KNOX COUNTY
4-H AWARD APPLICATION
FOR MEMBERS AGES 8-11
NAME
_________________________________________________________________________
First
Middle
Last
ADDRESS _____________________________________________________________________
___________________________________________________________________
City/Town
State
Zip Code
The projects I took this year:
Name of your 4-H Club _________________________________________________________
Year in 4-H: (Circle one) 1st
2nd
3rd
4th
STATEMENT BY MEMBER
I personally have prepared this application and certify that it accurately reflects my work.
Date ___________, 20____. Signed _____________________________________________
4-H Member
APPROVAL OF REPORT
We have reviewed this application and believe it to be correct.
Date ___________, 20____. Signed _____________________________________________
Parent/Guardian
Date ___________, 20____. Signed _____________________________________________
4-H Leader
SECTION I - 4-H ACCOMPLISHMENTS
A.
Size and Growth in Projects
What have you done in your projects? This should be broken down by each project to show growth and progress.
Information you might include: number of recipes tried, number of experiments completed, number of animals raised,
monetary costs involved, money made, number of books or articles read related to project, number of exhibits shown.
B.
Knowledge and Skills
List four or more things you have learned for each project taken. This could be both positive and negative learning
experiences. For example: learned the specific feeding needs of my animal as it grows; why to careful with hot dishes;
why my clay pot blew up in the kiln; learned about a specific disease or problem, etc. Group by project area.
C.
Participation in Activities
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List 4-H activities you participated in. Examples: Attended visual arts workshop, livestock judging contest, tours, classes,
etc. Use titles and descriptions of the events. Group by project area.
D.
Leadership Experiences
How have you excelled as a 4-H member? List your leadership experiences in 4-H only. This could include committees
served on or chaired, offices held, taught members a craft; led an activity for club, talks or demonstrations given, helped at
food stand, made a radio spot, submitted a show book cover design, etc. Group by project area.
SECTION II: COMMUNITY/SCHOOL/OTHER ACCOMPLISHMENTS
A.
Participation/Leadership in Activities Other than 4-H
List activities you participated in for school, community, church, etc. on your own or with other groups. What have you
done to help others? Also state if you held any leadership positions with the groups you belonged to. Group by project
area. Examples: Council of Churches--donated for their holiday food baskets; Nursing Home--sang songs or made cards
for residents; Basketball team--manager; School library--helper.
SECTION III: 4-H STORY
A.
4-H Story What about you?
Write a story telling about yourself, your family, 4-H projects you are involved with, why
you joined 4-H, what other clubs or activities you participate in, where do you go to school, what would you like to be when
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you grow up. Tell why you liked a project area and if you had any problems with it. Tell about your favorite project and
why it is your favorite.
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