2011
GALLATIN COUNTY 4-H COUNTY TROPHY APPLICATION
NAME __________________________CLUB ____________________AGE____
AWARD AREA APPLIED FOR (CIRCLE ONE FROM BELOW)
Achievement
Animal Science
Community Involvement & Global Awareness
Dairy
Engineering & Technology
Environment & Natural Resources
Food, Nutrition, & Health
Home & Family
Personal Development
Plants & Soils
***PLEASE NOTE Projects are grouped in the Illinois Clover on page 52 so please look in there to see which award to apply for.
To receive a Trophy in any category you must have met the Performance Standards for your age group as
outlined in the Clover and turned in your project records by the deadline.
A. This year, I have met the Performance Standards (as outlined in the Clover) for my age group. I also gave a
talk or demonstration and exhibited at county fair. (Circle one)
Yes
No
B. This year I exhibited & received the following ribbons for projects in this trophy area.
Project ________________________________________________ribbon/grade _____
Project ________________________________________________ribbon/grade _____
Project ________________________________________________ribbon/grade _____
Project ________________________________________________ribbon/grade _____
Project ________________________________________________ribbon/grade _____
Project ________________________________________________ribbon/grade _____
C. This year I received a State Fair or State Fair Alternate rating for the following project(s)
(must be related to this trophy category).
Project ________________________________________________Rating _____
Project ________________________________________________Rating _____
Project ________________________________________________Rating _____
D. This year I received a County Champion or Reserve Champion rating for the following project(s)
(must be related to this trophy category).
Project ________________________________________________Rating _____
Project ________________________________________________Rating _____
Project ________________________________________________Rating _____
Statement by Member
I have personally prepared this application and certify that it accurately reflects my work.
Date ______________Signature of 4-H Member _________________________________________
Approval of This Report
I have reviewed this application and believe it to be correct.
Date ______________Signature of 4-H Leader __________________________________________
CLUB LEADER MUST SIGN
INDEPENDENT MEMBERS – PARENT CAN SIGN AS LEADER