Friend of 4-H
Nominated by __________________________________________
Phone number ___________________________________________
Name of Nominee _______________________________________
Contact information
Address ________________________________________________________________
Phone number __________________________________________________________
Name of relative not living in the home ___________________________________
This award recognizes adult volunteers who make a significant contribution
(time or money) to the Poweshiek County 4-H program county-wide (could
be a business, family, or individual). The nominee does not need to be a past
4-H’er. Nominee should have helped 4H beyond the club level.
Please explain in 100 words or less why this nominee is deserving of
this award.
Due to the Poweshiek County Extension Office by September 30th