2015 4-H King & Queen Application Form

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2015 BOONE COUNTY 4-H ROYALTY APPLICATION
Application Deadline: May 29, 2015 (Penalty for being late - minus 25 pts.)
Application Received
The selection of the 4-H King & Queen will be made by a special committee chosen
each year. The committee will consist of one Extension Staff member and at least two
individuals not related to any of the applicants. Primary consideration for determining
the recipients will be their 4-H participation, display of good character, community
involvement, leadership development, the impact, and influence of the 4-H Program on
the applicant. Each applicant will also be required to participate in an interview with the
selection committee. Please complete the following information as it relates to your 4-H
career unless specified otherwise.
Name ___________________________________________
Age________
Indicate the types of 4-H projects you have completed (Please Check):
_____ Family & Consumer Sciences
_____ Animal Science
_____ Plant Science
_____ Environmental, Education & Earth Science
_____ Technology
_____ Leadership
_____ Healthy Lifestyles
_____ Entrepreneurship
_____ Citizenship, Communication & Expressive Arts
(2 Points)
1. Please list the 4-H club(s) you are presently a member of:
_________________________________________________________
_________________________________________________________
(10 Points)
2. Number of years you have completed your 4-H year. This means
turning in your Annual 4-H Story or Career Portfolio to the
Extension Office: ________
(1 pt./year)
(8 Points)
3. Indicate the offices held in your 4-H club or Jr. Leaders Club by
listing the number of times you have served in each office
(example, 2 Treasurer):
_____ President
_____ Vice-President
_____ Secretary
_____ News Reporter
_____ Treasurer
_____ Pledge Leader
_____ Jr. Leader
_____ Other Offices (Please List)
________________
________________
(20 Points)
4. Please indicate the number of times you have participated in the
following 4-H events/contests at the various competitive levels:
County
District
State
A. Presentation
______
______
B. Communications(speech)
______
_______
______
C. Judging
______
______
D. 4-H Camps
______
______
E. Fashion Revue
______
______
F. Tractor Driving
______
______
G. Music Contest
______
H. PASE/Life Challenge
______
______
I. County Fair (livestock)
______
J. Exhibits (non-livestock)
______
______
K. Other 4-H Events (Please List):
______________
______
______
______
______________
______
______
______
(5 Points)
5. List the 4-H activities you have participated in outside of the
county other than those listed in #4 (Examples include: State 4-H
Exchange, Washington Focus, State Livestock and Horse Shows,
Ak-sar-ben, State Fair, Big Red Academic Camp, etc.)
Event
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
(10 Points)
Year(s)
______
______
______
______
______
______
______
______
______
______
6. Briefly describe the 4-H opportunities for leadership development
you have been involved in within your 4-H club and/or county
(Examples include: camp counselor, community service work,
county fair, 4-H Council, 4-H club officer):
Leadership Responsibility
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Year
______
______
______
______
______
______
______
______
______
(10 Points)
7. List the significant 4-H awards and honors received at the
indicated levels of competition:
A. County: __________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
B. District:__________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
C. State: ___________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
D. Other: __________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
(10 Points)
8. List examples of leadership skills and service that you were
involved with in your school, community and church:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
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__________________________________________________________
__________________________________________________________
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__________________________________________________________
__________________________________________________________
(25 Points)
9. Briefly discuss, in 100 words or less, how being a part of the 4-H
Program has made an impact on your life, taught you new skills
and has influenced your future career choices.
__________________________________________________________
__________________________________________________________
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4-H King & Queen Information
Practice for coronation will be held on Saturday, July 11th at approximately 3 p.m.
Please meet Jeryl Kettelson at the Grandstand on the Boone County Fairgrounds at this
time. If you are unable to attend this practice for any reason, please let the Extension
Office or Jeryl know as soon as possible.
Dress for girls will be a nice dress or prom-type gown. Dress for boys will be
dress slacks, nice shirt (tie optional), and dress shoes, boots or ropers. Please, No
t-shirts, sneakers, casual sandals, caps or hats!
Coronation will take place on Sunday, July 12, following Church services, at
approximately 11:00 a.m. in the grandstand. All candidates are requested to complete
the narration form that is included with this application and return both to the Boone
County Extension Office.
All king and queen candidates will be in the parade on Sunday afternoon.
Interviews of the candidates will be scheduled for Monday, June 15th. More
details will be sent to you later.
4-H King & Queen Duties
Please plan to attend as many of the following activities as possible, keeping in
mind that your duties to 4-H come FIRST. We are planning on your presence at the
livestock shows to help award ribbons and trophies to exhibitors.
Required Events (please wear business casual):
Fall 4-H Achievement Party
Fair Parade on Sunday afternoon
Livestock Shows (award ribbons & trophies) on Monday, Tuesday & Wednesday
Livestock Sale on Thursday
Style Show - Queen only (pre-fair contest) & both King & Queen (at county fair,
Sunday night)
Some optional events (more events maybe added):
Senior Day
Free Barbeque
Kid’s Day
Women’s Day
Boone County 4-H Royalty Narration Form
____________________________________________ is the __________ year old
(Applicants Name)
(Age)
son/daughter of _____________________________________ of _____________.
(Parents)
(Town)
She/He has been in 4-H for ______ years. They are a member of _______________
_____________ (4-H club(s)). 4-H projects, activities, and awards/honors received over
their 4-H career include:
He/she attends ______________________School or plans to attend ______________
_______________ and is/was active in the following school groups or organizations:
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