Club Leadership Award Application

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CLUB LEADERSHIP AWARD
Awards will be presented at the Awards Banquet.
Name: __________________________________________ I was in _____ grade last year
Club: ___________________________________________
Criteria for the following awards must be accomplished during the current 4-H year.
Junior Merit
I meet all of the criteria for a Junior Merit Certificate in the following ways:
_____ I attended a minimum of five educational 4-H meetings this 4-H year.
_____ I gave a talk, demonstration (working exhibit) or presentation at a club meeting. Topic____________________
_____ I completed one or more project areas and turned in record keeping materials. Project_____________________
Junior Excellence
_____ I meet the above criteria for Junior Merit, as well as three of the following criteria below.
_____ I helped with my 4-H club fundraising project or in the 4-H Food Stand at the county fair.
_____ I participated in the following community service/individual citizenship project _________________________
_____ I participated in the Communications Presentations at the fair. Topic___________________________________
_____ I participated in the following 4-H county, area, or state activity (ies)__________________________________
Intermediate Merit
I meet all the criteria for an Intermediate Merit Award in the following ways:
_____ I attended a minimum of five educational 4-H meetings this 4-H year.
_____ I gave a talk, demonstration (working exhibit) or presentation at a club meeting. Topic____________________
_____ I completed two or more project areas and turned in record keeping materials. Projects____________________
Intermediate Excellence
_____ I meet the above criteria for intermediate Merit, as well as four of the criteria below.
_____ I have completed two years in 4-H.
_____ I have helped with my 4-H club fundraising project or in the 4-H Food Stand at the county fair.
_____ I participated in the following community service/individual citizenship project._________________________
_____ I participated in the Communication Presentations at the fair. Topic___________________________________
_____ I participated in the following 4-H county, area, or state activity (ies)__________________________________
Senior Merit
I meet all the criteria for Senior Merit in the following ways:
_____ I attended a minimum of five educational 4-H meetings this 4-H year.
_____ I gave a talk, demonstration (working exhibit) or presentation at a club meeting. Topic____________________
_____ I completed two or more project areas and turned in record keeping materials. Projects____________________
_____ I have volunteered at the following 4-H county activity (ies) _________________________________________
Senior Excellence
_____ I meet the above criteria for Senior Merit, as well as five of the criteria below.
_____ I have completed four years in 4-H.
_____ I participated in the following 4-H county, area, or state activity (ies) this 4-H year._______________________
_____ I participated in the Communication Presentations at the fair. Topic___________________________________
_____ I have applied for one or more of the following (circle): State Project Award, State Council, Tech Team,
National 4-H Congress, National 4-H Conference, CWF
_____ I served as an officer of my club or participated in 4-H leadership activity or training.
_____ I have served on County Council one or more years.
_____ I participated in the following community service/individual citizenship projects: ________________________
4-H’er Signature________________________________________________________ Date____________
Parent/Adult 4-H Leader Signature__________________________________________Date____________
2/ 2013
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