions that you have received. 4-H Related honors Non 4-H Related Honors VIII. MISCELLANEOUS This category is designed for all items that you feel are important to your 4-H experience and did not fit into another category. Use this space to tell about the meaningful events or lessons that you experienced during your 4-H career. IX. APPROVAL We have reviewed this record. Year 20__ Member's Signature Parent/Guardian 4-H Leader