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Youth Service to Communities
Club name
County______________________________________
Name of club leader
Year:
Mailing address _________________________________
Number of club members (including Clover Kids) _____________
City, state, zip ___________________________________
Number of volunteer leaders _____________
Sept. 1, 20_____ through Aug. 31, 20_____
LG760
Showing
Community
Spirit
Fundraising
Connecting
with Elected
Officials
Ages
14-18
Total
Group
Hours
of
Service
Helping Others
Ages
8-13
Adult
Leaders
Teaching
Others
Ages
5-7
Senior
Youth
Helping the
Environment
Name of service project
and purpose/description
Jr. and
Intermediate
Youth
Building
Clover
Kids
Improvements
How do these service projects benefit your community? Check the
category (or categories) that best describe each service project and tell
us more on the back page.
Number of youth and adults involved
by age
Revised 3/14/Web
4-H youth development programs have and continue to serve their communities in many ways.
Please offer your thoughts on the following questions:
1. What are the group’s reasons for doing these activities?
2. What do you see as the benefits for the community from these activities?
3. Which skills did 4-H members demonstrate through these activities--mark all that apply (4-H Citizenship Common Measures)?
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Making informed decisions
Being flexible and adaptable
Setting goals and determining steps to reach them
Communicating with different methods and media
Developing positive relationships
Identifying and discussing community issues
Valuing and respecting differences
Working effectively as a team
Leading meetings with parliamentary procedure
Interacting with local and/or state government leaders
4. What are one or two specific examples of skills you see youth gained through these activities?
Published by University of Missouri Extension and the Missouri 4-H Center for Youth Development. An equal opportunity/ADA institution
LG760
Revised 3/14/Web