Intermediate Award Trip
Name______________________________________________________________ Club ____________________________________
Grade Completed ________________________________________________ Years in 4-H ________________________
Purpose: To reward 4-H’ers for their participation in club and county 4-H programs.
(Normally held later March trip to Des Moines: Hall of Pride, Lunch and Capital. This trip includes Hamilton,
Hardin, Humboldt, and Webster Counties.)
Requirements:

Must be a 4-H Intermediate (completed 7th & 8th Grades) member.

Met the minimum requirements for the year: (please check those completed)
______Attended 75% of the regular club meetings
______Gave an educational presentation, working exhibit, Share-The-Fun at
the club or county level in the past 4-H club year.
______Been enrolled in and completed at least one project in the past
4-H club year.

Complete this application (you DO NOT need to turn in your records)

Must be able to attend the trip

Number of recipients is based on the number of tickets received each year

May not receive more than once

Must answer the following question:
“What does 4-H Mean to Me?”
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________