4-H Club Parent Participation Survey
Parents are very important to the success of our 4-H club. In addition to the support and
encouragement you give to your own child, each of you has special skills and talents that can
benefit the whole group. We would like to involve you in ways that best fit your interests and
schedules. Please help us by completing this survey. One of the leaders will call you to
schedule your participation.
4-H Member’s Name:
_____________________________________________________________________
Name of Parent/Guardian: ___________________________________ Phone: ___________________
In what way(s) could you help our 4-H club? Please check all possibilities.
_____ Teach a project. What type of subject matter?__________________________________
_____ Teach a Cloverbud activity.
_____ Coordinate our club members’ participation in a county 4-H activity. Which one?_______
_____ Assist with a club community service project.
_____ Help members (one or more) prepare their public presentations.
_____ Assist with fundraising.
_____ Provide transportation to one or more 4-H activities.
_____ Chaperone a 4-H trip.
_____ Provide general assistance at one or more club or project meetings.
_____ Provide refreshments for one or more club meetings.
In which 4-H program area(s) do you have the greatest interest?
_____ Citizenship and Civic Education
_____ Healthy Lifestyles
_____ Communications and Expressive Arts
_____ Personal Development & Leadership
_____ Consumer and Family Science
_____ Plants and Animals
_____ Environment and Earth Science
_____ Science and Technology
(over)
What personal interests or hobbies would you be willing to share with 4-H
members?
_________________________________________________________________________________
_________________________________________________________________________________
When are you most available to help?
Season: □ Summer
□ Fall □ Winter □ Spring
Day: □ Monday □ Tuesday □ Wednesday □ Thursday □ Friday □ Saturday □ Sunday
Time: □ Morning
□ Afternoon □ Evening