Pottawatomie County 4-H
2007-2008 Handbook
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What is 4-H?
4-H is a program for youth and their families from all segments of society. It provides educational
programs for diverse audiences of youth and adults based on practical skills of learning to learn, decision
making, public speaking, goal setting, job skills and more. 4-H is the youth development phase of the
Oklahoma Cooperative Extension Service, supported cooperatively by Oklahoma State University, the
USDA and local County Government.
How is 4-H Organized?
Locally- Most clubs have monthly meetings conducted by the local youth officers. Some clubs also have
special project and activity meetings where members work in smaller groups to develop specific project
skills. Each club has a designated Organizational Leader. Organizational leaders are the primary contact
between the local club and County Extension Office. Organizational leaders depend on the assistance of
parents as volunteers in a variety of roles at the local and county level.
County - The 4-H program is managed through the County Extension Office located in Shawnee.
Responsibilities and commitments of the Extension staff include attending meetings and functions with
members; and helping members focus on what's really important, not just winning!
Be a part of the 4-H team! The team is made up of volunteers helping to provide snacks, transportation,
and a meeting place; serving as a project or activity volunteer; being a resource in your area of expertise;
asking what you can do at the local and county level; and helping when called upon.
4-H members get more from their 4-H experience when the whole family gets involved.
The 4-H Philosophy
To “learn by doing” is fundamental in any sound educational program and characteristic of the 4-H
program. Some other commonly accepted beliefs are:
♦ 4-H youth are more important than the 4-H project.
♦ Learning how to do the project is more important than the project itself.
♦ Personal growth of the 4-H member is more important than winning a competition.
♦ Every 4-H member needs to be noticed, to feel important, to win, and to be praised.
♦ Our job is to teach 4-H members how to think, not what to think.
What is a 4-H Project?
At the beginning of each year a member will complete an enrollment card. On the card they will check
4-H projects that they are interested in learning about. Most of these projects have a project manual
which will guide the family in learning fundamentals and opening doors to other opportunities. Each
manual is developed with age appropriate materials and projects. The activities and projects outlined in
the manual can then be entered in the county fair and other activities throughout the year.
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What is my role as a parent/guardian?
4-H is a family affair! Members require the involvement and support of the entire family. Your role
will include supporting and helping members, without doing it for them; giving praise and
encouragement; helping a member select projects and activities; staying informed about 4-H programs;
asking questions; supporting your member in meeting deadlines and following through with projects.
What can 4-H teach my child?
4-H teaches members to set and accomplish goals for themselves through project work. A member's
project manual will assist them in learning to set goals, keep records, and evaluate what they did or did
not accomplish. 4-H encourages members to record their goals and how they completed the goals. This
is called record keeping. A key to successful record keeping is to wait no longer than one week to record
project work. The important details and simple things are forgotten quickly.
How will my family get the most from the 4-H experience?
♦ Attend local club meetings. Ask questions of the local club leader and call the Extension Office.
♦ Read the newsletter and yearbook. Keep them in a handy location at home.
♦ Set goals and work at completing the goals in a timely manner.
♦ Keep records of your project work. Do a talk or demonstration at the local club.
♦ Participate in local club citizenship projects.
♦ Participate in county activities and events.
♦ Attend club meetings!
Local club leaders will make announcements regarding updated information, remind you of upcoming
deadlines, and provide registration forms.
Parts of a 4-H Meeting
33%
50%
17%
Education
Recreation
Business
Business
Program or Education
Call to Order
Opening with Pledges and Ritual
Introduction of Guests
Minutes & Correspondence
Talks & Demonstrations by Members
Opportunities to Learn by Doing
Guest Speakers, Films etc.
Special Tours or Group Activities
Treasurer’s Report
Reports of Committees
Unfinished Business
New Business
Announcements
Adjournment
Recreation & Refreshments
Games, skits, plays, parties, songs
Snacks or meal
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Table of Contents
4-H Year Calendar
Page 5-7
Local Club Meeting Info
Page 8
County 4-H Officers
Page 8
OSU Extension Staff
Page 8
4-H Enrollment Card
Page 9
Jr Leadership Program____________________________________Page 11
County 4-H Achievement Banquet
Page 12
County Share the Fun
Page 13-15
Electricity Poster Contest
Page 16
County Speech Contest
Page 17-19
County Demonstration Contest
Page 20&21
County Job Readiness Contest
Page 22-26
County Dress Revue
Page 27-29
County Impressive Dress
Page 30&31
County Historical Costume Contest
Page 32&33
County 4-H Camp
Page 34
Other 4-H Activities & Events
Page 35&36
County Medal Applications
Page 37-40
County Recordbooks
Page 41-43
4-H Trip Awards
Page 44-48
Adult & Volunteer Awards
Page 49
County Officer Applications
Page 50
4-H Membership Policy
Page 51-54
RAM Form
Page 55-56
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Pottawatomie County 4-H Calendar of Events
2007 – 2008
August
August 30  6:30pm  Round Robin  OSU Extension Office  Fun event that allows youth to feel more
comfortable with public speaking  members are awarded points for giving one to two minute speeches or
presentations  The club with the most points wins a plaque and is recognized at the 4-H Banquet
September
September 3  4-H cards and re-enrollment cards for all members due to OSU Extension Office
September 5  4-H Exhibit Check-in for County Free Fair
September 5-8  Pottawatomie County Free Fair  Expo center in Shawnee  Open to all 4-H’ers
September 10  6:30pm  County 4-H Meeting  OSU Extension Office  All 4-H members & parents invited
September 14  Trip Applications due  4:30pm  OSU Extension Office
September 15-24  Oklahoma State Fair Jr. Livestock Shows
September 15  4-H Judging Day at the Fair  Contests in consumer, horticulture, crops judging and insect ID
September 15  State Skeet Shoot  Arcadia
September 22  Tulsa State Fair 4-H and FFA Horse Show  Tulsa State Fair
September 22  Shawnee Centennial Parade  10 am  4-H members are encouraged to ride on our float
September 25  Club Officer Training  6pm  OSU Extension  Officer training is a hands-on, fun session that
prepares 4-H members to serve as officers  All local and county officers are invited to attend
September 28 October 4-H Baby Gift Basket donations due to OSU Extension Office
October
NATIONAL 4-H MONTH
October 1-8  Tulsa State Fair Jr. Livestock Shows
October 1  6:30pm  County 4-H Meeting  OSU Extension Office  All 4-H members & parents invited
October  Oklahoma Farm Bureau Community Service Dinner 4-H’ers help serve
October 9  Jr. Leadership Program Kick Off Meeting and Dinner  OSU Extension  6:30 pm
October 13  County 4-H Banquet  6pm  Rock Creek Church  The annual awards night for Pottawatomie
County 4-H, the banquet includes dinner, a slide show and recognition for all the accomplishments of county
members, volunteers and sponsors. 4-H medals are handed out, along with Outstanding Jr and Sr 4-H’er.
October 13  State Trap Shoot  El Reno
October 18-19  South East District Teen Leadership Conference  For 4-H members 13 and older, the
Leadership Conference allows youth to meet 4-H’ers from other counties and learn leadership.
October  District Skeet and Trap Shoot  Ada
November
November 5  6:30pm  County 4-H Meeting  OSU Extension Office  All 4-H members & parents invited
November 5  6:30pm  Share the Fun entries due to OSU Extension Office
November 10  10am  Tecumseh City Hall  County Share the Fun  A time to share talents and skills with
other 4-H’ers, Share the Fun allows youth to compete in Musical, Dramatic or Novelty acts; as a group or
individually. Share the Fun is not intended to be highly competitive or a talent show.  Acts must be preentered.
November 10  State Sporting Clays Contest  Guthrie
November  County 4-H Fall Festival  Mikles Corn Maize  Date to be announced
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December
December  Jr. Leadership meeting and activity
December 3  6:30pm  County 4-H Meeting  OSU Extension Office  All 4-H members & parents invited
December 4  Tecumseh Christmas Parade
December 6  Downtown Shawnee Christmas Parade  The largest night-time parade in the state, this is a chance
for 4-H clubs to mix their Christmas spirit with 4-H pride, make a float and be in the parade.
December 19  Christmas donation gifts for Snowflakes for Kids due to OSU Extension
December 21  4-H Appreciation Trays  10am  OSU Extension Office  During the holiday season, 4-H
families gather to make goodie trays as appreciation gifts for 4-H supporters and sponsors. Not only can you
bring homemade treats, you can also help decorate the trays. All 4-H’ers are encouraged to attend.
January
January 7  6:30pm  County 4-H Meeting  OSU Extension Office  All 4-H members & parents invited
January 21  10am-2pm  Clover Bud Fun Day  OSU Extension
February
February  Jr. Leadership meeting and activity
February 2  Central District Livestock Show, Payne County Fairgrounds, Stillwater
February 4  6:30pm  County 4-H Meeting  OSU Extension Office  All 4-H members & parents invited
February 5  Pottawatomie County Jr. Livestock Show Trophy Auction  Held each February to raise money for
the awards & premium sale at the County Livestock Show. 4-H’ers that show livestock are encouraged to help.
February  6:30pm  Gordon Cooper Tech Center  County Communications Contests  4-H members can
sharpen their public speaking skills by competing in Speech, Illustrated Speech, Demonstrations, PowerPoint
Presentations and Job Readiness  DATE TO BE ANNOUCED
February 22  OG&E Electricity Poster Contest  Members create posters dealing with electricity and electrical
safety. OG&E sponsors savings bond awards to the top three winners in each category.
February  State Pellet Gun Contest
March
March 3  6:30pm  County 4-H Meeting  OSU Extension Office  All 4-H members & parents invited
March 5-8  County Jr. Livestock Show, Shawnee Expo Center
March 10-20  Oklahoma Youth Expo Livestock Show, State Fair Grounds, Oklahoma City
March 25  Sr. Recordbooks due  4:30pm  OSU Extension Office
March 25  Key Club Applications due  4:30pm  OSU Extension Office
March  State Small Bore Pistol Contest
April
April 2  Kiwanis Pancake Feed  Municipal Auditorium  Shawnee
April 7  6:30pm  County 4-H Meeting  OSU Extension Office  All 4-H members & parents invited
April 10  Dress Revue, Impressive Dress & Historical Costume Contest  6:30pm  OSU Extension Office
April 26  SED Archery/Air Rifle Contest  McAlester
April  Jr. Leadership meeting and activity
April  State Archery Contest
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May
May 1  County Officer Applications due  4:30pm  OSU Extension Office
May 1  County Safe Kids Day
May 5  6:30pm  County 4-H Meeting  OSU Extension Office  All 4-H members & parents invited
May 5  County 4-H Officer Elections coincide with the May CCM
May 5  County 4-H Camp Counselor Applications due  4:30pm  OSU Extension Office
May 5  4-H Summer Camp registration and fees due  Forms at OSU Extension Office
May  District Skeet and Trap Shoot Contest  Ada
June
June  Jr. Leadership meeting and activity
June 4 & 5  District Horse Show  Ardmore
June 9-11  County 4-H Camp  THIS IS A TENATIVE DATE. WATCH NEWSLETTER FOR MORE INFO.
June 16  Jr Recordbooks due  4:30pm  OSU Extension
June 16  Medal applications due  4:30pm  OSU Extension
June 19-21  State Horse Show  Enid
June 24  Southeast District Animal Science Project Day  Sulphur
June 26  Southeast District Animal Science Skillathon  Wilburton
June 27  Southeast District Volunteer Conference
July
July 15-17  OSU Animal Science Field Days  Stillwater  Livestock judging contest open to all 4-H members
July 19  State 4-H Volunteer Leadership Conference  Stillwater  Great adult education workshops
July 30-August 1  State 4-H Round Up  Stillwater  for members 14 years and older
PLEASE REMEMBER THESE DATES ARE
SUBJECT TO CHANGE.
CHECK YOUR NEWSLETTER FOR
UPDATES, ADDITIONS AND CHANGES!
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Local Club Info…4-H Meetings
Below are meeting dates and leader information for each 4 -H club in the county.
 County 4-H Meeting; First Monday of each month, 6:30pm at OSU Extension Office
 Educators, Lindsey Hix & Sarah W eeks, 405-273-7683
 Asher 4-H Club; Second W ednesday of each month, 3:15 pm at Asher School
 Leader: Ronnie O’Dell, 580-925-3390
 Bethel 4-H Club; Second Tuesday of each month, 3:25pm at Bethel Ag Room
 Leader: Jody Akehurst, 405-275-5469
 4-H Childcare Club; Meet quarterly, call for time
 Leader: Sonya McDaniel, 405-273-7683
 Cornerstone 4-H Club: Call for time and location
 Leader: Julie Cockroft at 405 -214-0497 or Ruth Smith at 405-275-6205
 Dale 4-H Meeting; Second Monday of each month, 3:15pm at Dale Cafeteria
 Leader: Angela Dockrey at 405-275-3131 or Jennifer Burch at 964-2411
 Homegrown 4-H Meeting; Second Tuesday of each month, 4pm , Oakland Chapel
 Leader: Mary Roberts, 405-598-6093 or Diana Rodgers, 405-279-3084
 Horse Club Meeting; Last Thursday of each month, 6:30pm, call for location
 Leader: Jill Anderson, 405-273-6031 or Rene Underwood, 405-997-8154
 McLoud 4-H Meeting; Third Tuesday of each month, 7pm
 Leader: Georgie Sterling at 405-964-3144
 Macomb 4-H Meeting; Third W ednesday of each month, 3:30 at Macomb School Library
 Leader: Mica Byrum at 405-598-6556
 Maud 4-H Meeting; First Monday of each month, 6pm at Maud School
 Leader: Sarah Harper at 405-374-9052 or Melissa O’Daniel at 405 -374-2280
 North Rock Creek 4-H Meeting; Second Tuesday of each month, 7pm at NRC School
 Leader: Kathy W atson, 405-273-3902
 Sewing Club Meeting; Time and location varies according to programs
 Leader: Faye W oodhouse, 405-273-7823 or Mary Roberts, 405-598-6093
 Shooting Sports Club Meeting; Third Tuesday of each month, 5:30pm in Pink
 Leader: Randall Caudle at 405 -598-8220
 Tecumseh 4-H Club; Second Monday of each month, 7pm at Cross Timbers School
 -Leader: Cindy Larson, 405-598-8458
 Wanette 4-H Club Meeting; Time & location varies, call Sarah W eeks at 405 -273-7683
County 4-H Officers
President: Johsua Cockroft, Cornerstone 4-H
Vice-President: Whitney Dockrey, Dale 4-H
Secretary: Troy Woodhouse, Homegrown 4-H
Treasurer: Tyler Woodhouse, Homegrown 4-H
Reporter: Lauren Underwood, Horse Club
Song Leader: Katie Mikles, Horse Club
Recreation Leader: Michael Larson, Tecumseh 4-H
Historian: DaLacy Dockrey, Dale 4-H
Pottawatomie County Extension Staff
14001 Acme Rd., Shawnee, OK 74804  Phone: 405-273-7683  Fax: 405-273-8014
Joe Benton, County Director
Bobbie Donat, Nutrition Education Assistant
Lindsay Goodson, Nutrition Education Assistant
Lindsey Hix, 4-H Youth Development
Sonya McDaniel, Family & Consumer Science
Lynn Moore, Extension Secretary
Sarah Weeks, 4-H Youth Development
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SECTION II
COUNTY EVENTS AND ACTIVITIES
Guidelines for the major county events are included in this Section of the Handbook.
These pages are provided for your use in being an active 4-H member, leader, or parent.
Please study this Section of the Handbook and refer to it as the year progresses.
The OSU Extension Office and local club leaders will provide updates, changes and
other information as it arises.
REMEMBER:
Please share your Handbook with your parents and let them know what you would
like to do in 4-H.
Most information on events is provided in this Section. Start now on your projects.
This Section of the Handbook will be supplemented by the County 4-H Newsletter.
Please call your local 4-H Leaders or the Extension Office if you have questions.
Information for the County and State Fairs, Spring Livestock Shows, Summer
Livestock Events, and other animal events is available in the respective catalogs or
leaflets. Prior to the event, come by the Extension Office for your copy.
Information on changes, workshops, new activities, and short courses will be included in
the County 4-H Newsletter and distributed prior to the event by your 4-H Leader.
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Junior Leadership Program
This is a new program being started in Pottawatomie County! It is designed to
for youth 11 to 13 years old. We will learn about leadership, citizenship and
help youth to understand the 4-H Program beyond the county level.
We will meet every other month starting in October. Each meeting will be fun
and exciting. There is a BIG Jr. Achievement Trip planned in June of 2008.
To be eligible to attend, youth must attend 2 of the 4 Jr. Leadership Meetings.
WHO:
WHAT:
WHERE:
WHEN:
4-H Members 11-13 years old
Jr. Leadership Program
OSU Extension Office
October 9th @ 6:30 pm.
(We will set dates for December, February, April and June)
WHY:
To meet new friends, learn more about
4-H, attend exciting trips, become a
great leader and HAVE FUN!!!
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ACHIEVEMENT BANQUET
DATE: October 13, 2007  6:00pm
PLACE: Rock Creek Church, Shawnee
The Achievement Banquet is an awards program honoring 4-H’ers who have won
awards through their 4-H work. Members who have turned in medal applications, a
permanent recordbook or other special award applications, along with their parents, are
invited to the banquet. Others who may attend the banquet are local leaders, friends of
4-H, county officers, and guests. The banquet also features a slide show with pictures
from through out the year.
Requirements:
In order to be invited to the Achievement Banquet, a member must be an award recipient
or must have turned in a permanent recordbook. Tickets are provided for the award
winner and two adults. Additional tickets may be purchased from OSU Extension.
Awards:
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County medals and/or certificates are given in all project areas
Outstanding First Year
Outstanding Junior
Outstanding Senior & Senior Hall of Fame members
Kiwanis Outstanding Citizen
Other special awards
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POTTAWATOMIE COUNTY 4-H
JUNIOR AND SENIOR SHARE THE FUN
WHEN: November 10, 2007
TIME: 10am
WHERE: Tecumseh City Hall
DEADLINE: November 5, 2007, 6:30pm
WHO MAY PARTICIPATE:
JUNIOR:
4-H members who are currently enrolled for the present year and have not reached their
13th birthday by January 1 of the current 4-H year are eligible to participate.
SENIOR:
4-H members who are currently enrolled for the present year and have reached their 13th
birthday by January 1 of the current 4-H year are eligible to participate. Those who participate in the
Share the Fun Festival at Round-Up must be members for 120 days.
ENTRIES: An individual may enter one each of: individual, small group, and large group – for a
total of 1 – 3 performances per 4-H’er. An individual may not enter more than one act in the individual,
small group, or large group categories.
NUMBER OF ACTS: Each club is eligible to enter as many individual acts as they wish. A club may
have 10 small group acts (two to four people) and 3 large group acts. These numbers represent Junior
and Senior acts combined for a total of 13 group acts per club.
There is no limit on the number of participants in large group acts; however, discretion should be used in
selecting participants. The 4-H members may be used in any way desired. Persons working backstage
(behind curtain) who handle lighting, group effects, etc. may be in addition to those allowed on stage,
however, these should be kept to a minimum. 4-H members should be used where possible.
LARGE GROUP ACTS: Clubs consisting of four or less members who wish to participate in a large
group act, may combine as a group with another Pottawatomie County club of four or less participating
members to form a large group act. This must include all members of the small club or clubs wishing to
participate. No one is to be excluded from participation of the joint group. The decision to combine
must have prior agreement from each club’s adult leaders.
CONTENT AND CLASSIFICATION OF ACTS: Share the Fun Acts should be in keeping with the
high standards and principles of 4-H work and should be appropriate for 4-H situations. There should be
no take-offs on race or religion. All acts must be and contain material appropriate for all ages of 4-H
members and audiences. Please keep this in mind when choosing topic, content and theme of acts.
The classification of acts will be as follows:
Musical - Vocal, instrumental, or a combination of both.
Dramatic – Plays, readings, recitations, or skits (any speaking), either humorous or serious.
Novelty – Stunts, acrobatic or rhythmic acts, dancing (folk, tap, ballet, etc.), twirling, pantomiming, or
lip sync - or a combination of these.
Leaders should be sure to classify the acts that they enter. The length of the act is not to be more
than six (6) minutes from the time the curtain opens until it closes. Acts will be timed and judges
may deduct points for excessively long acts. No more than ten (10) minutes total time will be allowed
for any one act. This includes time to set up and clear the stage. Please keep props simple so they can
be set up and removed easily and quickly.
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IMPORTANT!! There is a concern about semi-professional musical groups, members of high school
bands and choruses bringing numbers prepared for other events to the Share the Fun Festival. In order to
be fair to all concerned and to preserve the "amateur" and fun status of the program, no musical group
who performs regularly and frequently for pay should be permitted to participate in the Share the
Fun program. (This does not mean that a member of such a group cannot join with other 4-H members
and participate.) Moreover, it is suggested that members of high school bands or choruses work up
special numbers, with appropriate props, theme and action for the Share the Fun Festival, rather than use
numbers that have been prepared for other events.
Please be sure classifications are correct - they will not be changed during the contest.
ORDER OF PRESENTATION: All senior individual acts will be first, followed by junior individual
acts. There will be a short break and then we'll start back with senior group acts followed by junior
group acts. Participants may bring a sack lunch. Concessions will be provided by the County 4-H'ers.
METHOD OF SCORING:
Performance and Polish:
Originality shown, interpretation of material, skill, timing
smoothness and grace of routine.
50%
Appearance:
Appropriate costumes, light and sound effects, stage props,
atmosphere appropriate to the theme of the act.
20%
Projection:
Ability to project and to reach the audience.
15%
Audience Appeal:
Did the audience like it?
15%
TOTAL
100%
THERE WILL BE A BLUE or RED RATING GIVEN TO EACH ACT:
Trophies will be awarded to Champion and Reserve Champion Small and Large Group Acts, and
Champion and Reserve Champion Individual Acts.
The best Group Act and Individual Act in each category will be recognized unless this act wins an
overall trophy, in which case the next highest act gets the recognition.
The Share the Fun Program is not designed to be a highly competitive activity, but it is intended to
provide a large number of 4-H'ers with an opportunity to get on stage and "Share the Fun" with other
4-H members, friends, families, and leaders.
ADDITIONAL: Judges will be from out of the county.
DEADLINE WILL BE ENFORCED
NO LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED
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SHARE THE FUN ENTRY FORM
Please return to OSU Extension Center, 14001 Acme Rd., Shawnee, OK 74804
All acts must be and contain material appropriate for all ages of 4-H members and audiences.
4-H CLUB OR CLUBS: _______________________________________________________
LARGE GROUP ACT: _____SMALL GROUP ACT: _______INDIVIDUAL ACT: _______
JUNIOR ACT: __________SENIOR ACT: _________
MUSICAL: _____________DRAMATIC:__________NOVELTY:_____________
NAME OF ACT: ______________________________________________________________
BRIEF DESCRIPTION: ________________________________________________________
_____________________________________________________________________________
CHECK ALL BOXES THAT APPLY TO YOUR ACT:
MUSICAL
DRAMATIC
NOVELTY
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Performing a musical instrument
with accompaniment
Performing a musical instrument
Singing a cappella
Singing with accompaniment
Combination of singing and playing
a musical instrument
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Play–humorous or serious
Reading–humorous or serious
Recitation–humorous or serious
Skit–humorous or serious
Any Speaking or Acting –humorous
or serious
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Stunt (unusual or difficult feat)
Acrobatic or rhythmic
Dancing–folk, tap, ballet
Twirling
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Lip sync
Pantomiming–humorous or serious
Combination of musical, dramatic,
novelty
Other (describe):
PARTICIPANT INFORMATION:
NAME
AGE
BIRTHDATE
RACE (Optional)
(additional participants may be listed on back if necessary) THIS FORM DUE BY 6:30pm,
November 5, 2007 (NO EXCEPTIONS)
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4-H OG&E ELECTRICITY POSTER CONTEST DATE:
February 22, 2008
PLACE: OSU Extension Office
OG&E of Shawnee will sponsor a 4-H Electricity Poster Contest. This contest will
encourage 4-H’ers to present ideas on any electric, electrical energy, energy conservation
or electrical safety related topic. All posters are due in the Extension Office by 4:30 p.m.
on February 22, 2008.
DIVISIONS
Junior: Ages 9 - 11,
Intermediate: Ages 12 - 14,
Senior: Ages 15 - 18
(These ages are as of January 1st of the current 4-H year.)
GUIDELINES
Posters are to be 14 inches by 22 inches and are to be made by the 4-H’ers. Label
posters on the back with the 4-H’ers name, club, and age as of January 1 of the current
4-H year. Only one (1) poster per member may be entered.
Posters will be judged on message, originality, composition, and quality of art work.
AWARDS
U.S. Savings Bonds will be awarded to the top three posters in each Division:
1st Place: $100
2nd Place: $75
3rd Place: $50
All top three posters in each Division must be laminated following the contest to be used
for display purposes.
THANK YOU LETTERS AND NOTES MAY BE SENT TO:
Judy Harrell, Community Service Representative
Oklahoma Gas & Electric Company
1300 N Kennedy Ave. M/C CS70
Shawnee, OK 74801-4737
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4-H COMMUNICATIONS CONTESTS GUIDELINES
DATE: February XXX
PLACE: Gordon Cooper Tech Center, Shawnee
ENTRY DEADLINE: 4:30pm, February XXX, 2007
4-H SPEECH CONTEST GUIDELINES
The 4-H Speech Contest is a communication activity to allow 4-H'ers to develop the
skills of speaking before others, thinking on their feet, and illustrating while speaking.
There are three types of public speaking offered in this contest – illustrated, nonillustrated, and PowerPoint presentations.
Illustrated presentation speeches allow the use of posters or visuals to express ideas.
Non-illustrated presentations are speeches with no visual aids. PowerPoint presentations
allow the use of the provided computer equipment.
The entry deadline will be the Monday prior to the contest. All entries must be received
at the Extension Office by 4:30pm.
Senior winners, if selected as Roundup Delegates, will represent Pott. County at the State
Contest held in conjunction with State 4-H Roundup held in May.
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



All ages are as of January 1 of the current 4-H year.
All contests will have boys and girls competing together. There will be no separation
by gender.
Any member may enter a regular and/or illustrated talk.
In the Senior Division, all Senior boys and girls will compete together. 7th grade - 13
years and older, 8th and 9th grade will compete together. 10th, 11th and 12th grades
will compete together.
In the special awards area, Senior 4-H'ers will be given preference.
Senior Talks and Illustrated Talks are to be 5 - 7 minutes in length.
In the Junior Division (Under 13) boys and girls will compete together by grade level.
Example: 4th grade boys and girls and 5th grade boys and girls will compete
together. 6th and 7th grade boys and girls will compete together.
Junior Talks and Illustrated Talks are to be 3 - 6 minutes in length.
9-year old Show and Tell - 3 minutes in length - (9 year olds only!!) Boys and girls
compete together. May be on any subject. All participants to receive a ribbon, a
trophy will be awarded to the 1st place individual determined by the judge.
17
PowerPoint Presentation
PowerPoint presentations will follow the general 4-H public speaking contest guidelines
with the following additions:
1) Presentations will include a wide range of topics but must be 4-H related.
2) Participants will be required to use the equipment provided.
The Extension office will provide a laptop computer, digital projector and
screen to use during the presentations. This contest is limited to only PowerPoint
software. No other presentation programs will be provided or allowed.
3) Participants can provide presentations to OSU Extension prior to the contest on
floppy disk, zip disk, sip drive or CD.
4) Presentations will be judged; 20% on the PowerPoint presentation and 80% on
verbal presentation skills.
5) Presentation Length:
Juniors:
3 - 6 minutes

Seniors:
5 - 7 minutes
All guidelines and times are the same as Speeches and Illustrated Presentations.

Presentations may be on any topic.

Only two divisions:
 Junior (Under (13)
 Senior (Over 13)

Computer and projector will be set up for participants.
Resources - You might use the following ideas and information for talks:
4-H Manuals
County 4-H Office Reference Files
Current Magazines
Library Books
School Text Books
Reference Manuals
18
SPEECH REGISTRATION FORM
DATE: February XXX
PLACE: Gordon Cooper Tech Center
ENTRY DEADLINE: 4:30pm, February XXX
NAME:______________________________________________________
GRADE:__________
CLUB:_______________________________
AGE (JANUARY 1 of the current 4-H year.):_______________________
TITLE OF TALK:______________________________________________
ILLUSTRATED:______________
NON-ILLUSTRATED:___________
POWER POINT PRESENTATION: _____________
CATEGORY:_____________________________________
Please see the below speech categories.
Science & Technology
Animal Science (large & small animal, Vet. Medicine)
Agriculture Business (general & banking)
Mechanical Sciences (automotive, ATV, bicycle, computer, motorcycle, rocketry, small engines, woodworking,
farm machinery)
Electricity
Plant Science (Agronomy: crops, range, soil; Horticulture: vegetables, fruits, home grounds and house plants)
Weather
Photography
Social and Political Sciences (career education, citizenship, community development, international study and
leadership)
General – Topic does not relate to any of the above subjects.
Health & Wellness
Expressive Arts (crafts, performing and visual arts)
Health & Safety
Leisure Education (camping, recreation, shooting sports)
Foods:
*Dairy Foods
*Peanut related to food
*Breads
General – Topic does not relate to any of the above subjects
Natural Sciences (entomology & bees, wildlife, forestry, natural resources, water quality, geology)
Plant Science (as it relates to environmental conditions, natural resources, soil erosion, etc.) (Plant production
and general science of plants belongs under science and technology.)
General – Topic does not relate to any of the above subjects.
Family Strengths
General Family Living (child care, consumer education, home & personal living space, personal development,
clothing, etc.)
Communication (general skills, visibility and promotion, 4-H Foundation)
General – Topic does not relate to any of the above subjects.
19
4-H DEMONSTRATION CONTEST GUIDELINES
The 4-H Demonstration Contest is a communication activity to help 4-H'ers to develop
skills of speaking before a group, thinking on their feet, and demonstrating while
speaking. All Demonstrations are considered to be illustrated presentations. A
Demonstration is giving instructions for making a finished product and showing how it
is done.
Local leaders & OSU Extension can provide information sheets with tips to help you
prepare for Demonstrations.
The deadline for the entries will be the Monday before the contest. 4-H Members should
report their Demonstration Topic to the Extension Office. No exception will be made for
late entries.
Senior winners, if selected as Roundup Delegates, will represent Pottawatomie County at
the State Contest held in conjunction with State 4-H Roundup held in May.








All ages are as of January 1 of the current 4-H year.
All contests will have boys and girls competing together. There will be no separation
by gender.
Any member may enter a team or individual Demonstration.
In the Senior Division, all Senior boys and girls will compete together. 7th grade - 13
years and older, 8th and 9th grade will compete together. 10th, 11th and 12th grades
will compete together.
In the special awards area, Senior 4-H'ers will be given preference.
Senior Demonstrations are to be 13 - 15 minutes in length. Any subject.
In the Junior Division (Under 13) boys and girls will compete together by grade level.
Example: 4th grade boys and girls and 5th grade boys and girls will compete
together. 6th and 7th grade boys and girls will compete together.
Junior Demonstrations are to be 7 - 10 minutes in length.
NOTE: 4-H’ers under 13 cannot have yeast bread demonstrations. They may
demonstrate quick breads.
There will not be an oven available.
20
DEMONSTRATION CONTEST
REGISTRATION FORM
DEADLINE: 4:30pm, XXX
NAME:______________________________________________________
GRADE:__________
CLUB:_______________________________
AGE (JANUARY 1 of the current 4-H year.):_______________________
TITLE OF TALK:______________________________________________
ILLUSTRATED:______________
NON-ILLUSTRATED:___________
POWER POINT PRESENTATION: _____________
CATEGORY:_____________________________________
Please see the below speech categories.
Science & Technology
Animal Science (large & small animal, Vet. Medicine)
Agriculture Business (general & banking)
Mechanical Sciences (automotive, ATV, bicycle, computer, motorcycle, rocketry, small engines, woodworking,
farm machinery)
Electricity
Plant Science (Agronomy: crops, range, soil; Horticulture: vegetables, fruits, home grounds and house plants)
Weather
Photography
Social and Political Sciences (career education, citizenship, community development, international study and
leadership)
General – Topic does not relate to any of the above subjects.
Health & Wellness
Expressive Arts (crafts, performing and visual arts)
Health & Safety
Leisure Education (camping, recreation, shooting sports)
Foods:
*Dairy Foods
*Peanut related to food
*Breads
General – Topic does not relate to any of the above subjects
Natural Sciences (entomology & bees, wildlife, forestry, natural resources, water quality, geology)
Plant Science (as it relates to environmental conditions, natural resources, soil erosion, etc.) (Plant production
and general science of plants belongs under science and technology.)
General – Topic does not relate to any of the above subjects.
Family Strengths
General Family Living (child care, consumer education, home & personal living space, personal development,
clothing, etc.)
Communication (general skills, visibility and promotion, 4-H Foundation)
General – Topic does not relate to any of the above subjects.
21
SENIOR JOB READINESS EVENT
GUIDELINES
DATE: February XXX
PLACE: Gordon Cooper Tech Center
ENTRY DEADLINE: 4:30pm, XXX
Job Readiness, an individual event, recognizes members who satisfactorily
complete a job application form, participate in an interview, and communicate a personal
understanding of and an ability to perform specific job requirements.
EVENT CATEGORIES
Intermediate & Senior
Age Categories:
* Intermediate: 13 (by Jan. 1)-14 years of age
* Senior: 15 and above
JOB CATEGORIES
 Retail Sales: Could include discount stores, department stores, specialty stores,
grocery stores, farm supply stores, gardening and nursery, bookstores, et cetera.
 Services: Could include full-service restaurants, fast-food stores, day care,
automotive service and repair, farm/ranch workers, contractor/construction worker,
photography, hair stylists, et cetera.
 Home-based Type Businesses: Could include baby-sitting, housekeeping, catering
services, lawn care and maintenance, home repair/maintenance, custom sewing, pet
care, word processing, et cetera.
 Office Work: Could include clerical, filing, receptionist, et cetera.
 Health Care: Could include nursing homes, hospitals, doctors’ offices, pharmacies,
et cetera.
 Other: Please specify job type. Should be a job that does not fit into one of the
above categories.
CRITERIA FOR EVALUATION
Participants will be evaluated on:
An information folder with a résumé sheet prepared & submitted by contest deadline.
An application form completed during the Job Readiness Event.
An interview conducted during Event.
Samples of letter of application, applications, resumes and interview questions are
available at the OSU Extension Office.
22
SR. JOB READINESS
RULES
1. Participants will apply for an actual job in which they have an interest. All positions should be ones
for which the member is presently qualified. Participants are to use factual information throughout the
application process and interview.
2. Participants will select one job category and list a specific job for which they are applying. See six
categories on previous page.
3. Each participant will provide to the Extension Office, by the entry deadline, three copies of the
following items (8 1/2” X 11” paper with all items in one letter-size file folder):
Job description sheet with the name of the firm, firm size, job title, short job description, hours, and
wages typically offered for this job.
Résumé.
Letter of application addressed to firm indicated in job description sheet OR a home based business
flyer.
Completed application form (form provided by OSU Extension)
4. The file folder should have the following information on the upper right corner:
Name of participant.
County.
Name of job category.
Check sheet.
5. All materials must be the work of the participant.
6. All application forms must be completed in black or blue ink; participants must provide their own
pens. Applications will be completed prior to the event.
7. Judges will review applications and then conduct an interview.
8. Participants will dress in appropriate attire for an interview.
9. The evaluators will conduct a 10 - 12 minute interview.
10. The total time required for this event is approximately 20 minutes per participant.
11. Spectators are not allowed to observe this event.
23
JUNIOR JOB READINESS EVENT GUIDELINES
DATE: February XXX
PLACE: Gordon Cooper Tech Center
ENTRY DEADLINE: 4:30pm, XXX
Job Readiness, an individual event, recognizes members who satisfactorily
complete a job application form, participate in an interview, and communicate a personal
understanding of and an ability to perform specific job requirements.
EVENT CATEGORIES
Two Junior age categories: 1. 9-10 years of age
2. 11-12 years of age
JOB CATEGORIES
 Retail Sales: Could include discount stores, department stores, specialty stores,
grocery stores, farm supply stores, gardening and nursery, bookstores, et cetera.
 Services: Could include full-service restaurants, fast-food stores, day care,
automotive service and repair, farm/ranch workers, contractor/construction worker,
photography, hair stylists, et cetera.
 Home-based Type Businesses: Could include baby-sitting, housekeeping, catering
services, lawn care and maintenance, home repair/maintenance, custom sewing, pet
care, word processing, et cetera.
 Office Work: Could include clerical, filing, receptionist, et cetera.
 Health Care: Could include nursing homes, hospitals, doctors’ offices, pharmacies,
et cetera.
 Other: Please specify job type. Should be a job that does not fit into one of the
above categories.
ELIGIBILITY
There are two junior age categories, 9-10 year-olds and 11-12 year olds. If you are 13 by
January 1 of the current 4-H year, you are considered to be in intermediate age category.
CRITERIA FOR EVALUATION
Participants will be evaluated on:
A Job Description Sheet prepared prior to the Job Readiness Event.
An application form completed prior to the Job Readiness Event for the (11-12 yearold only).
An interview conducted during Event for both Junior Age groups.
Samples of job description sheet, applications, resumes and interview questions are
available at the OSU Extension Office.
24
JR JOB READINESS
RULES
1.
Participants will apply for an actual job in which they have an interest. All positions should be
ones for which the member is presently qualified. Participants are to use factual information throughout
the application process and interview.
2.
Participants will select one job category and list a specific job for which they are applying. See
six categories above.
3.
Each participant will provide to the Extension Office by the entry deadline three copies of the
following items (8 1/2” X 11” paper with all items in one letter-size file folder):
*
Job description sheet with the name of the firm, firm size, job title, short job description, hours,
and wages typically offered for this job and completed application.
4.
The file folder should have the following information on the upper right corner:
*
Name of participant.
*
County.
*
Name of job category.
*
Check sheet.
5.
All materials must be the work of the participant.
6.
Participants must complete an application form (except 9-10 yrs olds) prior to the contest.
Resources such as a dictionary and reference cards may be used in completing the application. The
application form will ask for the following information:
*
personal information -- name, address, social security number
*
education -- name and addresses of schools attended, dates of attendance, extracurricular
activities
*
former employment -- dates of employment, names and addresses of employers, salary, reason
for leaving
*
information about the job desired, including salary expected
7.
All application forms (for 11-12 year old only) must be completed in black or blue ink;
participants must provide their own pens.
8.
Participants will dress in appropriate attire for an interview.
9.
The evaluators will conduct a 10 - 12 minute interview.
11.
The total time required for this event is approximately 20 minutes per participant.
12.
Spectators are not allowed to observe this event.
25
Check sheet for Job Readiness Entries
Clip this form to the inside front cover of the folder.
Folder should be labeled in the upper right corner with participant’s name, county and
job category.
Name of Participant________________________ Club_______________________
County______________________________
Birthdate____________________
Job Title or Name of Home Based Business___________________________________
Age Group (circle one)
9-10
11-12
13 (by January 1)-14
15 & older
Junior
Junior
Intermediate
Senior
9-10 and 11-12 year old age group participants must turn in a
______Job Description Sheet along with this form to the Extension office by
At the contest the 9-10 year olds will be judged on their Job Description Sheet and Interview. The 11-12
year old age group will be judged on their Job Description Sheet, Application and Interview
Intermediate and Senior participants must include the following items in a folder and turn into the
Extension office by
_______ Job Description Sheet
_______ Letter of Application OR Home Based Business Flyer
_______ Resume
Prior to the contest you will submit these documents for evaluation. At the contest you will complete an
application, participate in an interview.
26
4-H DRESS REVUE
DATE: April 10, 2008, 6:30pm
PLACE: OSU Extension
ENTRY DEADLINE: April 7, 2008, 4:30pm
The 4-H Dress Revue Contest allows 4-H’ers to exhibit skills in selecting appropriate fabric, pattern and
notions in order to construct a garment that is pleasing in appearance, durable, and correct in fit.
4-H’ers will demonstrate good posture, grooming habits, and positive self image.
To participate in the 4-H Dress Revue, 4-H’ers must:
1. Make garments for your year of 4-H project work (may enter two garments.)
2. Turn in entry forms for each class you are entering no later than 4:30 pm on the deadline date.
On the day of the Interview Judging, 4-H’ers must:
1. Wear garment, model, and visit with the judge (Interview Judging is talking with the judge about
your garment and scoring the garment against a judging standard).
2. Remove garment so judge can observe project more closely (bring a change of clothing). Visit with
the judge again about the garment and score against a judging standard.
The score will determine the ribbon received. After judging is completed, members will receive their
ribbons and medals. Champions and Reserve Champions will also be announced and presented awards.
AWARDS:
 For each class, contestants will receive a blue or red ribbon according to sewing quality, fit,
suitability, and whether they followed the guidelines for the class entered.
 Each 1st Place entry in every category will receive a Medallion.
 In each of the three age levels, a Champion and Reserve Champion will be chosen from the top
placings in each category. There will be three Champions and Reserve Champions, one per age
division.
Each 4-H’er who plans to enter the Dress Revue needs a copy of "Construction Projects by Level". This
sheet lists all the projects a 4-H'er may make for their level in the County Fair. Some of these projects
have been chosen for the Dress Revue, and could be entered in the next County Fair.
Available from the Extension Center:
Construction Projects by Level
Evaluation Sheet for Clothing Exhibits
Evaluation for Non-Clothing Articles
27
4-H DRESS REVUE
CLASSES & CATEGORIES
Beginning Level (Ages 9 -11)
1.
2.
3.
4.
5.
Chef or Work Apron.
Tote Bag.
Skirt with elastic waist.
Shorts with elastic waist.
Simple two piece active sportswear (suggested: shorts and tank top, jogging suit, swim wear -- no
collars, no set-in sleeves).
If necessary, depending on the number of entries, the above classes will be divided by grade for judging.
Intermediate Level (Ages 12 - 14)
1.
2.
3.
4.
5.
Bath Robe.
Pull on Top and Coordinating Bottom with elastic waist (shorts, pants, or skirt).
Shorts, Pants, Skirts or Culottes with waistband.
One piece Dress or Jumpsuit.
Two piece Garment using one of the techniques from the Intermediate Level Sample Notebook.
Advanced Level (Ages 15 - 18)
1.
2.
3.
4.
5.
6.
7.
8.
9.
Special activity garment (biking, aerobics, swim wear).
Two-piece Ensemble using one of the techniques from the Advanced Sample Notebook.
Lined Skirt, Pants or Jacket.
Unlined Rain Coat, Poncho, or Slicker using fabric suitable for rainwear such as rip-stop nylon or
scotch-guard poplin.
Unlined Garment - 1 or 2 pieces using two techniques from the Advanced Sample Notebook.
Coat, lined or unlined.
Lined Suit or Dress.
Special Occasion Garment such as a Prom Dress or English Riding Habit.
Garment made from specialty fabric such as leather, ultra suede, fur, or Gore-Tex.
28
Entry Deadline: April 7, 2008
ENTRY FORM
POTTAWATOMIE COUNTY 4-H DRESS REVUE
NAME: _________________________ ADDRESS: __________________
LOCAL 4-H CLUB: __________________ BIRTHDATE: ______________
AGE AS OF JANUARY 1 OF CURRENT 4-H YEAR: _________________
AGE CLASSIFICATION: Beginner ___ Intermediate ___ Advanced ___
(Beginner - Ages 9 - 11
Intermediate - Ages 12 - 14
Advanced - Ages 15 – 18)
My year of 4-H Club work is ________________
Please check the item you will enter in competition.
Beginner Level:
 Chef or Work Apron
 Tote Bag
 Skirt with elastic waist
 Shorts with elastic waist
 Simple two piece active sportswear (suggested: shorts and tank top; jogging suit,
swim wear - no collars, no set-in sleeves)
Intermediate Level:
 Bath Robe
 Pull on top and coordinating bottom with elastic waist
 Shorts, pants, skirts or culottes with waistband
 One piece dress or jumpsuit
 Two piece garment using one of the techniques from the Intermediate Level
Notebook
Advanced Level:
 Special activity garment (biking, aerobics, swimwear)
 Two piece ensemble using one of the techniques from the Advanced Sample
Notebook
 Lined skirt, pants or jacket
 Unlined rain coat, poncho, or slicker using fabric suitable for rainwear such as ripstop nylon, scotch guard poplin, etc.
 Unlined garment - 1 or 2 pieces using two techniques from the Advanced Sample
Notebook
 Coat, lined or unlined
 Lined suit or dress
 Special occasion garment such as a prom dress, English riding habit
 Garment made from specialty fabric such as leather, ultra suede, fur, Gore-Tex
29
4-H IMPRESSIVE DRESS
DATE: April 10, 2008
PLACE: OSU Extension Office
ENTRY DEADLINE: April 7, 2008, 4:30pm
Personal appearance is a strong form of non-verbal communication. The clothes you wear and
the way you wear them form an impression . . . good or bad. The purpose of the impressive dress
program is to help 4-H’ers learn lifelong skills to improve personal appearance.
What will 4-H’ers learn?
4-H’ers will learn to: Select fashionable clothing suitable for specific occasions; select garments
and accessories to enhance body type and personal coloring; build a wardrobe suited to individual
lifestyle and needs; recognize and wear properly fitted clothes; learn to practice good grooming and good
posture to enhance personal appearance; and develop self-confidence and poise.
What do 4-H’ers need to do?
 Each 4-H member will put together an outfit in one of the four categories: sports wear, casual wear,
dress wear, or western wear.
 Each 4-H member will fill out a speech outline. Members have the opportunity to justify why their
selected outfit fits the chosen category, how it fits into their wardrobe and lifestyle, why they like the
outfit, and to describe characteristics and care of the fabric.
 Each 4-H member will prepare a brief speech and orally present it to the judge(s). The speech should
follow the above outline guidelines.
 Participants should review the Impressive Dress Score Card before selecting a garment and
developing an outline and speech.
 Both outfit and speech will be scored by the judge(s). Each part is worth a maximum of 50 points.
CATEGORIES:
Casual Wear: Garments to wear to school, fairs, rodeos, dates, movies, spectator sports, shopping.
Sports Wear: Garments to wear to play tennis, skiing, jogging, et cetera.
Dress Wear:
Garments to wear to weddings, parties, church, formal events, or other special occasions.
Western Wear: Garments to wear at rodeos, livestock shows, play days, and other western events.
4-H’ers may enter two categories.
AGE DIVISIONS: Members in all age divisions are eligible to compete in two categories.
Beginning Level (Ages 9 -11)
Intermediate Level (Ages 12 - 14)
Advanced Level (Ages 15-18)
30
4-H IMPRESSIVE DRESS
SUGGESTED OUTLINE FOR SPEECH
Due in the OSU Extension Office: April 7, 2008
Contest will be held: April 10, 2008
If you are unsure about Junior, Intermediate, or Senior status
or the category, contact the Extension Office.
Name: ________________________________ Club: _________________________
___________________ Status (indicate one)
Age ______________________
(Jr./Int./Sr.)
(as of 1/1 of 4-H yr.)
Dress wear _____ Casual wear _____ Sports wear _____ Western wear _____
Garment Description: __________________________________________________
___________________________________________________________________
___________________________________________________________________
Who Am I?
A. Things I do in this outfit: _____________________________________________
___________________________________________________________________
___________________________________________________________________
B. How this outfit fits into my wardrobe: ___________________________________
___________________________________________________________________
___________________________________________________________________
C. How my outfit makes me feel: ________________________________________
___________________________________________________________________
___________________________________________________________________
D. Characteristics and care of fabric: _____________________________________
___________________________________________________________________
___________________________________________________________________
E. Why I like this outfit: ________________________________________________
___________________________________________________________________
___________________________________________________________________
Summary: ___________________________________________________________
___________________________________________________________________
___________________________________________________________________
(Please make a copy and keep for yourself to practice your speech.)
31
HISTORICAL COSTUME
DATE: April 10, 2008
PLACE: OSU Extension Office
ENTRY DEADLINE: April 7, 2008, 4:30pm
Historical Costume is a class just for fun. Participants will be divided into 2 age
categories, juniors and seniors.
 Juniors will be 4-H’ers 9-13 years of age by January 1 of the current 4-H year.
 Seniors will be 4-H’ers 14-19 years of age by January 1 of the current 4-H year.
Two awards will be presented for the top two participants in each category. They will
not be designated as Grand and Reserve Champions. They are simply the top two
participants. Criteria will be based on the following:
 Reasons for Choice of Outfit (Who am I?)
 Things I do in this Outfit:
o Things I do
o Places I go
o Special Activities
 How this Outfit Makes me Feel
 Historical Symbolism of Outfit
 Historical Accuracy of Times in which Outfit was Worn
Participants will be asked to explain what they are wearing. It would be a good idea
to address these issues in their talk.
32
4-H HISTORICAL COSTUME
SUGGESTED OUTLINE FOR SPEECH
Due in the OSU Extension Office: April 7, 2008
If you are unsure about Junior or Senior status,
contact the Extension Office.
Name: _______________________________ Club: ________________________
______________________ Status (indicate one) Age __________________
(Junior or Senior)
(as of 1/1 of 4-H yr.)
Reasons for Choice of outfit (Who am I?):
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Things I do in this outfit: _______________________________________________
Places I go in this outfit: _______________________________________________
Special Activities I attend is this outfit: _____________________________________
How this outfit fits makes me feel: ________________________________________
___________________________________________________________________
___________________________________________________________________
Historical Symbolism of outfit: ___________________________________________
___________________________________________________________________
___________________________________________________________________
Historical Accuracy of Times in which outfit was worn:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
33
4-H Summer Camp
WHEN: A change in OSU’s schedule has made us change our camp dates. We hope to
have summer camp in early June.
WHAT: Three days of fun activities and workshops.
WHERE: We are currently searching for a new camp ground
WHO: 4-H Members from Pottawatomie, Cleveland & Seminole counties.
COST: $50 per camper. Registration forms and money deadlines will be set later.
Pottawatomie County 4-H members 14 years and older may apply to be a camp
counselor. Applications are available at the OSU Extension Office and are due back to
OSU Ext. by 4:30pm on May 15, 2008.
34
Other activities and events
Round Robin
When: August 30, 2007
What: Designed to introduce public speaking to youth and encourage them to give
a speech or read a poem. The club with the most members wins a plaque
Where: North Rock Creek School
Who: Any 4-H or Clover Bud member
Club Officer Leadership Training
When: September 25, 2007, 6pm
What: Officer training is a hands-on, fun session that prepares 4-H members to
serve as officers and build leadership skills
Where: OSU Extension
Who: All local and county officers are invited to attend.
4-H Month Activities
When: XXX
What: Includes 4-H Day in Pottawatomie County where members bring displays
& information to the public about 4-H.
Where: Wal-Mart & Firelake Grocery
Who: All 4-H members are encouraged to attend. County Officers must attend.
Southeast District Leadership Conference
When: October 18-19, 2007
What: This Leadership Training Conference is for outstanding senior 4-H
members from each county in the Southeast District. Each 4-H member attending
will be trained to return to their local county and use the skills gained on the
county as well as local level.
Where: Location varies
Who: Any 4-H member 13 and older
Fall Festival
When: November 19, 2006
What: The holiday party is a fun activity that allows 4-H families from across the
county to gather together for a fun time
Where: Mikles Corn Maize
Who: All 4-H members and friends are encouraged to attend
35
Holiday Appreciation Trays
When: December 21, 2007
What: 4-H members gather goodies and make festive trays to show their
appreciation to 4-H supporters and sponsors. Members can bring or make treats.
Where: OSU Extension Office
Who: All 4-H members are encouraged to attend. County Officers must attend.
Clover Bud Day
When: January 14, 2008
What: A day for just Clover Buds; includes fun time and project sessions
Where: OSU Extension Office
Who: Any 5 to 8 year old interested in 4-H
State 4-H Roundup
When: July 30 – August 1, 2008
What: Roundup is a State Conference. It includes special activities and programs,
workshops, public speaking contests, and the election and presentation of state and
district officers.
Where: OSU Campus in Stillwater
Who: Any 4-H’er 14 or older.
Summer Project Days
When: June & July
What: A chance to learn about 4-H projects and make a fair exhibit
Where: Location varies depending on session subject; call OSU Ext for details
Who: Any 4-H member or youth interested in participating in 4-H
36
SECTION III
COUNTY 4-H AWARDS AND TRIPS
COUNTY MEDALS AND CERTIFICATES:
County project awards presented at the County 4-H Achievement Banquet are based on
work recorded in the County Medal Application. The County Medal Application is due
in the OSU Extension Office by June 16. (NO EXCEPTIONS, if deadline falls upon a
holiday or weekend, applications are due on the preceding business day).
4-H members must be 9 years old by January 1 of the year qualifying for the medal. A 4H member cannot receive the same medal twice (exception - Fashion Revue), but may
receive certificates for increased work in any project area each year. A 4-H member may
receive only two (2) county medals each year.
County Medals Available
Achievement
Beef
Cats
Aerospace
Bicycle
Child Care &
Development
Community Service
Agricultural
Biological Sciences
Citizenship & Civic
Aquaculture
Bread
Clothing & Textiles
Computer Technology
Consumer & Family
Sciences
Demonstration
Electric Energy
Consumer Education
Dairy
Conservation of Natural
Resources
Dairy Foods
Dog Care and Training
Energy Management
Family Life
Food-Nutrition
Fashion Revue
Forestry
Healthy Lifestyles
Industrial Arts
Hobbies & Collections
Judging
Earth, Water & Air
Engines, Tractors &
Field Equipment
Fitness Leadership
Gardening &
Horticulture
Home Environment
Leadership
Performing Arts
Photography & Video
Rabbit
Shooting Sports
Personal Development
Plant & Soil Science
Reporting
Swine
Visual Arts
Wildlife and Fisheries
Commodity Marketing
Pets
Poultry
Safety
Technology &
Engineering
Wood Science
Electricity
Entomology & Bees
Food Preservation
Goat
Horse
Outdoor Education &
Recreation
Petroleum Power
Public Speaking
Sheep
Veterinary Science
Waste Management
37
Pottawatomie County 4-H
Medal Form Information & Instructions
T
o receive a medal, complete
the minimum requirements
specified. It is wonderful to do
more than the minimum
requirements!
A medal can only be earned once
for each project. A member can
re-apply for a medal if one has not
been awarded. Certificates of
Achievement will be awarded if not
all the medal requirements are met.
For each year you continue work in a
specific project, complete a medal
form as a record of your work. This
information becomes a record of what
you accomplish each year and can be
used to earn special awards. A
member can apply for up to three
medals per year, but earn no more
than two medals per year.
2.
3.
4.
What is a Project?
On the enrollment card 4-H
members enroll in projects/subjects
they are interested in learning about.
Using 4-H project manuals, a member
is guided through the fundamentals of
that particular project and taught goal
setting and fundamental record
keeping skills.
What is Project Work?
Project work refers to the things
done to learn about one particular 4-H
project.
5.
In 4-H Project Work We
Encourage:
Educating our members, setting
and completing goals, developing life
skills, developing quality citizens and
tomorrow’s leaders.
6.
What to Report?
Report only project work
completed this year (July 1, 2007 to
June 1, 2008). A medal form includes
only work done for the project being
reported.
Steps To
Earning A Medal
1. Set Goals - At the
beginning of the year list things
you want to learn. As you
complete a goal, check it off and
7.
write down how it was finished.
In setting goals, we sometimes do
not achieve all that we hope to
and other times we do more than
we set out to do. This is OK!
Project Manual - Use your
project manual as a guide to
complete your goals. If there is
no manual use another source for
your project information. Record
the resource(s) used on the medal
form.
Project Work - Complete one
project for your year of project
work. Project may be an item
noted in project manual, county
fair book or your own selfdetermined project.
County Activities & Events
Participate in county 4-H
activities to exhibit project work
completed. County activities can
include Fabrics & Fashions, Job
Readiness, Healthy Living Fair,
Communications Event, Sharethe-Fun, Judging Contests,
Livestock Shows and Fun Fest.
This is not an all-inclusive list of
county activities.
Educational Experiences
Participate in educational
experiences related to your
project. Experiences include
workshops, educational
programs, tours, guest speakers,
field days, interview, dance or
music classes, video tapes,
educational TV, etc.
Communication Skills Participate
in communication projects. This
could include: Live Action
Display, Show-n-Tell, Speech,
Demonstration, Illustrated Talk,
Educational Display, Poster,
Workshop Taught, News Article
Written, TV or Radio
Appearances.
as a participant in a county
program.
8.
Leadership - Leadership is the act
of showing/teaching/leading one
or more people. Leadership can
be one-on-one, helping several
individuals with a project,
serving on a committee, being an
officer, conducting a workshop,
etc.
Steps to Apply
for a Project
Medal
1. Use a Medal Form. One Medal
Form must be completed for each
project reported. The form may be
neatly hand-written or typed. If a
home computer is used, headings
should appear as listed on the
medal form. If more space is
needed, use an additional sheet of
paper with the correct heading for
each addition.
2. Complete items 1, 2 and 3, as well
as (3) three other items from
numbers 4-8. Any combination of
items 4-8 may be done and
reported. If you do not meet all
the requirements this year, please
turn in your form to receive a
certificate of achievement. Then,
reset your goals for the next year.
3. Make sure the form contains all of
the appropriate signatures.
4. Turn in your completed Medal
Form to your Local Club Leader
or the OSU Extension Office by
4:30pm, June 16.
All members who complete
a medal form will be invited to
the 4-H Achievement Banquet held
each October.
Citizenship - Complete service
activity(s) for an individual,
group or community. Service
projects can be done as an
individual, a member of a club or
38
COUNTY RECORDBOOKS:
Sr. county recordbook due date will be adjusted each year based on the state recordbook entry
deadline. This will allow senior 4-H members time to make corrections and changes prior to
submitting recordbooks for state competition.
Senior Recordbook Requirements Sr. county recordbooks are due March 25, 2008.
14 Years and Up
Complete Oklahoma Report Form with Story and Pictures. Follow State Guidelines.
Junior Requirements Jr. county recordbooks are due June 16, 2008.
9 - 13 Years
Complete Oklahoma Report Form either typed or hand written, including pictures according to
State Guidelines, and a 2-page, hand written story (not typed).
First Year 4-H’er Requirements
Must be completing first year as 4-H member, regardless of age
Complete County First Year 4-H Member Recordbook Form, as stated above.
SPECIAL COUNTY AWARDS:
Outstanding 1st Year Awards - (There will be two (2) Outstanding 1st Year Awards
presented; however, this award may be received only once.)
Third and fourth grade 4-H members who are ten years of age or under on January of the
current 4-H year may fill out a County First Year 4-H Member Recordbook Form to apply for
the Outstanding 1st Year Award.
Follow these guidelines:
 Complete County First Year 4-H Member Recordbook Form, as stated above.
 Must include a handwritten 4-H story not more than two pages in length.
 No newspaper clippings, ribbons, et cetera to be included.
 Must have a local leader sign report showing they have reviewed and approved material
submitted in this book.
 Optional: Member may include 3 pictures per page on 3 pages in this book.
40
Outstanding Junior Awards - (There will be two (2) Outstanding Juniors selected for this
award.) This material is for the Ralph Tucker Outstanding Jr. Award.
4-H members not competing for Outstanding 1st Year Award and under 14 years of age on
January 1 of the current 4-H year may fill out a Oklahoma Report Form to apply for the
Outstanding Junior Award. (This award may be received only once.)
Material required:
Oklahoma Report Form summarizing total year in 4-H.
Handwritten 4-H story (limit 2 pages). Summarize 4-H experiences, overall
accomplishments, excitements, disappointments, et cetera.
Member may include 3 pictures per page on 3 pages in this book.
Local 4-H Leader must sign application that they have reviewed and approved material
submitted in this book.
No newspaper clippings, ribbons, et cetera to be included.
These books will be judged for Outstanding Junior Awards.
Senior Member Special Awards:
Two 4-H members will be selected to receive the Outstanding Senior Award. In the event an
individual has already received this award, one will be selected that has not received this
award.
The same guidelines will apply for the Hall of Fame Awards. Two Hall of Fame winners will
be selected and will be awarded a plaque at the Annul 4-H Achievement Banquet. If necessary,
interviews will be conducted based on Recordbook scores.
Material required:
Oklahoma Report Form summarizing total year in 4-H.
Typed 4-H story (limit 2 pages). Summarize 4-H experiences, overall accomplishments,
excitements, disappointments, et cetera.
Member may include 3 pictures per page on 3 pages in this book.
Local 4-H Leader must sign application that they have reviewed and approved material
submitted in this book.
No newspaper clippings, ribbons, et cetera to be included.
These books will be judged for Outstanding Senior Awards.
The Senior Awards will be based on State Recordbooks submitted and will be judged on the
county level.
41
Special Awards:
Shawnee Kiwanis Outstanding 4-H Citizen Award
Award description: The Kiwanis Outstanding 4-H Citizen Award will be given to one 4-H
member per program year. The winner will be selected based on the amount of community
involvement and citizenship activities the 4-H member has been involved in during the past 4H year. The winner will receive an award plaque, to be presented at the County 4-H Banquet in
November and a $100 savings bond, to be presented at a Kiwanis Club meeting.
Application requirements: All applicants must be a current and active Pottawatomie County 4H member, meeting all age and eligibility guidelines. Preference will not be given based on
applicant’s age. To apply for award, applicants must complete a Pottawatomie County 4-H
Medal Application and note that they are applying for the Kiwanis Outstanding Citizen Award.
Applications will be due at the same time as county medal applications, unless otherwise noted
by OSU Extension Staff. Applications will be reviewed by OSU Extension Staff and members
of the Shawnee Kiwanis Club. Each year’s winner will be expected to attend a Shawnee
Kiwanis meeting, with OSU Extension Staff, to accept the savings bond and be recognized.
AWARDS BASED ON PARTICIPATION IN 4-H SPEECH AND DEMONSTRATION
CONTESTS:
Breads, Dairy: Illustrated Presentation
Junior Division - Team and Individual
Senior Division - Team and Individual
Pork, Beef or Peanut: Illustrated Presentation
Junior or Senior Division Individual
Key Club:
Qualifications:
 Be a 4-H Member
 14 years old or older on January 1 of the current 4-H year, with at least one year of 4-H work left.
 Accumulate at least 120 points on the application form.
 Review the Key Club Slide Presentation.
 Make a 4-H presentation to one or more non-4-H groups.
Application and report forms are available at the OSU Extension Office and are due March 25th, with the Sr.
Recordbooks.
42
4-H TRIPS AND OTHER INFORMATION:
Trip Applications are due by 4:30pm on September 14, 2007.
4-H Citizenship - Washington Focus - Washington, D.C.
This is a ten-day trip during the summer to Washington, D.C. to attend a citizenship short
course at the National 4-H Center and tour the nation’s capitol.
4-H Leadership --Western Round Up -- Denver, CO.
Held each January during the National Western Livestock Show & Rodeo, Western Round Up
is an opportunity for county members to meet 4-H’ers from other states, learn about leadership,
and visit one of the largest livestock exhibitions in the country.
4-H Service Learning –Kansas City Global 4-H Conference -- Kansas City, MO.
This four-day experience will broaden their horizons and insights into the world in which they
live. The conference includes hands-on sessions that involve youth in solving issues central to
their lives, families and communities in a global society. Youth participate in tours, workshops,
service learning opportunities and cultural events to help them prepare for the future.
43
TRIP APPLICATION
For 2007-2008 4-H Award Trips
Citizenship Washington Focus, Western Round-up at Denver, and Kansas City 4-H Conference
Name of 4-H Member: ____________________________________ Date: ______________
This application will be filled out using the following dates. Dates to be included are from October 1,
2006 through September 14, 2007. It will include the April 2007 record book and its score. It will also include
all work done within this same time period.
Trips will be awarded to 4-H members based on the highest points earned on this application. The first
two 4-H members with the highest points and who meet the eligibility will be awarded the top trip – Citizen
Washington Focus. The next two members will be awarded the Western Round-up at Denver and the next two
will be awarded the Kansas City 4-H Conference.
In the event of a tie, the trip will be awarded to the oldest 4-H member.
ELIGIBILITY REQUIREMENTS FOR ALL TRIPS:
Must be at least 14 years old by January 1 of the year making the trip.
Must have completed one year of 4-H work.
Must not have graduated from high school at the time trip is awarded (CWF – summer after HS)
May not have taken this trip once before. (sponsored by county)
May not have taken another out of state trip within the same year. (sponsored by county)
Check which trips that you have taken by placing the date and year before it.
____________ CWF, Washington, D.C. ______________ Round-up, Denver _____________ Kansas 4-H Conference
Check which trips that you are applying for in this upcoming year.
____________ CWF, Washington, D.C. ______________ Round-up, Denver _____________ Kansas 4-H Conference
APPLICATION:
Please print neatly or type and please be specific and clear when listing all items:
Maximum
Points
4-H RECORD BOOK
Senior Permanent Record Book or updated Junior Permanent Record Book submitted to county
Record Book entered into County Competition (points on grading)
Received County Project Medal or Medals (5 each) (not officer pin)
List:
______________________________/____________________________
State Project or Scholarship Winner/Interview (10 points each)
ATTENDANCE AND PARTICIPATION
Attended Monthly Local or Project Club Meetings, possible 12 @ 2 points each
Attended County Council Meetings, possible 11 @ 3 points each
Attended Officer Training
Attended Round-up
Attended Southeast District Leadership Conference
Attended County 4-H Camp
Participated in Round Robin
Participation in club or other organizations – church or school, 1 point each
List:
_______________________________________________________
___________________________________________________________
___________________________________________________________
Page 1 Sub-total
25
100
10
20
24
33
5
15
10
5
3
5
255
Points
Earned
TRIP APPLICATION – PAGE 2
Maximum
Points
OFFICER/HONORS
Held a 4-H Office:
Local or Project Club (3 points each)
County, District or State Office; County or State Ambassador (5 points each)
Key Club
Held a voted Office in any club or organization, 2 points each
List: _______________________________________________________
___________________________________________________________
___________________________________________________________
4-H COMMITTEE WORK AND ACTIVITY WORK
County Committees served on (maximum of 5 – 3 points each)
Examples: Decorating Committees, Clean-up, Parties, Activities, Fundraiser, Camp
Committee
List: _______________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
9
20
5
6
15
LEADERSHIP ACTIVITIES (Non-competitive activities)
(Not your officer duties) (Announcements do not count)
Gave speech, illustrated speech, demonstration, workshop or program (be specific when
listing, list club or group and title of presentation)
a. Before your own local 4-H Club (2 points each)
List: _______________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
8
b. Before other 4-H clubs and/or Project clubs (4 points each)
List: _______________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
28
c. Before community, civic groups, homemakers, school or other groups
(Not a class assignment) (8 points each)
List: _______________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
48
d. Provided guidance and assistance to other 4-H members with their projects (2
points each) List member, project and assistance:
List: _______________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
16
Page 2 Sub-total
155
Points
Earned
TRIP APPLICATION – PAGE 3
Maximum
Points
CITIZENSHIP AND COMMUNITY SERVICE
a. Donations (1 point per activity)
Example: Donated canned goods, pop tabs, food to wildcare, et cetera
List: ______________________________________________________
5
b. Organized Community Service (5 points per project)
Planned, organized and implemented a community service which develops
citizenship of the community, county or state. (Indicate activities organized and
with name of group such as Ronald McDonald House, Salvation Army, Food Bank,
et cetera) (Be specific when listing service and organization)
List: _______________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
Sub-total of b. (_________)
c. Service Work in hours (2 points per hour)
Community service work hours spent in preparing and working.
(Be specific when listing service work and organization)
List: _______________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
Sub-total of c. (_________)
Sub-total of b. (___________) and Sub-total of c. (_________) = Total
4-H PROMOTIONALS
Participated in Mall Day – working display, style show (4 points each)
SE District Volunteer Conference (4 points each)
Display at other Conferences or in Businesses (4 points each)
List: _______________________________________________________
___________________________________________________________
FAIR PROJECTS
Exhibited non-livestock entries at the County Fair (2 points each)
Exhibited non-livestock entries at the State Fair or State Spring Fair (2 points each)
4-H COMPETITIVE EVENTS AND SPECIAL AWARDS
Entered Fashion Revue
Entered Impressive Dress
Entered in Job Readiness
Performed in County Share the Fun Acts (individual or team) – 4 points each
Gave a 4-H Speech at the County Contest
Gave a 4-H Demonstration at the County Contest
In any of the above events: Champion (2 points each) Reserve (1 point each)
List: _________________________________________________________
_____________________________________________________________
Received Special County Award:
Beef, Pork, Dairy, Peanut, Bread (circle which one)
Page 3 Sub-total
100
8
4
16
20
10
10
5
10
8
5
5
12
5
223
Points
Earned
TRIP APPLICATION – PAGE 4
Maximum
Points
OTHER 4-H COMPETITIVE EVENTS, ACTIVITIES AND SPECIAL AWARDS
Other competitive 4-H activities entered at Local, County, District, State or National functions
such as livestock, dogs, broiler show, horses, judging contests, quiz bowls, poster contests,
speech contests, et cetera. Any other activities not counted anywhere else on this application.
2 points per activity or animal
List: ______________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
40
In any of the above events: Champion (2 points each) Reserve (1 point each)
List: _______________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
10
FUNDRAISING
Assisted with County 4-H fund raising such as candy sales, raffles, pizza, et cetera.
1 point for selling, plus 3 points for each $5 sold
List: _______________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
50
Page 4 Sub-total
100
PAGE SUB-TOTALS
Page 1 Sub-total
Page 2 Sub-total
Page 3 Sub-total
Page 4 Sub-total
255
155
223
100
TOTAL SCORE
733
To receive a county paid trip, a minimum of 25% of the total points must be earned (183.25 points)
4-H Member’s Signature
Updated 11-2002
Local Club Leader’s Signature
4-H Educator’s Signature
Points
Earned
Adult Volunteer Awards
4-H Alumni Awards:
Nominations and résumés are due in the Extension office by April 15 or the previous working
day. There will be a maximum of two awards. Pins will be awarded.
4-H Leader Service Awards (5, 10, 15, 20, 25, & 30 year awards):
These will be based on years of service as indicated on current year 4-H Leader enrollment
cards submitted to the Extension office. Pins will be awarded.
County Leader of the Year Award:
A maximum two page report should be submitted to support the nomination of either
themselves or other individuals.
Purpose:
 Draw attention to the importance of volunteers to the county 4-H Program.
 Provide appropriate recognition for 4-H Leaders who are doing an outstanding job in their
local community or the county program.
 Select a leader to represent Pottawatomie County for the State Leader of the Year.
ALL AWARDS INCLUDING COUNTY MEDAL APPLICATIONS WILL BE JUDGED
BY OUT OF COUNTY JUDGES. JUDGES DECISIONS WILL BE FINAL WITH NO
EXCEPTIONS!
48
COUNTY 4-H OFFICER APPLICATION FORM
DUE DATE: May 1, 2008
Elections will be held at the May County Council Meeting
I hereby file for the office of _______________________________ for Pottawatomie
County 4-H Council.
Complete the following information:
Name:________________________________________ Age:______
Address:__________________________________________________
City:_______________________ State:__________
Zip:________
Birthdate:_______________________ Phone:___________________
Parents Name:___________________ School:___________________
Attach a brief story stating why you are filing for County 4-H Office.
I understand the responsibilities and duties which are set forth by the County 4-H
Constitution and By Laws of the office for which I am running and pledge to fulfill these
duties and responsibilities if I am elected.
Candidate Signature:______________________________ Date:__________
Approved by:_____________________________________ Date:__________
4-H Leader
RAM FORM
Authorization for Medical Care and Recognition and
Assumption of Risk Agreement
This authorization covers _____________________________ during his/her travel to and participation in
_______________________________. This activity covers the period ___________ through _________.
I, the undersigned parent or person or the legal guardian of the above-mentioned 4-H member, authorizes their participation in
the listed event. In giving this consent I recognize and understand that precautions will be taken to safeguard the health and welfare of
all who attend. However, in consideration of allowing said child to attend and participate in this activity, it is my understanding that
participation in the activities that make up this event are not without some inherent risk of injury. As such, in consideration of my
child's participation, I do hereby release, waive, discharge, and covenant to not sue the event, its organizers, the Oklahoma 4-H
program, Oklahoma State University, Langston University, the Oklahoma Cooperative Extension Service, the State of Oklahoma or
their officers, servants, agents, or employees and release them from any liability, claims, demands, and causes of action whatsoever
arising out of or related to any loss, damage, or injury including death, that may be sustained by my child while participating in such
activity, or while in, on, or upon the premises where the activity is being held (the provisions of the Oklahoma Governmental Tort
Claims Act not withstanding).
In giving this consent I recognize and understand that in situations where the above named minor requires immediate medical
or hospital care it may not be possible to contact me, and that in such situations I will not be able to knowledgeably evaluate and
choose among the available alternative treatments or procedures, if any, or to evaluate the risks attendant upon each, and the risks
attendant to foregoing all treatment; in such situations, I authorize a physician, surgeon or dentist to exercise his professional judgment
and assess the risks incident to and choose the necessary treatment from any available alternatives and to render such care and perform
such treatment as he in his professional judgment determines to be necessary for the health and safety of the above named minor. I
furthermore understand that a medical insurance policy carried by __________________________, if any, will provide only minimum
coverage and that I will be responsible for costs associated with the care and treatment of the above-mentioned child.
CONTACT INFORMATION
Work Phone (
) __________________________ Home Phone (
) ____________________________
Cellular Phone (
) ________________________
E-mail ________________________________________
Address ___________________________________ County _______________________________________
City _______________________________________
State ___________
Zip Code __________________
Family Medical Insurance Company ______________________________________________________________
Policy Number __________________________________ Policy Holder’s Name __________________________
TREATMENT INFORMATION
Delegate’s Birth Date __________________________ SS # ____________________ Gender _______________
Delegate’s Allergies ____________________________________________________________________________
____________________________________________________________________________
Family Doctor ___________________________________________ Phone (
) _____________________
Other Doctor ____________________________________________ Phone (
) _____________________
Medicine delegate is taking ______________________________________________________________________
______________________________________________________________________
Date of Delegate’s last Tetanus Shot ______________________________________________________________
Delegate’s Medical History (diabetes, asthma, etc.)
____________________________________________________________________________________________
If the delegate has a serious medical condition or is under a doctor’s care, a letter from the doctor should be attached outlining the nature of the
condition, treatment or medical history.
I ACKNOWLEDGE that I have been provided a copy of the Notice of Health Information Practices as outlined in 45 CFR 164. I further
acknowledge that this is general information and that I will be asked to acknowledge specific information by the provider. If emergency
personnel are unable to locate the individual(s) listed above, and the minor cannot provide self-consent, the minor who presents with an urgent
problem shall receive treatment as necessary at the discretion of the physician on duty.
PARENT’S SIGNATURE:______________________________________________ Date ___________________
(of parent or person having legal custody or legal guardianship)
DELEGATE’S SIGNATURE: __________________________ WITNESS __________________________________________
OKLAHOMA 4-H CODE OF CONDUCT AND
MEMBER DISCIPLINE POLICY FOR DISTRICT, STATE, NATIONAL AND INTERNATIONNAL EVENTS
Name of 4-H Member ________________________________ Name of 4-H Event ______________________________
I. In seeking uniformity in the conduct expected at each district, state, national, and international event, the following guidelines have been
developed to become effective on October 1, 1992.
1. All rules and regulations governing an activity or event will be discussed with educators, leaders and 4-H'ers prior to or at the
beginning of each event.
2. All 4-H'ers are under the supervision of any Extension worker or adult assigned to the event.
II.
4-H'ers accused of any of the following will be required to appear before a review board:
- Assault or personal harm
- Possession or use of illegal drugs, alcoholic beverages, or 3.2 beer
- Sexual misconduct
- Theft, misuse or abuse of public or personal property
- Possession of weapons
If a question regarding any the above is raised, I agree to a search of my room and/or personal property. Failure to comply will result in
violation of the Code of Conduct.
III.
If the 4-H'er is found in violation of Section II, and receives discipline issued by the review board his or her parent/guardian will be notified
immediately; the 4-H'er will be suspended from participation in district, state, national and international 4-H activities for a period for up to
twelve 12 months and may be sent home immediately at parent’s expense.
IV. 4-H'ers accused of any of the following may be required to appear before the review board:
- Breaking curfew or disturbing the peace
- Unexcused absence from the activities of the event
- Unauthorized use of vehicles during the event
- Use of abusive language
- Unauthorized absence from the premises of the event
- Possession of illegal fireworks
No boys will be allowed in girls’ rooms nor will girls be allowed in boys' rooms, either as individuals or groups. It is recognized that
circumstances may arise for justifiable exceptions to this policy. However, in every case, permission for exceptions must be secured from
chaperone in advance.
Use of tobacco in any form is discouraged at all 4-H events. No smoking, chewing, or dipping will be permitted at any scheduled meeting or
activity. Legally possessed tobacco may only be used in designated locations.
V. If the accused 4-H'er is found in violation, of Section IV, and receives discipline issued by the review board, his or her parent/guardian will be
notified, and the 4-H'er may be sent home immediately at the parents’ expense and may be suspended from participating in district, state,
national and international 4-H activities for up to six (6) months.
VI. Realizing these guidelines are not “all inclusive”, the Extension Service reserves the right to make adjustments to policies.
VII. STAFF NOTIFICAITON PROCEDURES: If a 4-H'er is found in violation of the Code and is to be sent home, the person in charge of the event
will notify the appropriate County, District or State 4-H Office.
VIII. REVIEW BOARD: The person in charge of the event will appoint a review board at the beginning of the event The review board will consist
of the following:
- At least one Extension educator, up to two Volunteer Leaders and three 4-H members (The person in charge of the
event or delegation shall serve as chairman.)
- The review board may be convened by the person in charge of the event/delegation, or at the request of the affected
4-H'er.
IX. APPEAL PROCEDURES: If a 4-H'er wishes to appeal the decision of the review board, he/she must appeal in writing through their County
Extension Office. Appeals must be filed within 30 days following notification of punishment. As necessary, the State 4-H Leader shall appoint
an appeal board, no sooner than 30 days following the date of notification of the disciplinary action. The appeal board who hears the appeal of
the 4-H member shall consist of:
- A County Extension Educator
- A 4-H Volunteer
- Two 4-H members
- District 4-H Specialist
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As a condition of participation in 4-H events, we agree to be bound by the terms of the 4-H Code of Conduct. We understand the
reason for this agreement is to insure conduct and behavior that will result in every 4-H delegate receiving the full benefit of enjoyment
and educational experience from this event and is not intended to place undue restriction upon any individual.
4-H Member Signature _________________________________________ Date _________________________
Parent or Guardian Signature __________________________________________________________________
County Extension Educator ______________________________________ County _______________________
(NOTE: Failure to have the bonafide signatures above shall be sufficient reason to disqualify a member from further participation in a
4-H event. Please return entire page by designated date.)
Address ______________________________________________________ Phone ______________________
Where Parent or Guardian may be reached _______________________________________________________
THE 4-H CLUB RITUAL
Nothing more nearly represents the purpose and character of 4-H club work than the Ritual. When correctly
given it is beautiful and impressive. It is as follows:
“Stand, please.”
Vice President:
Members:
(All members rise and stand erect.)
“What is our 4-H Club motto?”
Vice President:
Members:
(In unison) “To make the best better.”
“We will repeat the 4-H club pledge.”
Vice President:
“I pledge
Members:
My head to clearer thinking,
My heart to greater loyalty,
My hands to larger service, and
My health to better living, for
My club, my community, my country, and my world.”
(In repeating the pledge, raise right hand to side of head when
speaking line 1; lower right hand over heart when speaking line 2;
extend hands, palms upward, when speaking line 3; and stand at
attention when speaking line 4.)
“We will now give the Pledge of Allegiance.”
Vice President:
“I pledge allegiance to the Flag of the United States of America, and to
Members:
the Republic for which it stands, one Nation, under God, indivisible,
with liberty and justice for all.”
(In repeating the pledge, stand at attention facing the flag. The right
hand should be placed over the heart while giving the pledge. This
change was made by Congress on December 15, 1942, Section 7,
Public Law 623.)
“We will now review the meaning of the club emblem. What is the
Vice President:
national 4-H Club Emblem?”
“The national 4-H Club Emblem is the four leaf clover with the letter
Members:
‘H’ on each leaflet running parallel with the mid-rib of the leaflet.”
“What do the four H’s on the club emblem represent?”
Vice President:
“They represent the equal training of the head, heart, hands, and
Members:
health of every member.”
“For what is the head trained?”
Vice President:
“To think, to plan, to reason.”
Members:
“For what is the heart trained?”
Vice President:
“To be kind, to be true, to be sympathetic.”
Members:
“For what are the hands trained?”
Vice President:
“To be useful, to be helpful, to be skilled.”
Members:
“For what is the health trained?”
Vice President:
“To resist disease, to enjoy life, to make for efficiency.”
Members:
“In the All-Star Emblem, what does the fifth ‘H’ represent?”
Vice President:
“The Home.”
Members:
“In what way can we be a help in our home life?”
Vice President:
“By striving to train for a home life that represents true character,
Members:
comfort, and contentment.”
“Be seated, please.”
Vice President: