County Summary
Iowa 4-H Shooting Sports
Annual Demographics Report
Mail completed form on or before October 15, 2014:
Phyllis Mondt
Extension 4-H Youth Building, ISU
Ames, IA 50011-3630
pmondt@iastate.edu
fax: 515/294-4443
County:
Submitted by:
Address:
E-mail:
Report Year October 1, 20
13
to September 30, 20
14
Please indicate the number of youth contacts & hours involved in events and activities you instructed:
4-H Clubs
Shooting
Discipline
Number of
4-H
Members
Enrolled
Annually
Number of
Instructor/
Coordinator
Hours
Camps
Number of
Youth
Contacts
Number of
Instructor/
Coordinator
Hours
Fairs
Number of
Youth
Contacts
Number of
Instructor/
Coordinator
Hours
Other Events: Jakes,
etc.
Number of
Youth
Contacts
Number of
Instructor/
Coordinator
Hours
Total 4-H
members plus
youth
contacts by
discipline
Archery
BB
Hunting/Wildlife
Muzzleloader
Rifle pellet, rim/center
fire
Shotgun
Total
1. Number of active 4-H shooting sports instructors (including coordinators) in your county*
2. Number of 4-H members enrolled in shooting sports in your county
*
In late September 2014, a page listing contact information for active instructors will be e-mailed to the SESS county
coordinator (if e-mail address is available) and the SESS contact in each county. If an instructor hasn’t taught this year,
check the box labeled “No Teaching This Year.” To change any personal information, check the box marked “Corrections
Needed” and revise as necessary. Return the list to the address listed above by October 15, 2014.
9/15/2014