4-H CLUB ACHIEVEMENT DAY AWARDS for 2013-2014 4-H Year
(Due Wednesday, August 13, 2014)
Club Name___________________________________ Date_______________
Club Leaders: On the following pages please list the names of your club members and volunteer leaders, along with all applicable information. This will be used
to order awards for County Achievement Day. Please return a copy of the completed form to the 4-H Office no later than Wednesday, August 13 2014, and keep a
copy for your records. If we do not receive this form by August 13th, we cannot order achievement day awards for your club. Thank you.
Member Name
(list names in order by 4-H year
completed)
4-H Year
Completed
1st, 2nd, etc.
12/13
School
Grade
Junior Leader
Teen Leader
How many years of
junior leadership?
How many years of
teen leadership?
Record Book
Star Rank
Earned
Bronze Silver Gold
Platinum
Emerald
Star Earned
4-H CLUB ACHIEVEMENT DAY AWARDS for 2013-2014 4-H Year
Club Leaders: Please verify with each leader the number of years completed as a 4-H Leader. Leader’s pins are awarded in 5 year increments – 1st, 5th, 10th…
Leader name
Project(s) Led
High School Graduates
Was the project
completed?
Total years as a 4-H
Leader
Please list the names of any high school graduates from your club.
Club Charter Seal
A completed copy of the “4-H Club Program Planning Guide” must have been turned in with the year-end reports showing your club-approved goals have been met for the year.
Seal Color
Gold
Blue
Red
Green
(select one)
Note: Record Books will be reviewed by the club leader and 4-H Program Representative to determine eligibility for Star Awards.
The Emerald Star is awarded upon successful completion of a county-wide project approved by the 4-H Council and Emerald Star interview committee.