Arkansas 4-H Ambassador Re-Certification
Report
Due March 15 to State Extension Office
Ambassador Name:
FY4-H-138
12-16-15
County:
The following presentation promoting 4-H to primarily a non-4-H audience was made:
Please list date, location, audience, number attending, title of presentation. (Example: April 1, 2015; Brady Community Center, Little
Rock, AR; Lions Club; 15 attended; “How 4-H gives back to Brady": 15 minutes
Presentation 1:
Attended County O-Rama:
Attended District O-Rama:
Attended State O-Rama:
Please check which three of the following criteria you have fulfilled and complete the requested information.
a)
Attended an Ambassador Training (this can be Zoom or face-to-face).
Date of training
Topic of training
b)
Judged a 4-H O-Rama
Category
c)
Conducted a project or record book workshop
Date
Number attending
d)
County
Date
Subject
Location
Assisted with organizing a 4-H club or project group.
Date
Name of club or group
e)
County
Presided at a major 4-H activity.
Date
County
List activity
f)
Prepared and displayed a 4-H promotional exhibit.
Dates exhibited
Title of exhibit
g)
Promotion of 4-H (must choose at least 3).
Date
Radio spot
Newspaper Article printed
Social Media Promotion
TV spot
4-H recognition at a major
community event
Other
Location of exhibit
Station/Message
Which
paper/message
Which social
media/Message
Station/Message
Event/Message
Message
I certify the above information is correct and the Ambassador has met all requirements necessary to re-certify
Ambassador’s Signature
Date
Parent/Guardian Signature
Date
County Extension Agent
Date