Record Books are due to your Leader by September 15. The Leader will turn them into the Bremer County Extension Office by
September 15 if you are applying for an award. Support material, with Record Books, and nominations for awards are due by
October 15.
Bremer County Senior 4-H Awards Application Sheet
Name_____________________________________________
Club______________________________________________
Last Grade Completed_________ (Grades 9-12)
Number of 4-H years completed _________
4-H MEMBERS
This form should be completed by the member and reviewed by the club leader(s) and placed inside the front cover of your 4-H Record Book. Please
follow the 4-H Record Order listed on the Expected Standards Form for completing your record book. Place an “X” on the line in front of the
award(s) for which you want to be considered, and underline the awards you have already received.
SENIOR PROJECT AWARD REQUIREMENTS
1. Currently enrolled in project for 2 or more years, (includes years as junior) with current year’s 4-H Project Records completed along with all
past year’s Project Records for project area. Show personal growth and knowledge of project area.
2. Worksheets in projects where needed (beef, dairy, horse, dog, horticulture, swine, sheep, crop, poultry, photography)
3. For the projects listed, an award can be received once as a senior
4. Senior- Records must show evidence of leadership and/or citizenship in award area
Animals
__Beef
__Dairy Cattle
__Dairy /Meat Goats
__Dog
__Horse and Pony
__Pets
__Poultry
__Rabbit
__Sheep
__Swine
__Animal Science
__Veterinary Science
Ag and Natural Resources
__Crop Production
__Environment & Sustainability
__Horticulture
__Outdoor Adventures
__Safety/Education
in Shooting Sports
Family Consumer Sciences
__Child Development
__Clothing and Fashion
__Consumer Management
__Food and Nutrition
__Health
__Home Improvement
__Sewing/Needle Arts
Creative Art
__Music
__Photography
__Visual Arts
Personal Development
__Citizenship
__Communication
__Leadership
__Self Determined
Science, Engineering/Tech.
__Digital Storytelling
__Mechanics
__Science/Engineering/Tech.
__Woodworking
____WILMA BEAM OUTSTANDING SENIOR COMMUNICATION AWARD
Criteria: Must have completed grades 9-12 at time of application; must have been enrolled a minimum of four years in communication project
area; must show evidence of communication skills through Presentations, Working Exhibits, Share the Fun, and/or Extemporaneous Speaking
at the club and county level; must have demonstrated leadership and citizenship in the communication project area; must complete project
records and award application. Members can win the award once as a senior.
____MYRTLE LEISTIKOW AWARD
Criteria: Must have been enrolled in the project for at least two years. Shows knowledge of Family & Consumer Science and its importance to
communities in projects such as Child Development, Clothing, Food & Nutrition, Home Improvement, etc.
____ED HUCK CITIZENSHIP AWARD
Criteria: Must have completed grade 9-12 at time of application. Must show project work in citizenship area and evidence of growth. Must
complete project records and award application. Member can win award once as an intermediate.
____ED HUCK LEADERSHIP AWARD
Criteria: Must have completed grade 9-12 at time of application. Must show project work in leadership area and evidence of growth through
club participation or through county/community events.. Must complete project records and award application. Member can win award once as
an intermediate.
____I DARE YOU LEADERSHIP AWARD
Criteria: For 4-H’ers who have completed 10-12 grade and have been a 4-H member for two or more years.
This award is to recognize individuals who have demonstrated outstanding leadership qualities, have personal integrity and excellent character;
are leading balanced lives and making a positive difference in 4-H; and hold the promise of making the world a better place to live. (Leaders
may also nominate)
____EXCELLENCE AWARD
Criteria:Junior or Senior in High School. This award recognizes the 4-H’er who has kept excellent records, has participated in a
wide variety of projects and activities at the local and county level, received several awards, and has shown excellence in character and
personal development. (Leaders may also nominate)
Senior Overall Awards
Requirements:
1. Three or more years of Project Records in specified areas
2. Demonstrate leadership ability
3. May receive an award only once
4. For Leadership and Citizenship awards, member must be enrolled in the project area.
5. Make a brief summary of 4-H achievements for award area. Put name, club, years in project, and award applying for on the top,
place inside front cover of Record Book. List 1st and 2nd choice for award.
6. You will be required to participate in a Bremer County 4-H Interview. Interviews will be conducted with 2-3 adult volunteers. You will be
contacted about time for interview. Phone interviews for college students will be considered.
____Agriculture & Natural Resource - Shows knowledge in a variety of agriculture projects and respect for agriculture and its
importance to communities. (includes crop, conservation, animals, entomology, forestry, horticulture, plant science, vet science,
fish, wildlife)
____Science and Technology – Shows growth and knowledge of at least 3 of 8 of the following: aerospace, astrology, automotive,
computer, small engine, tractor, welding, woodworking
____Personal Development – Shows growth and knowledge of at least 3 of 7 of the following: camping, citizenship, communication,
health, leadership, music, safety.
____Expressive Art – Shows growth and knowledge in both Photography and Visual Art
____Family & Consumer Science - Shows knowledge of Family & Consumer Science and its importance to communities in projects
such as Child Development, Clothing, Food & Nutrition, Home Improvement, etc.
____Citizenship - Demonstrates social responsibility and respect and responds to the needs of others.
____Leadership - Strengthens local 4-H unit and community in leadership responsibilities and encouragement of other youth.
____Achievement – Shows outstanding knowledge in a variety of 4-H projects; outstanding personal growth and
citizenship; and has made contributions to improve family and community living.
LEADERS
You may nominate a member for a project award(s). If you do, please initial next to your “X.” Only turn in books/support material of members who are
to be considered for an award.
Other Awards - Nominated by Leader
____Senior Volunteer Award
Youth who have shown above average volunteerism within the club and community. Please write a short description with the nomination of
why this individual should be chosen.
_____Family Volunteer Award
Families who have shown above average volunteerism within the club and community. Please write a short description with the nomination of
why the family should be chose for this award.
____Club Community Service Award – Club must submit a written report along with pictures, newspaper clippings, etc. about their club’s
Community Service Project(s). A club may receive this award more than once, but it must be for a different service project or for more
advanced work done in a previous project.
For Leaders Only: Give information, if you wish, regarding this member for the award for which he/she is applying (participation in 4-H, relationships
with others, etc.) Are there any unusual or special situations that the award committee should be aware of pertaining to this member applying for this
award? (This information will only be used by the evaluators and will not be shared with or returned to the member.) If you nominate a member for an
award, make sure they fill out the required forms.
______________________________________________________________________________________________________________
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Leader Signature_________________________________________________________ Date__________________________________